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