332154 11/13/18 *°MF. CITY OF CARMEL, INDIANA VENDOR: 360650.
ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $*******388.78*
CARMEL, INDIANA 46032 PO BOX 606 CHECK NUMBER: 332154
ZIONSVILLE IN 46077-0606 CHECK DATE: 11/13/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 314.91 388.78 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20
Vendor# 360650 ACCOUNTS PAYABLE VOUCHER
GRACE REFRIGERATION IN SUM OF$ CITY OF CARMEL
PO BOX 606 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.
ZIONSVILLE, IN 46077-0606
Payee
$388.78
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
31491 43-509.00 $388.78 1 hereby certify that the attached invoice(s),or 11/6/18 31491 Ice Maker PM Sta.45 $388.78
1120 101 1120 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
Tuesday, November 6,2018
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
Invoice
Date Invoice#
PO Box 606 Zionsville,IN 46077 317-769-3691 Fax 317-7693330 10/25/2018 31491
www.GraceRefriaeration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT#45
10701 N.COLLEGE AVE.
INDIANAPOLIS,IN 46280
P.O. No. Terms Equip. Name Model# Serial# Install Date
Due on rece... SCOTSMAN CU2026SA-1 13061320015425 10-24-2007
Item Qty Description U/M Rate Amount
SCHEDULED PM AND FILTER CHANGE.
SERVICE CAL... 1 INITIAL SERVICE CALL JEFF TOLLE., 151.00 151.00
INCLUDES FIRST HOUR,TRUCK,GAS,
INSURANCE
JT 1 JEFF TOLLE S.T. 91.00 91.00
K-10 COURSE... 1 K-10 PRE-FILTER CARTRIDGE 7.48 7.48
4SI 14SI WATER FILTER W/SLIME REDUCTION 102.50 102.50
ICE MACH CL... 12 OZ.ICE MACHINE CLEANER 2.65 31.80
SHOP SUPPLIES 1 SHOP SUPPLIES:TOWELS,SOLVENTS,AND 5.00 5.00
EQUIPMENT
Sales Tax (7.0%)
88.78
Total
$388.78
Grace Refrigeration Sells and Leases the most popular ice machine on
the planet,Scotsman Ice Machines.For a quote call 317-769-3691 Payments/Credits $0.00
Balance Due $388.78
E-mail
Building Our Business On TRUST
Steve@GraceRefrigeration.com
0 o WORK
ORDER
31491
P.O. Boz 606,ZIONSVILLE, IN 46071 PHONE DA OF OR � I
(317) 769.3691 ORDER TAKEN BY CUSTOMER ORDER NUMBER
www.g racerefrigeration.com
/ REG SERVICE QUOTED SERVICE ❑ WARRANTY
TO �� �� F�2� JOB NAME/NUMBER
JOB LOCATION
����a JOB PHONE STARTING DATE
QTY. 9ATERIAL PRICE AMOUNT DESCRIPTION OF WORK
QF1
Ptj?—, Equip.Name :SCa+W 4, L)
Model# C Q -Z X
r,/ et-) Serial#
Installation Date — Z f'
z, t 0-.ems 'y""lj\131� Q IP,R, 1�d0 le,
k o S✓ �e� ,
OTHER CHARGES
0
Equip
TOTAL OTHER
LABOR
TECH. RATE S.T. O.T. AMOUNT
v t
Payment due within 10 days of receipt of invoice.
late payment will be charged 1.5%per month.
Customer agrees to pay all costs incurred in collection. TOTAL LABOR
DATE COMPLETED TOTAL MATERIAL TOTAL MATERIAL
Billing Email address
TOTAL OTHER
Work ordered by
Signature
Tow
TAX
I here nowledge the ahs a completion of the above work described. TOTAL
i