319827 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 105200
f� ONE CIVIC SQUARE GARAGE DOORS OF INDIANAPOLIS CHECK AMOUNT: $.......*59.00*
CARMEL, INDIANA 46032 5041 W 96TH STREET CHECK NUMBER: 319827
INDPLS IN 46269 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 W0068720 59.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 105200 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARAGE DOORS OF INDIANAPOLIS IN SUM OF$ CITY OF CARMEL
5041 W 96TH STREET 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.
INDPLS, IN 46268
Payee
$59.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
WO-068720 43-501.00 $59.00 1 hereby certify that the attached invoice(s),or 12/5/17 WO-068720 $59.00
2201 2201 2201 2201
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
Wednesday, December 13, 2017
Huffman, Dave
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
WO-068720
i '• s - •. - 2017-12-05
-® Net 60
i. i i .R6(ITdERFID
PARTS
Net 104ays unless otherwise noted'
www doors�c�n�.com
CARMEL STREET DEPARTMENT
. . . ..
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W 131ST ST 3400 W 131ST ST
CARMEL, IN 46074 CARMEL,IN 46074
Item Quantity '
P-1004050 KEYLESS ENTRY,RELIAG(GK-BX) 1 59.00 59.00
Service Balance Remaining 63.13 Net Invoice: 59.00
We very much appreciate your trust by selecting Garage Doors of !.Sales Tax: 4.13
Indianapolis to provide you needed products and services. Invoice Total: 63.13
We value your time and appreciate any comments or suggestions Invoice total reflects a 15%prompt pay
which will allow us to improve. discount.After 02/03/2018
Please Pay $74.27
Please remit payment to 5041 W.96th St, Indianapolis, IN 46268
Please visit us @ www.doorstoday.com -!
SERVICE ORDER NO. pate
o�Q - CUST. CUST. � CUST.
tZ NAME P.Q.# r i #
BILLING � (��� B`LL"ING
—`�F— NAME -_ / f ! HONE
,
ADDRESS qD (/(/, /
www.tloors r
CITY ZIP
5041 West 96th Street
Indianapolis,Indiana 46268 JOB NAME LOCATION
(317)875-4577-FAX:(317)876-9138
;NST CITY CONTACT
NO. HRS DATE
DIRECTIONS:
OPERATOR DOOR INSPECTED
MODEL: SIZE: ROLLERS ❑ SPRING TENSION ❑
TYPE: TYPE: WOOD STEEL HINGES ❑ TRACK ❑
AGE: CONDITION: GOOD FAIR POOR CABLES ❑ DRIVE CHAIN ❑
REVERSING ❑ PHOTO CELLS ❑
QTY. PART NUMBER DESCRIPTION UNIT PRICE EXTENDED PRICE
�.45 '
I hereby acknowledge the satisfactory completion of the above described work.Any unsatisfactory work must be MATERIAL
reported to our office within 10 days or job will be considered acceptable.
Non Account customers include$10 Billing Fee after 10 days. TAX
Finance charge of 1/5%per month, 18%annual,charged on all past due accounts,plus cost and attorney fees
in the event of collection. SUBTOTAL
Favorable pricing and ' ounts are contingent upon payment within agreed terms and failure to pay within terms LABOR
will result in disco It re ation of favorable pricing. IF
11 TOTAL
I DEPOSIT
SIGNATURE E-MAIL DATE
BALANCE
'
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