HomeMy WebLinkAbout302404 08/25/16 I
CITY OF CARMEL, INDIANA VENDOR: 362955
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS CHECK AMOUNT: $"'""1,091.32`
CARMEL, INDIANA 46032 PO BOX 19635 CHECK NUMBER: 302404
INDIANAPOLIS IN 46219 CHECK DATE: 08/25/16
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 164973 1,091.32 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
362955 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of$
$ 1,091.32
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 164973 4350000 $ 1,091.32 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
nd--received except
August 17, 2016
Signature
$ 1,091.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.
362955 Southern Food Systems Terms
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/4/16 . 164973 Additional Repair Issue on Soft Serve Machine 40471 $ 1,091.32
Total $ 1,091.32
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
' 1
AUG 0 8 2016 In WO (r.--111
649 �
INVOICE NUMBER
P.O. Box 19635 08/04/16
INVOICE TE
Indianapolis, Indiana 46219 I
(317) 322-5800 PAGE
SOLD TO C '2MEL CLAY S &REC. dba MONON CTR SHIP TNONON CENTER
141' --_ - STREET 1235 CENTRAL PARK
CARMEL,IN 46032 DRIVE EAST
CARIv1EL,IN 46032
(317) 848-7275
113022
SERVICE CUSTOMER I.
SHIP VIA: 08/04/16 P.O.NUMBER:
CALL DATE: 08/19/16 P.O.DATE:
DUE DATE: Net 15 OUR ORDER NO:
TERMS: SALESMAN:
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE AMOUNT T;
Ek 88T--R2vff DM-146
7071118712 SWITCH,PRESSURE,RMT 1 1 689.60 689.60
1606210071 SER#
7071150380 RELAY-FLANGE BASE 1 .1 45.97 45.97
W/COMER 3PDT
7071138836 HOSE TRANSFER RED 2 2 9.75 19.50
TRIP CHARGE 55.00
915-1230 8/2/16 DAVID 3.750 -.- 3.750 75.00 281.25
In voice subtotal 1091.32
Invoice total 1091.32
SIGNATURE:
I AGREE THAT EVERYI HIND LISTED ON INVOICE YS ACCOUNTED FOR k UNDAMAGE ,UN ESS OTHERWIS NOTED.
BE S J RE TO STOCK UP FOR THE SUM MER'SEASON! VE APPRECIAT E YC UR BUSINESS!
WHITE COPY—SOUTHERN FOOD SYSTEMS YELLOW/PINK COPY—CUSTOMER
I� Order
�/ Repair
� 0 This is not an invoice,
Account Phone 5/7- 7SS3 - 7? 7� Date: 2 j
Account(Name&Location)
P.O. Box 19635 -t:;L^'I�
Indianapolis, IN 46219 /V 1
Phone: 317-322-5800 Bill to:
Toll Free: 800-776-5100
REASON FOR CALL: /los-- -s ,l/o:,0.'^, Z-# Contacted By:
Qty Part# i Description Unit
PROBLEM FOUND: /��.�y ��� � //b�?/.� �s� -51<1 �c.�G Price. G0 �'s�10
��
• �- ��b'��� r� .r<��a�-mss- . ��' �g so
WORK PERFORMED: iC� />��� grv�' /`sr
COMMENTS: ��� s�;��� arc ®•�' C /��'
"A bL I�
71
MAKE A40DEL ' Out Parts Totals ��
r� b 91. ��:3C� . 75— 7�"=' Labor Total 2 /• zs-
• Trip Charge ,��-
above described work.)
Tax
Technician:
L4Date: X � v Date C917-112Balance Due
IFSR 1_ 12