319446 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 364852
ONE CIVIC SQUARE AMERICAN GARAGE DOOR SUPPLY INTHECK AMOUNT: S***"'
*740.00'
CARMEL, INDIANA 46032 1225 INDUSTRIAL PARK DR SE CHECK NUMBER: 319446
BEMIDJI MN 56601 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER_ AMOUNT DESCRIPTION
651 5023990 1050098 740.00 OTHER EXPENSES
VOUCHER NO. 176861 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 364852 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
AMERICAN GARAGE DOOR SUPPLY INC CITY OF CARMEL
1225 INDUSTRIAL PARK DR SE An invoice or bill to be properly itemized must show: kind of service,where performed,
BEMIDJI, MN 56601 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
740.00 364852 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR AMERICAN GARAGE DOOR SUPPLY INC Terms
Carmel Wasterwater Utility 1225 INDUSTRIAL PARK DR SE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice BEMIDJI, MN 56601
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund # AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1050098 01-7202-06 $740.00 and received except 11/28/2017 1050098 $740.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
â–ºmerica .
TM
Invoice
ggrdge door supply inc: Rep Date Invoice#
12.25_ Industslal Park Dr SE;
BemIdJI;:;MN:56601 A.com 11/14/2017 1050098
1-800-233-1487`Phc (218).7,51.6551`Fax
Bill To Ship To
Jeff Cooper Jeff Cooper
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis,IN 46280 Indianapolis,IN 46280
USA USA
Customer Phone Customer Fax
317-571-2634 371-571-2636
S.O. No. P.O. No. V.O# Terms Ship Via UPS Acct.
61520 S17813 10037 CC-GL Web UPS-Ground
Item Description Qty Rate U/M Amount
WRJ-G-B Weatherseal,Jamb,Clip-on,Reverse Angle,Vinyl, 4 160.00 Box 640.00
Grey,200',(2-100'rolls per box)
Shipping Shipping and Handling 1 100.00 100.00
Tracking#1ZW497X50342654097
Thank you for your business.
Subtotal $740.00
Sales Tax (0.0%) $0.00
Date Shipped Tracking#
11/14/2017 Total $740.00
Payments/Credits $0.00
Phone# Fax#
(218)751-5254 (218)751-6551 U.S Funds Balance Due $740.00