242276 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 360650
d ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $ ... .391.31
CARMEL, INDIANA 46032 PO Box 606 CHECK NUMBER: 242276
ZIONSVILLE IN 46077-0606 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 26428 391.31 BUILDING REPAIRS & MA
NM
��� Invoice
II m G
�ES'U.M Date Invoice#
PO Box 606 ZiowVille,IN 46077 317-769-3691 Pax 317-769-3330 2/12/2015 26428
www.GraceRetri6eration.com
Bill To Ship To
CARMEL FD#44
5032 E.MAIN ST.
CARMEL, IN 46033
Equip. Name 1
SCOTSMAN
P.O. No. Terms Equip. Name Model# Serial# Install Date
Due on rece... SCOTSMAN C0330MA-IA 09061320014975 11-12-2009
Item Qty Description U/M Rate Amount
REGULAR PM SERVICE ON ICE MACHINE
AND WATER FILTERS FOR FEBRUARY 2015.
REPLACED BROKEN FITTING ON WATER
LINE.
I-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 89.00 89.00
K-20 FILTER 1 K-20 PRE-FILTER CARTRIDGE 14.00 14.00
ICE MACH CL... 16 OZ. ICE MACHINE CLEANER 2.16 34.56
SHOP SUPPLIES SHOP SUPPLIES 5.00 5.00
MISC I BRASS REDUCER 1.75 1.75
JOHN GUEST... 2 JOHN GUEST FITTINGS 8.50 17.00
SERVICE CAL... I INITIAL SERVICE CALL JOSH H., INCLUDES 146.00 146.00
FIRST HOUR,TRUCK,GAS, INSURANCE
JH 1 JOSH HESSELGRAVE S.T. 84.00 84.00
I
Sales Tax (7.0%)
Pay online at: https:Hipn.intuit.com/j356dcd5
91.31
Total
$391.31
Grace Refrigeration Sells and Leases the most popular ice machine on
the planet.Scotsman Ice Machines. For a quote call 317-769-3691 Payments/Credits $0.00
�--s Balance Due
�SCotSman $391.31
E-mail
Building Our Business On TRUST
Steve@GraceRetrigeration.com
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))
26428 Sta.44 Ice Machine PM $391.31
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF $
P.O. Box 606
Zionsville, IN 46077
$391.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 26428 43-501.00 $391.31 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
FEB 1 6 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund