209632 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1
ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOLI&ECK AMOUNT: $581.20
CARMEL, INDIANA 46032 PO BOX 50648
INDIANAPOLIS IN 46250 CHECK NUMBER: 209632
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1030111 581.20 BUILDING REPAIRS MA
INVOICE Print Date: 05/17/12
Printed by: MICHELLEN
The Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 05/16/12
8811 Bash Street Sales Invoice Number: 1030111
Indianapolis, IN 46256 Sales Order Number: 904370
(317) 842 -7444 Page: 1
Ship
To: SW Engine Door
Sold To: Carmel Fire Department 3610 W 106th Street
2 Civic Square Carmel, IN 46032
Carmel, IN 46032
Model 070772
Ship Date 05/16/12 Customer ID CAR93
Terms NET 30 P.O. Number Ernie
Head Installer 1090 P.O. Date 05/16/12
2nd Installer 274 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
track was hit and
Ernie 557 -1974
80963 -0 13 13 LF TRACK 3" STRAIGHT 14.00 182.00
41320 4 4 EA BRACKET JAMB 3" TR (ALL) 13.50 54.00
IM 1 1 EA INCIDENTAL MATERIAL 9.20 9.20
FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00
21VIC 3 3 2 MAN COMMERCIAL HOURLY RATE 98.00 294.00
2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30.00 30.00
SW Engine Bay Door
The door was hit, replaced the track
and the jamb brackets.
Subtotal: 581.20
Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00
P.O. Box 50648 Deposit: 0.00
Indianapolis, IN 46250 Total: 581.20
VOUCHER NO. WARRAN NO.
ALLOWED 20
Overhead Door Co. of Indpls.
IN SUM OF
P.O. Box 50648
Indianapolis, IN 46250
$581.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
1120 I 1030111 I 43- 501.00 I $581.20 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
JUN 4 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
)rescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
%n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
1030111 Repair Sta. 42 Door $581.20
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
,20
Clerk- Treasurer