211410 07/31/2012 a CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1
` ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOLI&ECK AMOUNT: $604.20
CARMEL, INDIANA 46032 PO BOX 50648
o� INDIANAPOLIS IN 46250 CHECK NUMBER: 211410
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1034784 604 . 20 BUILDING REPAIRS & MA
INVOICE Print Date: 07/17/12
Printed by: MICHELLEN
The Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 07/16/12
8811 Bash Street Sales Invoice Number: 1034784
Indianapolis, IN 46256 Sales Order Number: 908987
(317) 842-7444 Page: 1
Ship
To: exit engine bay
Sold To: Carmel Fire Department 10710 N College Avenue
2 Civic Square Carmel, IN 46032
Carmel, IN 46032
Model 073225
Ship Date 07/16/12 Customer ID CAR93
Terms NET 30 P.O. Number OIC
Head Installer 76 P.O. Date 07/16/12
2nd-Installer 9619 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
sensor issue. mn
Gary 508-5777
RCC 1 1 MARTEC PHOTO EYES 151.50 151.50
607586-1 2 2 EA CPLG ADJ SHAFT 1"CAST 52.00 104.00
80340-16 1 1 EA KEY WAY 1/4 X 1/4 7.50 7.50
IM 1 1 EA INCIDENTAL MATERIAL 9.20 9.20
FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00
21VIC 2.5 2.5 2 MAN COMMERCIAL HOURLY RATE 116.00 290.00
2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30.00 30.00
Engine Exit Door
The photo eyes are bad. Replaced with
a new set. Found the couple/shaft were
bad.Cut the shaft and replaced the coupl
and keys.
Subtotal: 604.20
Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00
P.O. Box 50648 Deposit: 0.00
Indianapolis, IN 46250 Total: 604.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overhead Door Co. of Indpls.
IN SUM OF $
P.O. Box 50648
Indianapolis, IN 46250
$604.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 1034784 I 43-501.00 I $604.20 1 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
JUL 3 0 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
3rescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
1034784 $604.20
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