319930 12/21/17 0-111"
CITY OF CARMEL, INDIANA VENDOR: 369988
ONE CIVIC SQUARE ECOLAB CHECK AMOUNT: S*******222.66
CARMEL, INDIANA 46032 GCS SERVICE,INC. CHECK NUMBER: 319930
24673 NETWORK PLACE CHECK DATE: 12/21/17
CHICAGO IL 60673-1246
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 95008453 222.66 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 369988
ECOLAB IN SUM OF$ CITY OF CARMEL
GCS SERVICE, INC. An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
24673 NETWORK PLACE rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60673-1246
Payee
$222.66
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
95008453 43-500.00 $222.66 1 hereby certify that the attached invoice(s),or 12/4/17 95008453 Repair Equipment $222.66
1207 101 1207 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
Wednesday, December 13,2017
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page 1 of 1
Invoice
EgLllpm4nt Care
Customer No:295219 Invoice No:95008453
+ldiv EquipmentCarP.com 1 800 Q2 2303 Order No:8002895529 Invoice Date: 12/04/2017
PO No:NONE Date of Srv: 12/01/2017
We ensure every commercial kitchen
in America is ready to serve! FID#13-0758620 Payment Terms:Net 30
BIIIing'Name and Address :�iervice'Location Equipment Information. a
Brookshire Golf Course Brookshire Golf Course Manufacturer TRUE FOOD
12120 Brookshire Pkwy 12120 Brookshire Pkwy
Carmel, IN Carmel, IN Model T24GC
46033-3314 US 46033-3314 US
Serial 6652799
Equipment FREEZER
Service Performed
` 12/01/2017, Angel Pagan-82414 1 f:13 AWArrived at site check unit—ft—rid unit to have a bad compressor l advtse manager oparts-Co be—
replaced and cost manager advised that he can get a new one for about the same as that so he will be getting a new unit job complete it at this
point
Category Quantity Um ' Item No Description, Unit Price Total,Price
Materials 1.00 EA SSCO01 STANDARD SUPPLY CHARGE 13.95 13.95
Labor 1.00 HR Tech:AP REPAIR HOURS 12/01 103.71 103.71
Trips 1.00 EA TRIP CHARGE 105.00 105.00
Remit To Subtotal $222.66
Ecolab Equipment Care Shipping & Handling $0.00
GCS Service, Inc. Total Tax $0.00
24673 Network Place
Chicago, IL 60673-1246
°`Payment Due;"- - $222.66
Please reference invoice number on your check remittance or call 800-822-2303 option 3 to pay by credit card.
NOTES:For complete service detail,please reference work order copy.
Performance guarantee:90 days on parts and 30 days on labor.