214789 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 353477 Page 1 of 1 EEM�SS
ONE CIVIC SQUARE PROFESSIONAL GARAGE DOOR SYST
f CHE6 AMOUNT: $186.00
CARMEL, INDIANA 46032 6030 GATEWAY DRIVE
PLAINFIELD IN 46168
CHECK NUMBER: 214789
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 26420S 186 . 00 BUILDING REPAIRS & MA
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-----------------------------------------
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Professional Garage g Door Systems,
60 y ms, Inc.
GARAGE DOOR 30 Gateway Drive
Plainfield, IN 46 INVOICE
E
Phone: Invoice Number: 26420s
hone: 317 _
( ) 839 3050 Invoi
Fax Invoice(317 g _ oice Date:
38 3533 11/5/12
Bill Customer ID: CITYCA
To: CITY OF CARMEL Ship
WASTEWATER ATER INDIANA TIES o: DE
SIGN CENTER
N
450 W. 13 TER
1 st ST 200 S RANG
C ELINE RD
a
j rmel IN
46032 C
ARMEL IN
46032
- Amount Due: $186.00
Due Date: _ _
12/5/12 ��� - PO Number
REMITTANCE AMOUNT
Terms: __..- -----
Net 30
Work Order No 323989 -.. _ _ I
Trip Date 11/02/2012 T Department 15
rip No 27975
Type Quantity Item/Description
WOE
Notes p&Tested DOORS-PARKING GARAGE-
Reset O Operation Unit Price Total Price
Lift Charge:g 0.00
Material:
Energy Surcharge:
5.00
Tax: 0.00
Labor: 135.00
Trip Charge: 46.00
Discount:
Total: 186.00
Grand Total
Amount Subject to
Sales Tax Amount Exempt
from Sales Tax Lift Charge: 0.00
$5.00 Material:
$181.00 Energy Surcharge:g 5.00
Payments Tax: 0.00
Payment Date Type Labor: 135.00
CC/Check# Amount Trip Charge: 46.00
Discount:
Total: 186.00
Amount Paid:
Amount Due: $186.00
`'rot<.s�ic}n;tl Ciara�`e {k�or Stslem - Inc..(,p3 t
'he ne.t"3I?:�8?9-3()SO t (late .t
° Fax i3!%!Ri--3533 1) I>ri�r.I'la "heid IN 46168
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))
11/05/12 26420s $186.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Professional Garage Door Systems, Inc.
IN SUM OF $
2707 E. Main Street
Plainfield, IN 46168
$186.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 26420s I 43-501.00] $186.00 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
Thursday„November 15, 2012
rr l ti ! l
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund