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243296 3 /18/2015 CITY OF CARMEL, INDIANA VENDOR: 235000 ® ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $*******102.47* CARMEL, INDIANA 46032 PO BOX 50648 CHECK NUMBER: 243296 9y�roN�° INDIANAPOLIS IN 46250 CHECK DATE: 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1117740 102.47 BUILDING REPAIRS & MA INVOICE Print Date: 02/28/15 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 02/28/15 8811 Bash Street Sales Invoice Number: 1117740 Indianapolis, IN 46256 Sales Order Number: 988121 (317) 842-7444 Page: 1 Ship To: station 41 Sold To: Carmel Fire Department 2 civic sq. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 094220 Ship Date 02/25/15 Customer ID CAR93 Terms NET 30 P.O. Number Capt. Derrick Head Installer 127 P.O. Date 02/24/15 —2nd-installer--9674----- Department: nd-Installer —9674---- --Department: G Salesperson 68 Chuck Riddell Qty Qty oty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price won't close w/tx unless away from station, closes 3 to 4'&reverses and Jim 571-2600 IM 1 1 EA INCIDENTAL MATERIAL 9.97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 21VIC 0.5 0.5 2 MAN COMMERCIAL HOURLY RATE 98.00 49.00 2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30.00 30.00 Battalion Door-Checked the door and op They had just replaced the transmitter. I from a conversion with CFP-The old tran was malfunctioning causing the problems Completed. Subtotal: 102.47 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 102.47 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF$ P.O. Box 50648 Indianapolis, IN 46250 $102.47 i ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 1117740 43-501.00 $102.47 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 MAR 1 R mis Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund I' 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)) 1117740 Sta.41 $102.47 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