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227069 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 235000 Page 1 of 1 ., ONE CIVIC SQUARE OVERHEAD DOOR INC CHECK AMOUNT: $576.47 CARMEL, INDIANA 46032 PO BOX 50648 INDIANAPOLIS IN 46250 CHECK NUMBER: 227069 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1077142 95 . 00 MATERIALS & SUPPLIES 1120 4350100 1077440 481 .47 BUILDING REPAIRS & MA INVOICE Print Date: 11/27/13 Printed by: DANAK The Overhead Door Co. of Indianapolis Sales Invoice Date: 11/27/13 8811 Bash Street Sales Invoice Number: 1077440 Indianapolis, IN 46256 Sales Order Number: 948903 (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 104577 Ship Date 11/25/13 Customer ID CAR93 Terms NET 30 P.O. Number Gary Head Installer 1090 P.O. Date 11/03/13 2nd Installer 9666 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 Engine Bay, Eastside,2nd Bay-Broken spring. dk Gary 508-5777 312338608 1 1 EA 312 X 3 3/8 X 60" RIGHT 174.00 174.00 608063-1 1 1 EA PLUG WNDG 3-3/8"ALUM 53.50 53.50 608062-1 1 1 EA PLUG STAT 3-3/8"ALUM 53.50 53.50 IM 1 1 EA INCIDENTAL MATERIAL 9.97 9.97 FUELC 1 1 Commercial Fuel Surcharge 13.50 13.50 21VIC 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 Engine Bay of Eastside-Broken spring. Replaced with new springs and plugs. Completed Subtotal: 481.47 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 Indianapolis, IN 46250 Total: 481.47 VOUCHER NO. WARRANT NO. ALLOWED 20 Overhead Door Co. of Indpls. IN SUM OF $ P.O. Box 50648 Indianapolis, IN 46250 $481.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 1077440 I 43-501.00 I $481.47 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 DEC _ Q 2013 J . ! ,.v... f Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Drescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by nrhom, 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)) 1077440 $481.47 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 INVOICE Print Date: 11/25/13 Printed by: NICOLEPI The Overhead Door Co. of Indianapolis Sales Invoice Date: 11/22/13 8811 Bash Street Sales Invoice Number: 1077142 Indianapolis, IN 46256 Sales Order Number: 948327 (317) 842-7444 Page: 1 Ship To: Kevin Sold To: Carmel Wastewater 716-1684 9609 Hazel Dell Parkway Indianapolis, IN 46280 Model Ship Date 11/22/13 Customer ID CAR101 Terms NET 30 P.O. Number Headworks Head Installer DEL P.O. Date 11/18/13 2nd-Installer Phone#: 317-571-2634 Department: K SalesPerson 86 John Rusin Qty Qty Qty Item No. Ord Ship B/O Unit Description Unit Price Retainage Total Price RCC 1 1 EA SERVICE CONTRACT PRICE 95.00 95.00 CORD REEL PLASTIC Subtotal: 95.00 Remit To: The Overhead Door Co. of Indianapolis Sales Tax: 0.00 P.O. Box 50648 Deposit: 0.00 -Indianapolis,-]N-46250- Total: 95.00 VOUCHER # 136980 WARRANT # ALLOWED 350778 IN SUM OF $ OVERHEAD DOOR CO OF INDIANAPO 8811 BASH STREET INDIANAPOLIS, IN 46256 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 1077142 01-7202-06 $95.00 ' i it 1 'i Voucher Total $95.00 f Cost distribution ledger classification if claim paid under vehicle highway fund 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 350778 OVERHEAD DOOR CO OF INDIANAPOLI Purchase Order No. 8811 BASH STREET Terms INDIANAPOLIS, IN 46256 Due Date 12/5/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/5/2013 1077142 $95.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer