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205560 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $475.20 CARMEL, INDIANA 46032 PO BOX 50648 o INDIANAPOLIS IN 46250 CHECK NUMBER: 205560 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 1019713 430.20 REPAIR PARTS 1120 4237000 1020049 45.00 REPAIR PARTS INVOICE Print Date: 01/10/12 Printed by: MICHELLEN The Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 01/05/12 8811 Bash Street Sales Invoice Number: 1019713 166i5napolis, IN 46256 Sales Order Nufti er: 894190 (317) 842 -7444 Page: 1 Ship To: Exit Ladder Bay Engine Bay Sold To: Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 073850/073683 Ship Date 01/05/12 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 76 P.O. Date 01/03/12 2nd Installer 127 Phone 317 571 -2600 Department: G SalesPerson 68 Chuck Riddell Qty Qty Qty Item No. Ord—; Ship -B /O Unit _Desch ption Unit Price Retainage Total Price----:-. Door not sealing properly, trans have no r Gary 508 -5777 4120 2 2 EA TX MULTICODE 2CH 68.50 137:00 75015 -0 1 1 EA SPRING BOX SFL /L W /HINGE 144.00 144.00 IM 1 1 EA INCIDENTAL MATERIAL 9,20 9.20 FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00 1 MC 2 2 1 MAN COMMERCIAL HOURLY RATE 49.00 98.00 TCC 1 1 TRIP CHARGE COMMERCIAL 30.00 30.00 Exit Ladder Bay Leveled the door, replaced spring box. Engine Bay Replaced 2 multi code tx 2 button remote SW Door Adjusted the top fixtures Subtotal: 430.20 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: -0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 430.20 Print Date: 01/10/12 SALES ORDER Printed by: JOHNR The Overhead Door Co. of Indianapolis, Inc. Sales Order Date: 01/10/12 8811 Bash Street Sales Order Number: 894769 Indianapolis, IN 46256 Page: 1 (317) 842 -7444 Ship To: Sold To: Carmel Fire Department 2 Civic Square Carmel, IN 46032 Model: Customer ID CAR93 Ship Date 01/10/12 P.O. Number STN 44 Ambulance Bay Head Installer DEL Delivered P.O. Date 01/10/12 2nd Installer Phone 317 571 -2600 Department: K SalesPerson 86 John Rusin Quantity to Unit Item No. Ship Unit Description Price Amount 109130 -3901 1 EA TX MIL 390 1 CH 45.00 45.00 Amount Subject to Amount Exempt Subtotal: 45.00 Sales Tax from Sales Tax Invoice Discount: 0.00 0.00 45.00 Sales Tax: 0.00 Total: 45.00 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)) 1020049 $45.00 1019713 $430.20 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 VOUCHER NO. WARRANT N ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF P.O. Box 50648 Indianapolis, IN 46250 $475.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members 1120 j 1020049 42- 370.00 j $45.00 1 hereby certify that the attached invoice(s), or 1120 1019713 42- 370.00 $430.20 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 AN 1 2012 c 4 y .ate— t J P e...�� Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund