215901 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1
ONE CIVIC SQUARE OVERHEAD DOOR INC
CARMEL, INDIANA 46032 PO BOX 50648 CHECK AMOUNT: $75.70
'+«off ao INDIANAPOLIS IN 46250 CHECK NUMBER: 215901
CHECK DATE: 12125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4350100 1047779 75 . 70 BUILDING REPAIRS & MA
INVOICE Print Date: 12/11/12
Printed by: DANAK
The Overhead Door Co. of Indianapolis, Inc. Sales Invoice Date: 12/11/12
8811 Bash Street Sales Invoice Number: 1047779
Indianapolis, IN 46256 Sales Order Number: 920914
(317) 842-7444 Page: 1
Ship
To: NW Door-Engine Bay
Sold To: Carmel Fire Department 10701 N. College Avenue
2 Civic Square Indianapolis, IN 46280
Carmel, IN 46032
Model 075883
Ship Date 12/10/12 Customer ID CAR93
Terms NET 30 P.O. Number Gary
_Head Installer 1090 P.O. Date 12/10/12
2nd Installer Phone #: 317-571-2600
Department: G SalesPerson 68 Chuck Riddell
City Qty Qty
Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price
NW Door, Engine Bay-Door going up
crooked.dk
Gary 508-5777
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
Door#1 -Key and set screw missing out
of coupler. Put key and set screw in
coupler. Completed
Subtotal: 75.70
Remit To: The Overhead Door Co. of Indianapolis, Sales Tax: 0.00
P.O. Box 50648 Deposit: 0.00
Indianapolis, IN 46250 Total: 75.70
VOUCHER NO. WARRANT NO.
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
\ate I 1047779 I 43-501.00 I $75.70 I 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
DEC 17 9(117
�r�ee�
SpJ Y 444eee
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
M 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))
1047779 $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