253416 01/15/16 CITY OF CARMEL, INDIANA VENDOR: 354602
' ONE CIVIC SQUARE MARK IV ENVIRONMENTAL SYSTEMS IIMECK AMOUNT: $********65.00*
;.. � CARMEL, INDIANA 46032 1012 N BLUFF ROAD CHECK NUMBER: 253416
SUITE A CHECK DATE: 01115/16
GREENWOOD IN 46142
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 122215JLLlA 65.00 BUILDING REPAIRS & MA
Mark IV.Environmental�S $tems,:.Inc.
y Invoke
1012.N._Bluff-Road,-Suite.A
Greenwood;IN 46142 DATE INVOICE NO.
31.7-889-3744
12/30/2015 122215JLL-I A
BILLTO SHIP TO
Carmel Fire.Department#42
Carmel Fire Carmel Fire:Department#42
2 Civic Square 3242 E. 106th St.
Carmel,'IN 46032 Carmel,'IN 46033
P.O. NO. TERMS DUE DATE REP SHIP DATE
Verbal-Chief Bo... Net 30 1/29/2016 PJL. -12/30/2015 -
SERVICED ITEM DESCRIPTION. QTY RATE AMOUNT
12/22/2015 Parts Mikinstall Materials 1: 0.00
Loudenback Installation 1 0.00
Parts Condensate pump for ice machine I 65.00 . 65.00-
Manitowoc UD0190A SM 310282203
Set unit in place and.ran water supply and drain
lines with condensate pump.. Connected
electrical,started-unit up and watched 3 batches
of ice drop.
Total. $65.00
Overdue accounts will be charged 1:5%per month-finance charge and will pay cost,including
attorney fees.for the,enforcement of the term's and conditions of this agreemcht. Invoices left PymntS/Credlt/DSC11t $0.00
undisputed after.7 days are-non-negotiable. RETURNED MERCHANDISE.SUBJECT.TOA
.RESTOCKING CHARGE. Special.ordered:items may not be returned withgpt.prior approval.
1=R1 [GHT.CHARGE$ARE. -REFUNDABLE.
B1IdI1CP. Due $65.00.
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m 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))
122215J LL1 A Sta.43 Ice $65.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark IV Environmental Systems, Inc.
IN SUM OF$
1012 N. Bluff Road, Suite A
Greenwood, IN 46142
V $65.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#(rITLE AMOUNT Board Members
1120 122215JLLlA 43-501.00 $65.00 I 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
AN 0 Ful-16
/p
9
o'
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund