209309 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 353477 Page 1 of 1
ONE CIVIC SQUARE PROFESSIONAL GARAGE DOOR SYSTE��
CARMEL, INDIANA 46032
6030 GATEWAY DRIVE CHE�K AMOUNT: $185.00
o PLAINFIELD IN 46168 CHECK NUMBER: 209309
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 41613 185.00 MATERIALS SUPPLIES
INVOICE
�1122111 S S I Op n Q I Professional Garage Door Systems, Inc.
GARAGE DOOR 6030 Gateway Drive Invoice Number: 41613
Plainfieid, IN 46168 Order Number: 372567
Phone:3178393050
Fax: 3178383533 Invoice Date: 4/23/12
Customer ID: CITYCA
*A mount partment: 15
Bill To: CITY OF CARMEL WASTEWATER UTILITIES 3450 W. 131st ST Carmel, IN 46032 ount Due: $185.00
REMITTANCE AMOUNT
Ship Via: UPS Ground Job:
Ship Date: 4/23/12 Customer PO: 112259 -0001
Due Date: 5/23/12 Work Order Number: 372567
Terms: Net 30
Window Window Type Unit Price Line Total
Quantity Item No Description Quantity yp
1 FASCOREVCONT Fasco Reversing Contactor #C3RM30A 175.00 175.00
Payment Date Type CC /Check Amount Subtotal: 175.00
Total Sales Tax: 0.00
Freight: 10.00
C Total: $185.00
Q Amount Paid:
Amount Due: $185.00
Di'EVs,`, I'laiili{,:`ld IN 4 6
VOUCHER 117336 WARRANT ALLOWED
353477 IN SUM OF
PROFESSIONAL GARAGE DOOR SYS*
2707 E MAIN STREET
PLAINFIELD, IN 46168
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
41613 01- 7202 -06 $185.00
Voucher Total $185.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353477
PROFESSIONAL GARAGE DOOR SYSTEMS Purchase Order No.
2707 E MAIN STREET Terms
PLAINFIELD, IN 46168 Due Date 5/15/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2012 41613 $185.00
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
Date Officer