257906 04/26/16 0♦p�"C4H1,
Jy 4f. CITY OF CARMEL, INDIANA VENDOR: 360650
® ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $*******373.32*
r CARMEL, INDIANA 46032 Po Box 606 CHECK NUMBER: 257906
+M�roN ZIONSVILLE IN 46077-0606 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 27834 373.32 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO.
ALLOWED 20
GRACE REFRIGERATION
PO BOX 606 IN SUM OF$
ZIONSVILLE, IN 46077-0606
$373.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
27834 I 43-500.00 I $373.32 1 hereby certify that the attached invoice(s), or
1120 101
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
Tuesday, April 19, 2016
D ---zA- �4A
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed 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
Thom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
ivoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
04/12/16 I 27834 I PM-Ice Machine-Sta.45 I $373.32
1120 101
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
Invoice
IES¢: Date Invoice#
PO Box 606 Zionsville,IN 46077 317769-3691 Pax 317769-3330 4/12/2016 27834
www.GraceRetriserdtion.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 APRIL 2016.
1-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 94.28 94.28
K-10 COURSE... 1 K-10 PRE-FILTER CARTRIDGE 7.48 7.48
SHOP SUPPLIES 1 SHOP SUPPLIES 5.00 5.00
ICE MACH CL... 16 OZ.ICE MACHINE CLEANER 2.16 34.56
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%)
73.32
Total
$373.32
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
`JScotsman $373.32
E-mail
Building Our Business On TRUST
Steve@GraceRefrigeration.com