245602 05/20/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 353704
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECKAMOUNT: $**""*550.00*CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18!1144 CHECK NUMBER: 245602
CARMEL IN 46032 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 32113 3222 550.00 HVAC MAINTENANCE CONT
Residential Heating & Air LLC
"CALL THE PRO"
1950 E Greyhound Pass Ste 18#144 3222
Carmel, IN 46033
(317) 435 3797
SERVICE ❑PICKUP PHONE REPAIR IN DATE OF ORDER
INSTALL ❑DELIVER ❑HOME WHOP -S�-/ ,2/s
NAME DATE PROMISED
ADDRESS APARTMENT.
CITY �� / � � 1'� DATE OF ORIG.INSTAL.
MAKE MODEL SERIAL NO. El ESTIMATE
❑WARRANTY
❑CONTRACT
NATURE OF ❑CASH
SERVICE �
REQUEST A/7� S �?� - �' S/-v,�3. ❑CHARGE
f ❑C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
c
Ct
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o-. 4.� o
eesn
e tom^/��y/ •n Q�(��/ �JQ,T U ,�Q�, ,
SERVICE GPERFORMED TOTAL f ���
TECHNICAL
SERVICE
TIME
TAX
DLE TOTAL�. � rASHOF
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
ctory and knowledge that equi men beenJ.eft in good condition.
Technician Customer's Signature
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))
05/12/15 3222 AC Maintenance $550.00
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Residential Heating &Air LLC
IN SUM OF $
1950 E Greyhound Pass Ste 18 #144
Carmel, IN 46033
$550.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32113 I 3222 I 43-509.00 I $550.00 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
Tuesday, May 12, 2015
t
Director, Brooks re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund