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182490 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 �I. ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $277.50 CARMEL, INDIANA 46032 PO BOX 50648 INDIANAPOLIS IN 46250 CHECK NUMBER: 182490 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 963376 277.50 BUILDING REPAIRS MA INVOICE Print Date: 01/29/10 Printed by: ALICIAH The Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 01/27/10 8811 Bash Street Sales Invoice Number: 963376 Indianapolis, IN 46256 Sales Order Number: 842636 (317 842 -7444 Page: 1 Ship To: ambulance ladder bays Sold To: Carmel Fire Department 2 civic sq. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 051777 Ship Date 01/27/10 Customer ID CAR93 Terms NET 30 P.O. Number Head Installer 127 P.O. Date 01/27/10 2nd Installer 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 check photo eyes ms MK8300 1 1 EA MARTEE UNIVERSAL SENSING SYS. 151.50 151.50 106647 -1 1 1 EA PUSHBUTTN SURFACE MOUNT 77.00 77.00 1 MC 1 1 1 MAN COMMERCIAL HOURLY RATE 49.00 49.00 replaced parts and serviced F Subtotal: 277.50 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 277.50 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF 8811 Bash Street Indianapolis, IN 46256 $277.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 963376 43- 501.00 $277.50 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 FEB 15 2010 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)) 963376 $277.50 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 1 20 Clerk- Treasurer