252244 1 2/08/1 5 ��..�,°,f( CITY OF CARMEL, INDIANA VENDOR: 361514
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;; ® 'r_ ONE CIVIC SQUARE CENTRAL RESTAURANT PRODUCTS CHECK AMOUNT: $.....2,076.43`
f. �p CARMEL, INDIANA 46032 PO BOX 78070 CHECK NUMBER: 252244
' o, INDIANAPOLIS IN 46278-0070 CHECK DATE: 12/08/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4350100 24758 11272574 2,076.43 ICE MACHINE - STA. 43
® Invoice# 11272574
Date 12/03/15
C�� Customer# 149930
1
Page 1 of 1
RESTAURANT PRODUCTS
7750 Georgetown Rd•Indianapolis,IN 46268
Phone 800-222-5107• Fax 800-882-0086
Ship To:
Carmel Fire Dept Carmel Fire Dept#46
5032 E 131 st Street 3242 E 106th
Attn: Accounts Payable PO 24758
Carmel, IN 46033 Carmel,IN 46033
Remit Pavment To: PO Box 78070 Indianapolis, IN 46278-0070
Invoicenvoicate • • Contact
12/03/15 11272574-1 GOVT Net 15 Days 124758 Gary Carter Ji
. • ht Terms,
•
CHRIS MEDLAND ext 8331 FEDEX GRD 3RD PTY#127540322 FOB ORIGIN/PRPD FRT
. . _Quantity
1 240-354-FULL-120 1 1614.00 EA 1614.00
NEO AIR COOL UNDERCOUNTER ICE
120V,198# PROD,FULL DICE,26"W
SIZE FULL
VOLTAGE 120V
2 240-603 1 131.00 EA 131.00
SYSTEM: 9K GAL CAP,.5 MICRON
FOR 750#CUBERS/1200# FLAKERS
3 W528-INSTALL 1 331.43 EA 331.43
INSTALLATION
DETAILS .
DETAILS .
I
DENISE APPROVED SHIP TO
ADDRESS OF 3242 E 106th St.
TI
2,076.43 1 0.00 0.00 0.00 0.00 2,076.43
I
Accepted By (Printed): Signature Date:
By signing above you are agreeing all product and totals are accurate. If purchase is to be made via credit card,signature by
cardholder is required indicating authorization to charge card and process order. All prices above are in US dollars. All payments to
Central are required to be made in US dollars. ****Upon Receipt of your Merchandise**** Please inspect your delivery carefully. In
the unfortunate event that something is damaged or has to be returned,please call your product consultant. Please save all shipping
cartons and packaging. Claims must be reported within 15 days of receiving your delivery. All returns are subject to inspection before
a credit is issued and may be assessed a restocking charge. Please return defective items promptly to avoid being charged for the
replacement item.Custom manufactured,special orders and used items are not returnable.
***Central is OPEN until 8:00 pm(Eastern Time)***
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))
11272574 $2,076.43
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Central Restaurant Products
IN SUM OF $
PO Box 78070
Indianapolis, IN 46278
$2,076.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24758 11272574 102-501.00 $2,076.43 ( 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
DEC 20
IW
j
b F
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund