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241503 01/27/15 CITY OF CARMEL, INDIANA VENDOR: 00352933 ® ONE CIVIC SQUARE G C S SERVICE, INC CHECK AMOUNT: $*******221.75* CARMEL, INDIANA 46032 ECOLAB EQUIPMENT CARE CHECK NUMBER: 241503 MUTON�; 24673 NETWORK PLACE CHECK DATE: 01/27/15 CHICAGO IL 60673-1246 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350000 93645513 221.75 EQUIPMENT REPAIRS & M EC®LAf Equipment Care »::>:>:::>::;:::::>::>::>::::::>::>::>::::»::::>:<:»::»><::<:»::::::>::{::>::>::>::>::>:::::::»::::. ...:. ... ......................................................................................................... Cust No:691662 PO No:XX-1589 JIM RA Inv No:93645513 Commercial Kitchen Equipment Service&Parts Sales Office:Louisville RSSC Order No:500302494 Inv Date:01/08/2015 www.EquipmentCare.com 1 800 822 2303 Payment Terms:Net 30 FID#13-0758620 Ship Date:01/08/2015 Performance Guarantee 90 days on parts 30 days on labor MAKE CHECKS PAYABLE TO GCS SERVICE, INC. :: •::•:y�:.z':::5::::.;.::.•.;::::y%:;%�.:�:::::y:;:R;:r"::::":;::;:'};>�::Y:::S:;:}�::':: ::;::::::::?::::::3::::::::::::::::::: ::::y::.i•.,;.:;::::::.':::.: ;;•:,;3:;.:.i;;?::::::::::::::::::::::::: ::::i::::::::::::i:::::::::�::>:: r3 :::r:: ?�. r' ma�xx�:.•. .:� :`::::>�::;':::::::;..:':>::<:::>:::>::;::< z::TI�� Monon Center Monon Center Ecolab Equipment Care #722 #722 GCS Service, Inc. 1235 Central Park Dr E 1235 Central Park Dr E 24673 Network Place Carmel, IN 46032 US Carmel, IN 46032 US Chicago, IL 60673-1246 Page 1 of 1 ::•:i:;v ::i::::i::::i:'...isi::::i:::' ::ii?i:! :•:::i:+::•::i:•:::•:'::i::iilii,i?::i:::::::}S:i::i::::i: Si:::$. ............................ --2:000---7-503%43.7_ SENSOR,F/GX_HAND100.00 EA 200.00 DRYERS 116/230V — — -- — — GX239 FJAN � 5 2015 BY: gmd Subtotal 200.00 Shipping&Handling 21.75 Total Tax 0.00 Fuel Surcharge 0.00 Less Amount Paid 0.00 "N90Q? %?z?z `:'?> 221.75 PLEASE CONTACT US AT 800 822 2303 OR www.EquipmentCare.com THANK YOU FOR CHOOSING ECOLAB EQUIPMENT CARE,THE LEADER IN KITCHEN EQUIPMENT SERVICE&PARTS! ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- Please cut here and include with payment Credit card payment: ❑Master Card ❑Visa ❑American Express Make checks payable to GCS Service Inc. Nameon Card :>:::: ....................................................................................... Card Number 691662 93645513 221.75 Exp Date Signature ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. (Ecolab) Terms 00352933 G C S Service, Inc. 24673 Network Place Chicago, IL 60673-1246 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1/8/15 93645513 Hand dryer replacement parts xx1589 $ 221.75 Total $ 221.75 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. (Ecolab) Allowed 20 00352933 G C S Service, Inc. 24673 Network Place Chicago, IL 60673-1246 In.Sum of$ $ 221.75 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center I� 1 PO#or INVOICE NO. CCT#/TITL AMOUNT- Board Members Dept# 1093 93645513 4350000 $ 221.75 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 1, ` January 22, 2015 ,I Signature $ 221.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid.motor vehicle highway fund