169564 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1
`a. ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOLI AMOUNT: $158.20
CARMEL, INDIANA 46032 PO BOX 50648
o� INDIANAPOLIS IN 46250 CHECK NUMBER: 169564
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 931055 158.20 CONT SERVICES OTHER
INV,�r Printed 3
Sales In vOicO Date: 11!19/08
I e Overhead Door Co, of Indianapolis, Inc. gales invoice Number. 931055
11 Sash Street gales Order Number: 812893
Page: 1
dianapolis, IN 46256
17) 842.7444
Ship To. south Bide door #5
old To- Street Department Carmel, IN 46032 ORIGINAL 1
340
3400 W 131st St
Westfield, IN 46074
Model 1 044037
Customer ID CAR340
Ship Date 11/19108 p,O, Number greg
Terms NET 30 P O bate 11/19/08
Head Installer 1090 phone 317 -733 -2001
2nd Installer 9112 Salesperson 68 Chuck Riddell
Department: G Total Price
Item No. tatty Ord Qty Ship gJ0 Unit Descrip unit Price Retainage
sprocket fell off, won't open and
Greg 716 -392
9.2-0 9.20
INCIDENTAL MATERIAL 1 2.00 12.00
IM 1 1 Commeraal Fuel surcharge 80.00
FUELC 1 1 2 MAN COMMERCIAL 7
L HOURLY R 1.00 57.00
2MC 0.5 0. 2 MAN TRIP CHARGE COMMER 57.00
2TCC 1 1
Reset the limits and lubed the
springs. Repaired as needed.
i
Subtotal' 158.20
Sales Tax: 0.00
Remit To: The Overhead Door Co. of lndianapol Deposit: 0.00
P.O .13ox 50648 Total: 158.20
Indianapolis IN 46250
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHEf2
CITY OF
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350778
OVERHEAD DOOR CO OF INDIANAPOLI Purchase Order No.
8811 BASH STREET Terms
INDIANAPOLIS, IN 46256 Due Date 2/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2009 931055 $158.20
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
Date Officer
VOUCHER 091166 WARRANT ALLOWED
350778 IN SUM OF
OVERHEAD DOOR CO OF IND O
8811 BASH STREET W
INDIANAPOLIS, IN 46256 &ff
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
931055 01- 6360 -06 $158.20
Voucher Total $158.20
Cost distribution ledger classification if
claim paid under vehicle highway fund