173978 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1
ONE CIVIC SQUARE OVERHEAD DOOR INC
CARMEL, INDIANA 46032 PO BOX 50648 CHECK AMOUNT: $2,097.00
INDIANAPOLIS IN 46250
CHECK NUMBER: 173978
CHECK DATE: 6/2412009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 20086 941126 2,097.00 GARAGE DOORS
t�
INVOICE Print Date: 04/01/09
Printed by: KRISTINAE
Tllie Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 03/31/09
8811 Bash Street Sales Invoice Number: 941126
Indianapolis, IN 46256 Sales Order Number: 821359
(317) 842 -7444 Page: 1
Ship
To: 3 Civic Square
Sold To: Carmel Police Department Robert Robertson 571 -2548
3 Civic Square
Carmel, IN 46032
Model
Ship Date 03/31/09 Customer ID CAR15
Terms NET 30 P.O. Number 20086
Head Installer 9081 P.O. Date 03/17/09
2nd Installer Pworc u: 317..'1 0 0
Department: F SalesPerson 68 Chuck Riddell
Qty Qty Qty
Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price
142228 1 1 593 10X9'1 /CARMEL POLICE
142233 1 1 593 10X9'1 /LHR/CARMEL POLICE
406947 -3 2 2 EA DRAWBAR PLATE 21"
1 10 -2 x 9 -1 593 Ihrm, wd jambs
1 10 -2 x 9 -1 593 std lift, wd jmbs
WGWS 60 60 LF VINYL STOP MOLD
take down haul away
reconnect operators
CC 2,097 2,097 CONTRACT BILLING 1.00 2, 097.00
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*Anag list
'�Z 0 SE RVICE
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Subtotal: 2,097.00
Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00
P.O. Box 50648 Deposit: 0.00
Indianapolis, IN 46250 Total: 2,097.00
C 0 INDIANA RETAIL TAX EXEMPT PAGE
i'� I' C rmel CERTIFICATE NO. 003120155 002 0 1i \��11/// lSJS1i li PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3QNE;CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
March 13 200, garage doors
VENDOR Overhead Door Company of Indianapli &s SHIP Cityoof Carmel Police Department
8811 dash Street TO 3 Civic Square
Indianapolis, IN 46256 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 furnish and install 593 series thermacore garage 2,097.00
doors per proposal 4115 -2578
Send Invoice To: City of Carmel Pol
ATTN: Teresa Anderson
3 Civid Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 501 building repairs and malm,tenaAA MENT
i�• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION $UFFIC�PAY� ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Assis t Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
086
CLERK TREASURER
DOCUMENT CONTROL NO A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE
VIDUCHER NO. WARRANT NO.
s ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
T he Overhead Door Co. of Indianapolis, Inc. Purchase Order No. 20086F
88 11 GBash Street Terms
Indianapolis, IN 46256
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/1/09 941126 payment for new garage doors 2,097.00
Total
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. WARR NT NO.
ALLOWED 20
The Overhead Door Co. o /Ipdianapolis, Inc. IN SUM OF
8811 Bash Street
Indianapolis, IN 46 56
2 9 .00
ON ACCOUN OF APPROPRIATION FOR
police e eal fund
W Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20086F 941126 501 2,097.00 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
June 17 2 0 09
&""Z b
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund