251089 11/04/15 iii-.4QNMf
�'�® � CITY OF CARMEL, INDIANA VENDOR: 360650
ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $*******412.96*
�. � CARMEL, INDIANA 46032 PO Box 606 CHECK NUMBER: 251089
+��'TpN�� ZIONSVILLE IN 46077-0606 CHECK DATE: 11104115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 27431 412.96 OTHER CONT SERVICES
Invoice
Date Invoice#
PO Box 606 Zionsville,IN 46077 317-769-3691 Pax 317-769-3330 10/9/2015 27431
W W W.GraceReiriaordtion.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 FILTER FOR OCTOBER 2015
SHOP SUPPLIES 1 SHOP SUPPLIES 5.00 5.00
ICE MACH CL... 16 OZ.ICE MACHINE CLEANER 2.16 34.56
K-10 COURSE... 1 K-10 PRE-FILTER CARTRIDGE 7.48 7.48
I-2000 1 EVERPURE I-2000.5 MICRON WATER FILTER 89.00 89.00
SCOTSMAN P... 1 A39030-021 WATER LEVEL SENSOR 44.92 44.92
SCOTSMAN PART
SERVICE CAL... 1 INITIAL SERVICE CALL JEFF TOLLE., 146.00 146.00
INCLUDES FIRST HOUR,TRUCK,GAS,
INSURANCE
JT 1 JEFF TOLLE S.T. 86.00 86.00
Sales Tax (7.0%)
Pay online at: https:Hipn.intuit.com/wxh8kdzb
12.96
Total
$412.96
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
(" Scotsman $412.96
E-mail
Building Our Business On TRUST
Steve@GraceRefrigeration.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration y
IN SUM OF $ '
P.O. Box 606
Zionsville, IN 46077
$412.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 27431 43-509.00 $412.96 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
NOV - 2 2015
4.
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
s
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
I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
27431 Sta.45 Ice $412.96
I
I�
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
120-
Clerk-Treasurer
20Clerk-Treasurer