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227304 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00352813 Page 1 of 1 c F ONE CIVIC SQUARE CENTRAL INDIANA HARDWARE CHECK AMOUNT: $3,600.00 CARMEL, INDIANA 46032 P.O.B OX 83030 CHICAGO IL 60691-3010 CHECK NUMBER: 227304 CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 7088744 3 , 600 . 00 BUILDING REPAIRS & MA Invoice Central Indiana Hardware Invoice # 7088744 9190 Corporation Drive since, 1951 Indianapolis,Indiana 46256 Order # 5061731 Tel:317-558-5700 Fax: 317-558-5712 Date : Dec 5, 2013 Customer: Ship To: CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, Indiana 46032 CARMEL, IN 46032 Attn: JEFF BARNES Tel: 317-571-2448 Fax: 317-571-5854 Account Code 6998 Quote# 4037561 Terms Net 30 Purchase Order# 24457 Customer Job# -� Shipped Via Installer/Service Salesperson Greg Dunnavant Contact Greg Dunnavant Order Name CARMEL FIRE DEPARTMENT ATTN.- JIM SPELBRING / PHONE: 317-557-3241-CELL / PRICE EXCLUDES AND FINISHING TO WALLS, FLOOR AND FINISH PAINTING /WE WILL CAULK TO FINISH /WE WILL DISPOSE OF OLD MATERIAL IN YOUR ON-SITE DUMPSTER OR DESIGNATED AREA / REUSE EXISTING LOCKS ON WEST QUARTERMASTER AND WEST ADMINISTRATION DOORS Ordered Shipped Product Description 1 1 INSTALLATION SOUTH ENTRY. .__..<... .............> .._____..� .»,. 1 1 INSTALLATION NORTHENTRY.... ............. ............� ...._._._. 1 1 INSTALLATION WESTQUARTERMASTER.......... ............... ...,...._._........ 2 2 INSTALLATION WEST ADMINSTRATION 2 2 SHOP LABOR 2 2 Threshold 177 AV 36" Shipment Number Shipment Date Note 108365 Dec 5, 2013 ATTN: JIM SPELBRING / PHONE: 317-557-3241-CELL/ PRICE EXCLUDES AND FINISHING TO WALLS, FLOOR AND FINISH PAINTING /WE WILL CAULK TO FINISH /WE WILL DISPOSE OF OLD MATERIAL IN YOUR ON-SITE DUMPSTER OR DESIGNATED AREA/ REUSE EXISTING LOCKS ON WEST QUARTERMASTER AND WEST ADMINISTRATION DOORS Pre-Tax Total 3,600.00 INDIANA 0.00 Amount Due _ . 3,600.00 CIH FSC Certificate# SCS-COC-002586 (Only the products that are identified as such on this document are FSC Certified) Printed Dec 5, 2013 4:36 PM `* Remit to: Central Indiana Hardware, PO Box 83030, Chicago, IL 60691-3010 Page 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Central Indiana Hardware IN SUM OF $ PO Boxes djo?o G 4 -�Y'D $3,600.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 7088744 I 43-501.00 I $3,600.00 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 /j n < ,V Fire Chief Title Cost distribution ledger classification if claim paid motor 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 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)) 7088744 $3,600.00 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