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178328 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 P ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $1,360.00 CARMEL, INDIANA 46032 PO BOX 50648 INDIANAPOLIS IN 46250 CHECK NUMBER: 178328 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION .1120 4350100 954112 1,360.00 BUILDING REPAIRS MA INVOICE Print Date: 10/02/09 Printed by: ALICIAH The dverhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 09/30/09 8811 Bash Street Sales Invoice Number: 954112 Indianapolis, IN 46256 Sales Order Number: 833761 (317) 842 -7444 Page: 1 Ship To: 4) east doors Sold To: Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 038059 Ship Date 09/30/09 Customer ID CAR93 Terms NET 30 P.O. Number Head Installer 490 P.O. Date 09/25/09 2nd Installer Phone 317 -571 -2600 Department: G SalesPerson 68 Chuck Riddell Qty Qty Qty Item No. Ord Ship B10 Unit Description Unit Price Retainage Total Price 39441A 4 4 SG1 0-1 15RG-LED STOP GO RCC 200 200 ROMEx P.O. 39489 Install 4 stop and go lights on 4 garage d facing east. Extend brackets for upper ph cells approx 18" on ladder truck door. CC 1 1 CONTRACT BILLING 1,360.00 1,360.00 installed above Subtotal: 1,360.00 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 1,360.00 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)) 954112 $1,360.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF 8811 Bash Street Indianapolis, IN 46256 $1,360.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 954112 43- 501.00 $1,360.00 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 n dot i t 1 i J 2 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund