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HomeMy WebLinkAbout183143 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 173000 Page 1 of 1 ONE CIVIC SQUARE KERR REFRIGERATION CHECK AMOUNT: $384.88 CARMEL, INDIANA 46032 130 SOUTH DAVIDSON STREET INDPLS IN 46202 CHECK NUMBER: 183143 CHECK DATE: 3/1612010 DEPARTMEit ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350000 31709LI -2 384.88 EQUIPMENT REPAIRS M LASTNAME FIRST NAME j l i INV ©ICE NO. 'i i f ?lIl�el STREET ADDRESS (ERRICII(9�1�, Clc�, 31 7 L 1 i i AP� Mwe. SE'.�� ci SERVICERACCOUNTNUMBER Y.6 I I► i C �i ICI 1 l i I F CITY I I STATE ZIP CODE l I I F] F1 Fl M F I Il E" SERVICERS ACCOUNT NUMBER WITH PO IC'�t�MJL► l 1 I I iD I L _i I 1r RK PHONE t7 �P UL Ye ll I! HOME PHONE I WO r PAM) l3Yt�j 4���PJ L] �J CONSUMERyS REQUEST'{ DATE PURCHASED 1 r�4, Vim+' y y, r BRAND_ I t.[t nR PRODUCT TY I 1 r C�P o f I I A, I CJ M J �+'G. bb1 i I 1 I I 11 �S"y �J I I i y� (•1 Jd +G) 'i AU CODES 10. DATE CALL RECEIVED MODEL`NUMBER_ I 9 ED yA�, SERIAL NUMBER l cb D 11 1 ®�Rl�+ i1 /1 d �p I� G TE REPAIRED SERVICE PERFORM III, ,a1 r I iF I' LJI "�L`�J 1 SERVICEAGREEMENTrCONTRACT NUMBER l f �1�- r7��• chrle 1 Al AJ JOBIDEFECTCODE I I OF REPAIR I�¢lv i fs 1.4 0.� A[r 4e_ 9 mil Pr 1 1 1 CONTRACT ISSUER: t MICRO LEAK READING' 1 .PARTS CON UMER E -MAIL ADDRESS PD ACCOUNT NUMBER WITH MANUFACTURER BEFORE AFTER EXPIRATION TIME STARTED �j�l�� AMOW J TABOR RANTY PART WARRANTY CONSUMER I f sALES TAx WAR TIME COMPLETED TIME ON JOB ESTIMATE SPECIAL i TOTAL AUTHORIZATION uo i PART NUMBER r _t 1 NUM BER PART COST SUB TOTAL f 'PARTS -4-A INVOICE NUM aTv HANDLING _t? �i�� .a�" Ei L_, tDEI I I LI DESCRIPTION: {4 EXTENSION: 4 TOTAL Y+If��Nly PARTS _J I I Y I__ i -y —J i J I L,1 I __I C •t f I I U 1 I I;_._J 1 1�1 L I I TOTAL MILES I TRAVELED e TRIP DESCRIPTION. -1 I i I EXTENSION i CHARGE• --J l 1 I i L COMP. CALL r I LABOR DESCRIPTION: EXTENSION: i DIAGNOSTIC i I I, I 1 L -=1 i J I L U Ll 1.l FEE �I L I 1 I L L L- 1 I I I L I U I Jf (I C TOTAL LABO DESCRIPTION: EXTENSION:] r j i t Y_ l I STATE l J f I I IT -1 I LJ LJ TAX _J J I LJ I l I 1 L— I I U LOCAL 5 TAX I z DESCRIPTION- EXTENSION: i ENVIR. MAG_ I MOTOR I SEALED UNIT NO. OLD MAG. I SEALED UNIT NO. NEW SELLING DEALER l DISTRIBUTOR: FEE nurap e ujim-4e s r The repairs have b in a manner satisfactory to METHOD OF PAYMENT JJ(} TOTAL CUSTOMER�f G DATE O +CASH CONTRAC 1 CH t i!M AMOUNT' SIGNA7URE� rFI L cusTOME`Rf e advised of the anti tip device for my range C ;F, ���I���� 1i111111.1111 �e+ V! q M D AM X O SIGNATURE DATE AUT�HI MARES 1 hereby ertif .fh above service' has been p erformed art5 USE?d UMBER CONTROL TRANSMITTAL N INTERNAL CONTNO. y y p f ,AUDITED BV: OTHER: TECHNICIAN I� A SIGNATURE e 90 DATE I i ..e .n a OAn. esfo ats at required (Section 9844 of the California Business and Prolassions Code) for repairs shall be giver to the customer by the' ser- V Wr rag -j. and the service dealer may not for' -work done or `p suP, 4 W In excess c f the estimate without prior consent' of the CUStbM8z.__ in wrifing, the service dealer may chbrf a -d reason de fbr.tarvices provided in determining the- nature of the mal 'fu on- irf ep ab6n a wrMen estimate fob repair. For information contact `th osurdau of 'Electronic :and Appliance repair; 'Department -.of ConsuMer:Mairs Sacirarnento, CA 95814." LLYG DATE CALLTF ItE SSDMIIftA+17MiST3YER "1y'.Sf�D LST. ARPR0VEIDfSY i'�aS !ltlktdE 'AAA RECEIVED BY- PM ESnMAT M Ctj4RGTS 0j%DUDE GATE 1AsTsERU[Gc: �36 9'f4k1 :3 DEALER P.U. r a sSa�E "TECH jam: ESTIMATEDTIMEFORCOMPLETION COMPLETED P10 E*nSVJ3 ISM a WORKDAYS, •AND NOTIFIED Fwm J M WORKLOAD AND PARTS ORDERS' J. REVI ESn MATIE COULD CAUSE DELAY BYX :iJl'fi� �C4N1N16tifP5 OTHER DATE TEC;PI 18'il4'. LOS aRpE� Loa INUMBER V VOUCHER NO. WARRANT NO. ALLOWED 20 Kerr Refrigeration IN SUM OF R' 130S.. Davidson Street Indianapolis, IN 46202 $384.88 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 31709LI -2 43- 500.00 $384.88 I hereby certify that the attached invoice(s), or 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 MAR 1 ZQ10 a Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 317091-1 -2 $384.88 1 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 Clerk- Treasurer