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223129 08/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR INC CARMEL, INDIANA 46032 PO BOX 50648 CHECK AMOUNT: $1,501.97 .? INDIANAPOLIS IN 46250 CHECK NUMBER: 223129 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1067111 1, 501 . 97 BUILDING REPAIRS & MA INVOICE Print Date: 07/30/13 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 07/30/13 8811 Bash Street Sales Invoice Number: 1067111 Indianapolis, IN 46256 Sales Order Number: 938104 (317) 842-7444 Page: 1 Ship To: Station #45 Sold To: Carmel Fire Department 10701 N. College Avenue 2 Civic Square Indianapolis, IN 46280 Carmel, IN 46032 Model 080691 Ship Date 07/29/13 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 76 P.O. Date 07/15/13 2nd Installer 91306 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 n.w. engine bay-b/s,replace both dk Gary 508-5777 34360060L 1 1 EA 343 X 6"X 60" LH 391.00 391.00 343600608 1 1 EA 343 X 6"X 60" RH 391.00 391.00 RCC 1 1 273 X 3 3/4" 1.D.X 45" L 174.00 174.00 RCC 1 1 273 X 3 3/4" I.D.X 45" R 174.00 174.00 P.O. 57865 IM 1 1 EA INCIDENTAL MATERIAL 9.97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 21VIC 3.25 3.25 2 MAN COMMERCIAL HOURLY RATE 98.00 318.50 2TCC 1 1 2 MAN TRIP CHARGE COMMERCIAL 30,00 30,00 NW Door-Broken spring. Temp repaired. Replaced both set of duplex springs. Completed Subtotal: 1,501.97 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 1,501.97 Irescribed 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 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)) 1067111 $1,501.97 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 $1,501.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 1067111 I 43-501.00 I $1,501.97 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 AUG 122013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund