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248064 07/28/15 � G�q yf CITY OF CARMEL, INDIANA VENDOR: 361439 d '1 ONE CIVIC SQUARE TUNDRA REFRIDGERATION CO INC CHECK AMOUNT: $**.....104.28* CARMEL, INDIANA 46032 1515 W EPLER AVE CHECK NUMBER: 248064 M,-�_.�'o�' INDIANAPOLIS IN 46217 CHECK DATE: 07/28/15 ��ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4237000 69168 104.28 REPAIR PARTS Tun4ra Refrigeration 1,4'15 West Epler Invoice Number: 69168 Indianapolis, IN 46217` -' �(r Invoice Date: Jul 9, 2015 JUL 1 5 2015 ( Page: 1 Voice: (317)787-9677 i Fax: (317)782-9288 - Bill To'. Ship to: Carmel Parks& Recreation Carmel Parks& Recreation Attn: Dawn Koepper Attn: Dawn Koepper 1411 East 116th Street 1411 East 116th Street Carmel, IN 46032 Carmel, IN 46032 `—Customer ID- `-'Customer PO' "-- _ ` Payment Terms- _ CAR119 XX-2416 Net 30 Days Sales,Rep ID.. Shipping Method Ship Date Due Date 7/7/15 8/8/15 Quantity Description. Unit Price Amount 1.00 FLAT RATE SERVICE-6 LAMP BULBS 104.28 104.28 I Subtotal I 104.28 Sales Tax Total Invoice Amount104.28 Check/Credit Memo No: Payment/,Credit Applied TOTAL' 104.28 Purchaser will be responsible for any incurred legal fees due to non-payment. SALES o SERVICE Q INSTALLATION Q MECHANICAL AND REFRIGERATION CONTRACTOR 1515 West Epler Avenue Q Indianapolis, Indiana 46217 Q Phone: 317-787-9677 E-mail: tundraref@aol.com 24-Hour Service Fax: 317-782-9288 MOVE 69168 r PHONE(111 ) S-1 2>`LI©� DATE NAME \���G L _� �-�� �-'.LL�\�.�.� —J- � LC_ EQUIPMENT ADDRESS Ut ` , 1 l L y " !E7> MODEL NO. CITY C.A\LM C- ' STATE ZIP CODE SERIAL NO. BILL TO: XFT U,WA) CUSTOMER P.O.# �; X REASON CUSTOMER CALLED S E R V C E P E R F O R M E D PARTS PROCUREMENT QTY PART NUMBER BILL OF MATERIALS AMOUNT EPA/G_OWT REQUIREMENTS CODE QF%MISC.MATERIALS •J ~+ ENVIRONMENTAL FEE RECOVERY UNIT CHARGE RECYCLE UNIT CHARGE CONTAMINATED FREON DISPOSAL COMPRESSOR, OIL, DRIER, CAPACITOR DISPOSAL TORCH USE VACUUM PUMP USE PARKING CHARGE DRY NITROGEN TEST LEAK CHECK C0 SHIPPING LATE OPEN CHG. CRANE CHARGE The seller retains title to all materials and property listed herein until payment has been made TOTAL FORt( ,� ^� in full. A 1 l/z per month service charge will be applied on accounts over 30 days old. This MATERIALS 'QLi 1 is an annual percentage rate of 18%. It is understood and agreed that TUNDRA REFRIGERATION COMPANY shall not be responsible to purchaser for any insured loss. TRUCK DATE DATE DATE REG. O.T. MECH. DATE CHARGE TIME IN TIME IN TIME IN LABOR _ CHARGE TIME ARRIVEDTIME ARRIVED TIME ARRIVED SALES TAX PAY THIS TIME DEPARTED TIME DEPARTED TIME DEPARTED AMOUNT TIME OUT TIME OUT TIME OUT CUSTOMER SIGNATURE SERVICEMEN ONLY PURCHASER WILL BE RESPONSIBLE FOR ANY INCURRED LEGAL FEES DUE TO NON PAYMENT SERVICE TECH 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. 361439 Tundra Refrigeration Co., Inc. Terms 1515 W. Epler Ave Indianapolis, IN 46217 InvoiceX]Fj Description Amount or note attached invoice(s)or bill(s)) PO# Date ( xx2416 $ 104.28 7/9/15idge and freezerbulbs Total $ 104.28 I hereby certify that the attached invoice(s),or biii(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. 361439 Tundra Refrigeration Co., Inc. Allowed 20 1515 W. Epler Ave Indianapolis, IN 46217 In Sum of$ $ 104.28 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1093 69168 4237000 $ 104.28 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 July 23, 2015 IpAdi-b�� Signature $ 104.28 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund