304651 10/31/16 %�.c�A,,f� _ CITY OF CARMEL, INDIANA VENDOR: 356465
® ONE CIVIC SQUARE JIM RUSSELL PLUMBING &HEATING CHECK AMOUNT: $......*650.00*
,. �'� CARMEL, INDIANA 46032 70 E HAWTHORN ST CHECK NUMBER: 304651
9M.__�,%r. ZIONSVILLE IN 46077 CHECK DATE: 10/31/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 221099 370.00 BUILDING REPAIRS & MA
1120 4350100 221134 280.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
JIM RUSSELL PLUMBING & HEATING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
70 E HAWTHORN ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ZIONSVI LLE, IN 460.77 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$650.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
221134 43-501.00 $280.00 1 hereby certify that the attached invoice(s),or 10/12/16 221134 41-Drinking Fountain-Booster System $280.00
1120 101 1120 101
221099 43-501.00 $370.00 bill(s)is(are)true and correct and that the 10/12/16 221099 41-Main Drain Clean $370.00
1120 1 1 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Thursday, October 13,2016
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
YL WIMMMM, H
..M.LM Invoice
70 E. Hawthorne St
Zionsville, IN 46077 Date Invoice#
9/29/2016 221099
Bill To:
Carmel Fire Dept.
2 Civic Sq.
Terms
Carmel, IN 46032
Due on receipt
Original Complaint Job Number
092916PCF
Description Qty Amount
Location: Carmel Fire Station 41, 2 Civic Square Carmel. IN 46032
Drain Cleaning: Main line machine 370.00
License#C01020006 Total $370.00
Payments/Credits $0.00
Balance Due $370.00
Phone#
317.873.5773
Invoice
x`70 E. Hawthorne St
Zionsville, IN 46077 Date Invoice#
10/10/2016 221134
Bill To:
Carmel Fire Dept.
2 Civic Sq. Terms
Carmel, IN 46032
Due on receipt
Original Complaint Job Number
101016PCF
Description Qty Amount
Location: Carmel Fire Station 1 280.00
Cleaned drain on drinking fountain.Adjusted pressures on tank and
switch for booster system.
License#C01020006 Total $280.00
Payments/Credits $0.00
Balance Due $280.00
Phone#
317.873.5773