210105 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 353477 Page 1 of 1
ONE CIVIC SQUARE PROFESSIONAL GARAGE DOOR SYST OHEI�
CK
Ss CARMEL, INDIANA 46032 6030 GATEWAY DRIVE AMOUNT: $1,633.50
PLAINFIELD IN 46168 CHECK NUMBER: 210105
CHECK DATE: 6120/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 222615 1,633.50 OTHER EXPENSES
7 f ��W" I Professional Garage Door Systems, Inc. INVOICE
GARAGE DOOR 6030 Gateway Drive
Plainfield, IN 46168
Invoice Number: 22261s
Phone: (317) 839 -3050 Invoice Date: 5/9/12
Fax: (317) 838 -3533 Customer ID: CITYCA
Bill Ship
To: CITY OF CARMEL To: CITY OF CARMEL
WASTEWATER UTILITIES 9609 HAZEL BELL PARKWAY
3450 W. 131st ST CARMEL, IN 46032
Carmel, IN 46032
Amount Due: $1,633.50
PO Number REMITTANCE AMOUNT
m Due Date: 6/8/12 Work Order No 319470
Terms: Net 30 Department 15
Grand Total
Amount Subject to Amount Exempt Lift Charge: 0.00
Sales Tax from Sales Tax Material: 1,060.00
$1,065.00 $568.50 Energy Surcharge: 5.00
Tax: 0.00
Labor: 522.50
Payments Trip Charge: 46.00
Payment Date Type CC /Check Amount Discount:
Total: 1,633.50
Amount Paid:
Amount Due: $1,633.50
rEes�icsnal Garaq-ye Door Syr tems. [ric- 6030 Gxewa} Drive. Plainficid -I.N 46168
Phone. 0 17 83O -3W o lax (.3 i 7) ,'iS- 3533
��S S n I Professional Garage Door Systems, Inc. INVOICE
GARAGE DOOR 6030 Gateway Drive
Plainfield, IN 46168
Invoice Number: 22261s
Phone: (317) 839 -3050 Invoice Date: 5/9/12
Fax: (317) 838 -3533 Customer ID: CITYCA
Bill ip
To: CITY OF CARMEL o: CITY OF CARMEL
WASTEWATER UTILITIES 9609 HAZEL BELL PARKWAY
3450 W. 131st ST CARMEL, IN 46032
Carmel, IN 46032
Amou Due: $1,633.50
PO Numb REMIT NCE AMOUNT
Due Date: 6/8112 Work Order No
Terms: Net 30 Department 15
Trip Date 05/02/2012 Trip No 23092
Type Quantity Item /Description Unit Price Total Price
Work GATE Found bad board, order new board overnight
Notes Lift Charge: 0.00
Material:
Energy Surcharge:
Tax: 0.00
Labor: 95.00
Trip Charge: 0.00
Discount:
Total: 95.00
Trip Date 05/03/2012 Trip No 23107
Type Quantity Item /Description Unit Price Total Price
Part 1 1833 -010 Board 980.00 980.00
Part 1 Overnight Freight Charge 80.00 80.00
Work gate Installed New Board
Notes Lift Charge: 0.00
Material: 1,060.00
Energy Surcharge: 5.00
.Tax: 0.00
Labor: 427.50
Trip Charge: 46.00
Discount:
Total: 1,538.50
ot'essioit�ti Garage Door Sw sfenis. fnc.. 6030 Gatewae Drive_ Plainfield i N 46165
Phone (317) S 3050 1 a,\ (3 1 8 1 �a3
Prescribed State Board Accounts ACCOUNTS PAYABLE VOUCHER
Form No. 301 01 -S (Rev. 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
19
Signature Title
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.
Officer Title
i
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA
�D PrI �r0
Ro �C-SS �S 006) e
60 Gl'/ ewn 02
.alb t l
Total Amount of Voucher
Deductions
a Gl 0 2.06 jow D
S 3 S
Amount of Warrant 1 5
Month of _19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325