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HomeMy WebLinkAbout323852 04/06/18 �,�_..."''f• CITY OF CARMEL, INDIANA VENDOR: 353704 \! ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIRCHECK AMOUNT: $*****2,900.00* aQ CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18#144 CHECK NUMBER: 323852 CARMEL IN 46032 CHECK DATE: 04/06/18 DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 34585 4061 2,900.00 NEW FURNACE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 353704 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER RESIDENTIAL HEATING AND AIR IN SUM OF$ CITY OF CARMEL 1950 E GREYHOUND PASS STE 18#144 An 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. CARMEL, IN 46032 Payee - $2,900.00 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 4061 43-501.00 $2,900.00 1 hereby certify that the attached invoice(s),or 3/28/18 4061 New Furnace $2,900.00 1207 101 1207 101 bill(s)is(are)true and correct and that the j materials or services itemized thereon for which charge is made were ordered and n ti received except Monday,April 02, 2018 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 Residential Heating & Air LLC "CALL THE PR®`Y 4061 1950 E Greyhound Pass Ste 18#144 Carmel, IN 46033 (317) 435 3797 ❑SERVICE ❑PICK LI PHONE REPAIR IN DATE OF ORDER NSTALL [-IDELIVER ❑HOME N ME DATE PROMISED ADDRESS �� / � / APARTMENT CIN �((( / C �� [ DATE OF ORIG.INSTAL. MAKE MODEL SERIAL NO. ❑ESTIMATE [:]WARRANTY ❑CONTRACT NATURE OF ❑CASH SERVICE REQUEST �rq.-�.C���na:.Z f�fvi ❑CHARGE ❑C.O.D. QUAN. PART NO. DESCRIPTION PRICE AMOUNT SERVICE PERFORMED TOTAL �",� MATERIAL TECHNICAL SERVICE TIME TAX DATE CONr ON �`_L CASH OF WORKLETION TOTAL INVOICE COPY I hereby accept above performed se and charges, as being satis- factory and acknowledge that eqPimenURas been left in Ad condition. Technician ustomer's Signature/)d / F'ACiE City o f� Carmel INDIANA RETAIL TAX EXEMPT�I'L CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT d ' ONE CIVIC SQUARE 35-60000972 CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANYCORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR 9°S O C A-' '-Ot 4 P"1- ,5 �' ��•�� � SHIP ` TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MSURE DESCRIPTION UNIT PRICE EXTENSION EA 9 90 Send Invoice To: eko �o ,:? DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1,2-0� �� �fd +� PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP PREPAID. • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER )OCUMENT CONTROL NO. 34585