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220289 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $779.00 CARMEL, INDIANA 46032 PO BOX 50648 o� INDIANAPOLIS IN 46250 CHECK NUMBER: 220289 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1060132 659 . 00 BUILDING REPAIRS & MA 1120 4350100 1060133 120 . 00 BUILDING REPAIRS & MA INVOICE Print Date: 05/08/13 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 05/08/13 8811 Bash Street Sales Invoice Number: 1060133 Indianapolis, IN 46256 Sales Order Number: 932703 (317) 842-7444 Page: 1 Ship To: Station #42 Sold To: Carmel Fire Department 3610 W. 106th 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 087386 Ship Date 05/07/13 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 9112 P.O. Date 05/06/13 2nd Installer Phone #: 317-571-2600 Department: G Salesperson 68 Chuck Riddell oty Qty Qty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price Replace 1 pc top seal,3"brush w/ alum retainer for 12'door.dk Gary 508-5777 B0772PPW 12 12 LF BRUSH SEAIJY/RS W/RETAINER CC 1 1 EA CONTRACT PRICE 120.00 120.00 Installed 12'3" Brush Seal. Completed Subtotal: 120.00 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 120.00 I INVOICE Print Date: 05/08/13 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 05/08/13 8811 Bash Street Sales Invoice Number: 1060132 Indianapolis, IN 46256 Sales Order Number: 932698 (317) 842-7444 Page: 1 Ship To: Station #41 Sold To: Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 087385 Ship Date 05/07/13 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 9112 P.O. Date 05/06/13 2nd Installer 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 Replaced bottom seal on all 8 doors. 8)@12' CP-05 96 96 LF W/S BOTTOM CAP 1 3/8" CC 1 1 EA CONTRACT PRICE 659.00 659.00 Replaced bottom seal on 8 doors. Completed Subtotal: 659.00 emit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 ). Box 50648 Deposit: 0.00 tianapolis, IN 46250 Total: 659.00 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)) 1060132 $659.00 1060133 $120.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF $ P.O. Box 50648 Indianapolis, IN 46250 $779.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members +' 1120 1060132 43-501.00 $659.00 I hereby certify that the attached invoice(s), or 1120 1060133 43-501.00 $120.00 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 . MAY 2 0 2013 y P Fire Chief Title Cost distribution ledger classification if r . claim paid motor vehicle highway fund