214387 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1
0 ONE CIVIC SQUARE OVERHEAD DOOR INC
CARMEL, INDIANA 46032 PO BOX 50648 CHECK AMOUNT: $384.20
INDIANAPOLIS IN 46250 CHECK NUMBER: 214387
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1043406 384 . 20 BUILDING REPAIRS & MA
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Indianapolis, IN 46256 Sales Order Number: 910043
(317) 842-7444 Page: 1
Ship
To: Door#5
Sold To: Carmel Fire Department 2 Civic Square
2 Civic Square Carmel, IN 48032
Carmel, IN 46032
Model 088280
Ship Date 10/23/12 Customer ID CAR93
Terms NET 30 P.O. Number Bob
'Hbdd-ffi—staiWr '-470 P.O. Date 10/23/12 ' -- '—
2nd Installer 9591 Phone#: 317'571'2688
Department: G Sa}eoPeroon 68 Chuck Riddell
Qty Qty Qty
Item No. Ord Ship B/O Unit Description Unit Price RetninoQo Total Price
Door#n Coil Spring Broke.uk
Bob oo+nyouCell
29533800L 1 1 EA z»«»o3/8«s»^LEFT 101.50 161.50
|m 1 1 EA |mC|oswTAL MATERIAL 0.20 9.20
FUELC 1 1 Commercial Fuel Surcharge 12.00 12.00
21WC 175 175 z MAN COMMERCIAL HOURLY RATE 08.00 171.50
2TCC 1 1 z MAN TRIP CHARGE COMMERCIAL 30.00 30.00
Door#5 Replaced broken spring
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Subtotal: 384.20
Remit To: The Overhead Door Co. ofIndianapolis, Sales Tax: 0.00
P.O. Box 5064O Deposit: 0.00
Indianapolis, IN 46250 Total: 384.20
]
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overhead Door Co. of Indpls.
IN SUM OF $
P.O. Box 50648
Indianapolis, IN 46250
$384.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1043406 I 43-501.00 I $384.20 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
NOV - 5 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, 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))
1043406 $384.20
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
120
Clerk-Treasurer