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334053 01/04/19 y u�C�yM >� CITY OF CARMEL, INDIANA VENDOR: 360650 ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $ 160.50 :�,\ a°: CARMEL, INDIANA 46032 PO BOX 606 CHECK NUMBER: 334053 vM,, / ZIONSVILLE IN 46077-0606 CHECK DATE: 01/04/19 ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350000 31724 160.50 EQUIPMENT REPAIRS TM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 360650 ALLOWED 20 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 $160.50 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 31724 43-500.00 $160.50 1 hereby certify that the attached invoice(s),or 12/20/18 31724 Sta.45 Ice Machine Repair $160.50 1120 101 Prior Year 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 Thursday,January 3,2019 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice BMC. Emw Date Invoice# PO Box 606 Zionsville,IN 46077 317-769-3691 Fax 317769-3330 12/20/2018 31724 www.GraceRefrigeration.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-lA 13061320015425 10-24-2007 Item Qty Description U/M Rate Amount O-RING BAD ON 10"COARSE FILTER. REPLACED RING AND NOT LEAKING. STARTED MACHINE. SERVICE CAL... 1 INITIAL SERVICE CALL JEFF TOLLE., 151.00 151.00 INCLUDES FIRST HOUR,TRUCK,GAS, INSURANCE MISC 1 151120 O-RING 9.50 9.50 Sales Tax (7.0%) $0.00 Total $160.50 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 $160.50 E-mail Building Our Business On TRUST Steve@GraceRefrigeration.com