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245225 05/13/15 +u 4qb INDIANAPOLIS 4. CITY OF CARMEL, INDIANA VENDOR: 235000 ,, , ,, ,, ® ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $ 344.47 :�� ?� CARMEL, INDIANA 46032 4IN 46250 CHEK NUMBER: 245225 ''ETON CHECK DATE: 05/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1122969 344.47 BUILDING REPAIRS & MA INVOICE Print Date: 04/29/15 Printed by: DANAK The Overhead Door Co.of Indianapolis Sales Invoice Date: 04/29/15 8811 Bash Street Sales Invoice Number: 1122969 Indianapolis, IN 46256 Sales Order Number: 993200 (317) 842-7444 Page: 1 Ship To: Station #42 Sold To: Carmel Fire Department 3610 W. 106th Street 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 092697 Ship Date 04/27/15 Customer ID CAR93 Terms NET 30 P.O. Number Scott Head Installer 470 P.O. Date 04/27/15 2nd Installer 9691 Phone#: 317-571-2600 --Department. G --- _ SalesPerson 68 Chuck`Riddell— - _ Qty oty Qty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price SW Ovhd Door-Been hit. Sections need to be replaced.dk Scott 371-3140 Cell 61337-5 6 6 EA ROLLER 3"TR-7 LONG 20.50 123.00 400643-3 2 2 EA HINGE#3 COMM 17.50 35.00 400643-4 2 2 EA HINGE#4 COMM 17.50 35.00 IM 1 1 EA INCIDENTAL MATERIAL 9.97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 21VIC 1 1 2 MAN COMMERCIAL HOURLY RATE 98.00 98.00 2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL . 30.00 30.00 Billing for Initial Service Call SW Ovhd Door-Temp repair to work. Completed Subtotal: 344.47 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 344.47 VOUCHER NO. WARRANT NO. Overhead Door Co. of Indpls. ALLOWED 20 IN SUM OF$ P.O. Box 50648 Indianapolis, IN 46250 $344.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 1122969 43-501.00 $344.47 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 MAY 9 1 2015 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 1122969 Sta.42 Accident . $344.47 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