244248 04/15/15 G ' p';f• CITY OF CARMEL, INDIANA VENDOR: 360650
j ® ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $*******345.38*
CARMEL, INDIANA 46032 PO BOX 606 CHECK NUMBER. 244248
ZIONSVILLE IN 46077-0606 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT . PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 26766 345.38 EQUIPMENT REPAIRS & M
Invoice
In
Date, Invoice#
PO Box 606 Zionsville,IN 46077 317-769-3691 Fax 317-769-3330 4/7/2015 26766
www.GraceRefri6eration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT#45
10701 N.COLLEGE AVE.
INDIANAPOLIS,IN 46280
P.O. No. Terms Equip. Name Model# Serial# Install Date
Due on rece... SCOTSMAN C0330SA-IA 07031320016247 10-24-2007
Item Qty Description U/M Rate Amount
REGULAR PM SERVICE ON ICE MACHINE
AND WATER FILTERS FOR APRIL 2015.
I-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 89.00 89.00
K-10 COURSE... 1 K-10 PRE-FILTER CARTRIDGE 6.32 6.32
ICE MACH CL... 16 OZ.ICE MACHINE CLEANER 2.16 34.56
SHOP SUPPLIES 1 SHOP SUPPLIES 5.00 5.00
SERVICE CAL... I INITIAL SERVICE CALL JOSH H.,INCLUDES 146.00 146.00
FIRST HOUR,TRUCK,GAS,INSURANCE
JH 0.75 JOSH HESSELGRAVE S.T. 86.00 64.50
Sales Tax (7.0%)
Pay online at: https://ipn.intuit.com/s sx26
45.38
Total
$345.38
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
'� Balance Due
`J/Scotsman $345.38
E-mail
Building Our Business On TRUST
Steve@GraceRefrigeration.com
VOUCHER NO. WARRANT NO.
ALLOWED 20.
Grace Refrigeration
IN SUM OF$
P.O. Box 606
Zionsville, IN 46077
$345.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 26766 43-500.00 $345.38 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
APR 13 2095
PAW e QVIVAt
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
26766 Sta.45 Ice $345.38
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
20
Clerk-Treasurer