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226424 11/19/2013 *f CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 ONE CIVIC SQUARE OVERHEAD DOOR INC CARMEL, INDIANA 46032 PO Box 50648 CHECK AMOUNT: $153.47 INDIANAPOLIS IN 46250 CHECK NUMBER: 226424 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1075840 153 . 47 BUILDING REPAIRS & MA INVOICE Print Date: 11/11/13 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 11/11/13 8811 Bash Street Sales Invoice Number: 1075840 Indianapolis, IN 46256 Sales Order Number: 947516 (317) 842-7444 Page: 1 Ship To: n.e. door Sold To: Carmel Fire Department 5032 e. main st. 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 Model 104629 Ship Date 11/08/13 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 9620 P.O. Date 11/08/13 2nd Installer Phone#: 317-571-2600 Department: G SalesPerson 68 Chuck Riddell Qty Qty Qty iItem No. Ord Ship B/O Unit Description Unit Price Retainage Total Price won't close all the way and Gary 508-5777 cell 100135-2 1 1 EA DRAWBAR ARM 24"SEL/RELEASE 51.00 51.00 IM 1 1 EA INCIDENTAL MATERIAL 9.97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 1 MC 1 1 1 MAN COMMERCIAL HOURLY RATE 49.00 49.00 TCC 1 1 TRIP CHARGE COMMERCIAL 30.00 30.00 NE Door-Door came down on somethin and bent motor arm. Straightened arm and reinforced it. Completed Subtotal: 153.47 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 153.47 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)) 1075840 $153.47 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 $153.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 1 1075840 I 43-501.00 I $153.47 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 K10\1 1. 8 2013 / I Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund