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169101 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOLIS CHECK AMOUNT: $75.70 CARMEL, INDIANA 46032 Po aox sosaa y <.uH Vi a.. INDIANAPOLIS IN 46250 CHECK NUMBER: 169101 CHECK DATE: 2/17/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1120 4350100 936407 75.70 BUILDING REPAIRS MA :R I t� INVOICE Print Date: 01/30/09 Printed by: ALICIAH The Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 01/30/09 8811 Bash Street Sales Invoice Number: 936407 Indianapolis, IN 46256 Sales Order Number: 817906 (317) 842 -7444 Page: 1 Ship To: center back door Sold To: Carmel Fire Department 5034 e. 131 st st. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model Ship Date 01/27/09 Customer ID CAR93 Terms NET 30 P.O. Number officier in charge Head Installer 127 P.O. Date 01/27/09 2nd Installer 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 photo eye not working and IM 1 1 EA INCIDENTAL MATERIAL 9.20 9.20 FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00 1 MC 0.5 0.5 1 MAN COMMERCIAL HOURLY RATE 49.00 24.50 TCC 1 1 TRIP CHARGE COMMERCIAL 30.00 30.00 Middle rear door photo eyes were worki when arrived, checked for loose wire and alignment, tested doors and eyes working at this time r Subtotal: 75.70 Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 75.70 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)) 936407 Repair Bay Door $75.70 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 N WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. a IN SUM OF 8811 Bash Street Indianapolis, IN 46256 $75.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 936407 43- 501.00 $75.70 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 FEB -7 a Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund