211012 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 353477 Page 1 of 1
ONE CIVIC SQUARE PROFESSIONAL GARAGE DOOR SYST��gI�
CARMEL, INDIANA 46032 6030 GATEWAY DRIVE CHECK AMOUNT: $271.00
?° PLAINFIELD IN 46168 CHECK NUMBER: 211012
QOM O
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 233555 271 . 00 OTHER EXPENSES
Professional Garage Door Systems, Inc. INVOICE
GARAGE DOOR 6030 Gateway Drive
Plainfield, IN 46168
Invoi Number: 23355s
Phone: (317) 839-3050 Invoic Date: 6/20/12
Fax: (317) 838-3533 Custome ID: CITYCA
Bill S ip
To: CITY OF CARMEL o: CARMEL WASTE WATER DEPT
WASTEWATER UTILITIES 9609 HAZELDELL PARKWAY
3450 W. 131st ST INDIANAPOLIS, IN 46280
Carmel, IN 46032
A t Due: $271.00
PO Number REMITTANCE AMOUNT
Due Date: 7120112 _ Work Order No 320661
Terms: Net 30 Department 15
Trip Date 06/20/2012 Trip No 24370
Type Quantity Item/Description Unit Price Total Price
Part 1 DoorKing#1998-020 PCB Mircophone Kit 125.00 125.00
Work GATE#2-Replaced Microphone In Entry System
Notes Lift Charge: 0.00
Material: 125.00
Energy Surcharge! 5.00
Tax: 0.00
Labor: 95.00
Trip Charge: 46.00
Discount:
Total: 271.00
Grand Total
Amount Subject to Amount Exempt - -Lift Charge: 0.00
Sales Tax from Sales Tax Material: 125.00
$130.00 $141.00 Energy Surcharge: 5.00
Tax: 0.00
Labor: 95.00
Payments Trip Charge: 46.00
Payment Date Type CC/Check# Amount Discount:
Total: 271.00
Amount Paid:
Amount Due: $271,:00--
phun,� 771
VOUCHER # 125295 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
23355S 01-7202-05 $125.00
23355S 01-7362-05 $146.00
Voucher Total $271.00
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 7/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2012 23355S $271.00
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