213125 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350778 Page 1 of 1
ONE CIVIC SQUARE OVERHEAD DOOR CO OF INDIANAPOLICHECK AMOUNT: $75.70
CARMEL, INDIANA 46032 PO BOX 50648
INDIANAPOLIS IN 46250 CHECK NUMBER: 213125
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1039197 75 . 70 BUILDING REPAIRS & MA
INVOICE Print Date: 09/07/1.2
Printed by'
MICHELLEN':
:The,Over.head Door Co. of Indianapolis;-Inc.�=, .` Sales Invoice-Date: "09/05/12
8811 Bash Street Sales Invoice Number: 1039197
Indianapolis, IN 46256 Sales Order Number: 912842
(317) 842-7444 Page: 1
Ship
To: NW Bay&6 Doors
Sold To: Carmel Fire Department 5032 E Main Street
2 Civic Square Carmel, IN 46032
Carmel, IN 46032
Model 085937
Ship Date 09/05/12 Customer ID CAR93
Terms NET 30 P.O. Number John 571-2632
Head Installer 490 P.O. Date 09/05/12
2nd Installer 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 on NW Bay&PM 6 Doors.
John 459-5635
IM 1 1 EA INCIDENTAL MATERIAL 9.20 9.20
FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00
1 MC 0.5 0.5 1 MAN COMMERCIAL HOURLY RATE 49.00 24.50
TCC 1 1 TRIP CHARGE COMMERCIAL 30.00 30.00
NW Door
Checked the photo eyes and clipped
the ends of the wire. Rewired all the eyes
Subtotal: 75.70
iit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00
Box 50648 Deposit: 0.00
anapolis, IN 46250 Total: 75.70
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 service rendered, by
whom, t'ateS Per day, number of hours, rate her 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))
1039197 $75.70
1 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
VOUCHER NO. WARRANT NO.
_Z=— ALLOWED 20
Overhead Door Co. of Indpls.
IN SUM OF $
P.O. Box 50648 ---
Indianapolis, IN 46250 — — -
$75.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1039197 I 43-501.00 I $75.70 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
SEP 2 4 2012
l
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund