219439 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1
ONE CIVIC SQUARE OVERHEAD DOOR INC
CARMEL, INDIANA 46032 PO BOX 50646 CHECK AMOUNT: $547.70
INDIANAPOLIS IN 46250 CHECK NUMBER: 219439
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 1057854 547 . 70 BUILDING REPAIRS & MA
INVOICE Print Date: 04/11/13
Printed by: DANAK
The Overhead Door Co. of Indianapolis Sales Invoice Date: 04/11/13
8811 Bash Street Sales Invoice Number: 1057854
Indianapolis, IN 46256 Sales Order Number: 930584
(317) 842-7444 Page: 1
Ship
To: door 5
Sold To: Carmel Fire Department 3242 E. 106th Street
2 Civic Square Carmel, IN 46032
Carmel, IN 46032
Model 079516
Ship Date 04/10/13 Customer ID CAR93
Terms NET 30 P.O. Number Mike Lux
Head Installer 140 P.O. Date 04/10/13
2nd Installer 9620 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
Ovhd Door-Broken spring.dk
Mike Lux 571-2631
306338608 1 1 EA 306Wire X 3 3/8"IDx 60"Long RH 174.00 174.00
30633860L 1 1 EA 306Wire X 3 3/8"IDX60"Long LH 174.00 174.00
IM 1 1 EA INCIDENTAL MATERIAL 9.20 9.20
FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50
2MC 1.5 1.5 2 MAN COMMERCIAL HOURLY RATE 98.00 147.00
2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30.00 30.00
Door#5-Replaced both springs and
lubed. Completed
Subtotal: 547.70
Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00
P.O. Box 50648 Deposit: 0.00
Indianapolis, IN 46250 Total: 547.70
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, 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))
1057854 Repair Sta.43 Bay Door $547.70
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
Overhead Door Co. of Indpls.
IN SUM OF $
P.O. Box 50648
Indianapolis, IN 46250
$547.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1057854 I 43-501.00 I $547.70 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
APR__2_p 2913
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund