251208 11/04/15 CITY OF CARMEL, INDIANA VENDOR: 235000
® � ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $*******102.47*
?� CARMEL, INDIANA 46032 PO BOX 50648 CHECK NUMBER: 251208
+MUTON INDIANAPOLIS IN 46250 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1139735 102.47 BUILDING REPAIRS & MA
The Overhead Door Co.of Indianapolis The Genuine. The Original. INVOICE Page 1
8811 Bash Streeta a � .g
Indianapolis,IN 46256 • • • Invoice No.: 1139735
Invoice Date: 10/21/2015
SO Number: 1009511
SOLD Carmel Fire Department SHIP Carmel Fire Dept#41
TO: 2 Civic Square TO: 2 Civic Square
Carmel, IN 46032
Carmel,IN 46032
Printed By DKORNS ON 10/21/2015 Customer ID CAR93
Ship Date 10/9/2015 P.O. Number JIM
-Due Data-- 11/20/2015 P.O. Date 10/9/2015
Terms NET 30 Phone# 317 571-2600
Head Installer . Joshua Goddard Salesperson Chuck Riddell
Second Installer Austin Johnson Department G
Order
Item No. Description Unit Qty Qty Unit Price Total Price
Door#7-Gap @ bottom.dk
Jim 557-3241 Cell
IM INCIDENTAL MATERIAL EA 1 1 9.97 9.97
FUELC Commercial Fuel Surcharge EA 1 1 13.50 13.50
2TCC 2 MAN TRIP CHARGE COMMERCIAL EA 1 1 30.00 30.00
2MC 2 MAN COMMERCIAL HOURLY RATE EA 0.5 0.5 98.00 49.00
Relev le r
e d out of Doo #7
Completed.
Subtotal: 102.47
Invoice Discount: 0.00
Remit To: The Overhead Door Co.of Indianapolis
Total Sales Tax: 0.00
P.O.Box 50648 102.47
Indianapolis,IN 46250 Total:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overhead Door Co. of Indpls.
IN SUM OF $
P.O. Box 50648
Indianapolis, IN 46250
$102.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 1139735 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
pd1r1V — 2 ?I115
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1 A
1'
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))
1139735 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