216405 01/15/2013 a CITY OF CARMEL, INDIANA VENDOR: 105200 Page 1 of 1
• ONE CIVIC SQUARE GARAGE DOORS OF INDIANAPOLIS CHECK AMOUNT: $1,095.00
CARMEL, INDIANA 46032 5041 W 96TH STREET
%+ INDPLS IN 46268 CHECK NUMBER: 216405
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0353767-IN 1, 095 . 00 OTHER EXPENSES
nvOICe Page: 1
Garage Doors of Indianapolis f f £ r
Invoice Number: 0353767-IN
5041 W.96th Street -s Invoice Date: 12/14/2012
Indianapolis,IN 46268
3178754577
a. Order Number: 0353767
www.doorstoday.com s! a Order Date 11/14/2012
7 ` Salesperson: 0103
Customer Number: 5712634
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELEARKWAY 9609 HAZEL DEL PARKWAY
CARMEL' 46033 CARMEL, IN 46033
Confirm To:
� oSQ00
--- --- - — - - — -- — — NET 30 -- -- ------- -----
._ • :. !!•`
`PREVENTATIVE EACH 16.00 16.00 0.00 30.000 480.00
16 SECTIONAL DOORS
'PREVENTATIVE EACH 15.00 15.00 0.00 30.000 450.00
15 ROLLING DOORS
'PREVENTATIVE EACH 15.00 15.00 0.00 5.000 75.00
15 OPERATORS
'PREVENTATIVE EACH 3.00 3.00 0.00 30.000 90.00
3 GATE OPERATORS
HAS LIFT FOR US TO USE IF NEEDED
20292 EACH 4.50 4.50 0.00 0.000 0.00
JOB TECH-JAMIE JETTY Whse: L1
20252 EACH 4.50 4.50 0.00 0.000 0.00
JOB TECH-RICH M Whse: L1
Net Invoice: 1,095.00
We ver •much appreciate our trust by selecting our company to p rovide you needed products and service Less Discount: 0.00 We value your time,your comments and suggestions which will allow us to improva and we are offering a Freight: 0.00
valuable reward for completing a short survey at the bottom of the page on the following interne! !ink Sales Tax: 0.00
Invoice Total: 1,095.00
www.doorstoday.com
Invoice total reflects a 15%
As an additional incentive for completing the Survey Your name will be entered in a drawing for$500 prompt payment discount.
After 1/13/2013 pay
$1.288.23
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
105200
Garage Doors of Indiana Purchase Order No.
5041 W. 96th Street Terms
Indianapolis, IN 46268 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 0353767-IN $1,095.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with ICp 5-11-10-1.6
1111113 Cam`a >
Date Officer
VOUCHER # 126461 WARRANT # ALLOWED
105200 IN SUM OF $
Garage Doors of Indiana
5041 W. 96th Street
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0353767-IN 01-7362-06 $1,095.00
Voucher Total $1,095.00
Cost distribution ledger classification if
claim paid under vehicle highway fund