245839 06/03/15 �%'�AA,,f� CITY OF CARMEL, INDIANA VENDOR: 360650
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ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $"*'***382.06"
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CARMEL, INDIANA 46032 PO BOX 606 CHECK NUMBER: 245839
,,'�__��� ZIONSVILLE IN 46077-0606 CHECK DATE: 06/03/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 26807 382.06 EQUIPMENT REPAIRS & M
Invoice
Date Invoice#
4 aw�nn UN
PO Box 606 Zionsville,IN 46077 317-769-3691 Pax 317-769-3330 5/14/2015 26807
www.GraceRefriseration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT#41
2 CIVIC SQUARE
CARMEL,IN 46032
P.O. No. Terms Equip. Name Model# Serial# Install Date
Due on rece... SCOTSMAN C0330SA-113 10031320010016 9-3-10
Item Qty Description U/M Rate Amount
REGULAR PM SERVICE ON ICE MACHINE
FOR MAY
I-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 89.00 89.00
ICE MACH CL... 16 OZ.ICE MACHINE CLEANER 2.16 34.56
SHOP SUPPLIES 1 SHOP SUPPLIES 5.00 5.00
SERVICE CAL... 1 INITIAL SERVICE CALL JOSH H.,INCLUDES 146.00 146.00
FIRST HOUR,TRUCK,GAS,INSURANCE
JH 1.25 JOSH HESSELGRAVE S.T. 86.00 107.50
Sales Tax (7.0%)
Pay online at: https://ipn.intuit.com/pn 3hsm
$0.00
Total
$382.06
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
.1__� Balance Due
"
Scotsman $382.06
E-mail
Building Our Business On TRUST
Steve@GraceRefrigeration.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF$
P.O. Box 606
Zionsville, IN 46077
I
$382.06
i
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 26807 43-500.00 $382.06 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
I
materials or services itemized thereon for
which charge is made were ordered and
received except
JUN - 1 2015
Fire Chief.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
rescdbed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
hom, 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))
26807 Sta.41 $382.06
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