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192187 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOL' I CHECK AMOUNT: $551.20 CARMEL, INDIANA 46032 Po aox 5064e INDIANAPOLIS IN 46250 CHECK NUMBER: 192187 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 985721 551.20 BUILDING REPAIRS MA INVOICE Print Date: 11110/10 Printed by: KRISTINAE the Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 11/08/10 3811 Bash Street Sales Invoice Number: 985721 Indianapolis, IN 46256 Sales Order Number: 862684 ;317) 842 -7444 Page: 1 Ship To: south middle door Sold To: Carmel Fire Department 3242 e. 106th st. 2 Civic Square Carmel, IN 46033 Carmel, IN 46032 Model 060024 Ship Date 11/08/10 Customer ID CAR93 Terms NET 30 P.O. Number officier in charge Head Installer 1090 P.O. Date 11/08/10 2nd Installer 1020 Phone 317 571 -2600 Department: G SalesPerson 68 Chuck Riddell Qty Qty Qty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price bls, replace both and 571 -2631 29533860L 1 1 EA 295 X 3 318 X 60" LEFT 152.00 152.00 2953386OR 1 1 EA 295 X 3 318 X 60" RIGHT 152.00 152.00 IM 1 1 EA INCIDENTAL MATERIAL 9.20 9.20 FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00 2MC 2 2 2 MAN COMMERCIAL HOURLY RATE 98.00 196.00 2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30.00 30.00 Subtotal: 551.20 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 551.20 VOUCHER NO. WARRANT NO. Overhead Door Co. of Indpls. ALLOWED 20 IN SUM OF 8811 Bash Street Indianapolis, IN 46256 $551.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 985721 43- 501.00 $551.20 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 NOV 2 2 2010 r 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 bit[ 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)) 985721 $551.20 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