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181339 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 l ONE CIVIC SQUARE OVERHEAD DOOR INC i, CARMEL, INDIANA 46032 PO BOX 50646 CHECK AMOUNT: $179.50 INDIANAPOLIS IN 46250 CHECK NUMBER: 181339 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 960926 179.50 BUILDING REPAIRS MA INVOICE Print Date: 12/30/09 Printed by: ALICIAH 'he Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 12/30/09 811 Bash Street Sales Invoice Number: 960926 'clianapolis, IN 46256 Sales Order Number: 840036 :17) 842 -7444 Page: 1 Ship To: n.e. door Sold To: Carmel Fire Department 540 w. 136th st. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 043457 Ship 12/22/09 Customer ID CAR93 Terms NET 30 P.O. Number capt. davis Head Installer 76 P.O. Date 12/22/09 2nd Installer 9112 Phone 317 -571 -2600 Department: G SalesPerson 68 Chuck Riddell Qty Qty Qty Item No. Ord Ship BIO Unit Description Unit Price Retainage Total Price btm. section was hit and Capt. Davis 590 -3426 cell 100643 -3 1 1 EA HINGE #3 COMM 15.00 15.00 51337 -5 2 2 EA ROLLER 3" TR -7 LONG 17.50 35.00 30340 -16 1 1 EA KEY WAY 1/4 X 1/4 7.00 7.00 2MC 1.25 1.25 2 MAN COMMERCIAL HOURLY RATE 98.00 122.50 ne door hit, btm 2 section bent and need replaced replaced missing key and tightened couplers on all doors Subtotal: 179.50 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 179.50 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. bOA 6-t&416/ IN SUM OF 68 1 1 Bash -&t .eet Indianapolis, IN 46256 $179.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# f Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 960926 43- 501.00 $179.50 I 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 JAN 1 1 2010 I 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)) 960926 $179.50 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