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186969 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOLIg I' CHECK AMOUNT: $93.00 CARMEL, INDIANA 46032 Po eox 50646 INDIANAPOLIS IN 46250 CHECK NUMBER: 186969 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 973656 93.00 BUILDING REPAIRS MA INVOICE Print Date: 06/12/10 Printed by: KRISTINAE The Overhead �Door'Co. of Indianapolis, Inc. Sales Invoice Date: 06/09/10 8811 Bash Street Sales Invoice Number: 973656 Indianapolis, IN 46256 Sales Order Number: 851983 (317) 842 -7444 Page: 1 Ship To: ohd Sold To: Carmel Fire Department 5032 e. 131 st st. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 042669 Ship Date 06/09/10 Customer ID CAR93 Terms NET 30 P.O. Number Head Installer 541 P.O. Date 06/09/10 2nd Installer 9136 Phone 317 -571 -2600 Department: G SalesPerson 68 Chuck Riddell oty Qty Qty Item No. Ord Ship BIO Unit Description Unit Price Retainage Total Price dlbar arm is bent and 100135 -2 1 1 EA DRAWBAR ARM 24" SEURELEASE 44.00 44.00 2MC 0.5 0.5 2 MAN COMMERCIAL HOURLY RATE 98.00 49 Subtotal: 93.00 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 93.00 VOUCHER NO. WARRANT NO, ALLOWED 20 Overhead Door Co. of Indpls. f IN SUM OF 8811 Bash Street Indianapolis, IN 46256 $93.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 973656 43- 501.00 $93.00 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 A ^��c +n h 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)) 973656 $93.00 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 20 Clerk Treasurer