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241810 02/03/15 Q CITY OF CARMEL, INDIANA VENDOR: 235000 ONE CIVIC SQUARE OVERHEAD DOOR INC CHECKAMOUNT: $*******597.47* CARMEL, INDIANA 46032 PO BOX 50648 CHECK NUMBER: 241810 INDIANAPOLIS IN 46250 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION . 1120 4350100 1114506 597.47 BUILDING REPAIRS & MA INVOICE Print Date: 01/23/15 Printed by: DANAK The Overhead Door Co.of Indianapolis Sales Invoice Date: 01/23/15 8811 Bash Street Sales Invoice Number: 1114506 Indianapolis, IN 46256 Sales Order Number: 984865 (317) 842-7444 Page: 1 Ship To: south side center door Sold To: Carmel Fire Department 5032 E. Main Street 2 Civic Square Carmel, IN 46033 Carmel, IN 46032 Model 076507 Ship 01Date /15/15 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 470 P.O. Date 01/15/15 2nd-Installer --9691571-2600 Department: G Salesperson 68 Chuck Riddell Qty Qty pty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price Engine bay door-broken spring-south middle bay door-replace both springs,n just busted one ao Gary 317-508-5777 34333860R 1 1 EA 343 X 3 3/8 X 60 RH 174.00 174.00 34333860L 1 1 EA 343 x 3 3/8"x 60"Long LH 174.00 174.00 IM 1 1 EA INCIDENTAL MATERIAL 9.97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 2MC 2 2 2 MAN COMMERCIAL HOURLY RATE 98.00 196.00 2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30.00 30.00 Southside Center Bay Door-Replaced both springs. Completed Subtotal: 597.47 Remit To: The Overhead Door Co.of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 597.47 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF$ P.O. Box 50648 Indianapolis, IN 46250 $597.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCTNTITLE AMOUNT Board Members 1120 1114506 43-501.00 $597.47 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 1 . Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 1114506 Sta.44 South Center Door $597.47 I I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer