186389 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 173000 Page 1 of 1
ONE CIVIC SQUARE KERR REFRIGERATION CHECK AMOUNT: $115.00
CARMEL, INDIANA 46032 130 SOUTH DAVIDSON STREET
INDPLSIN 46202 CHECK NUMBER: 186389
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 3158OLI -5 115.00 EQUIPMENT REPAIRS M
71 ryn MC
JlM v i,/1LL Idv.
KERR REFRIGERATION, INC. 315 8 0 L I 5
3EET ADDRESS APP c �a
a7��g14E SERYICER ACCOUNT NUMBER
130 SOUTH DAVIDSON STREET
v FE ZIP CODE INDIANAPOLIS, IN 46202
SERYICERS ACCOUNT NUMBER WITH PO
V (31 7) 637 -6690 :I
ME PHONE WORK PNE 9 j� pp
DATE PURCHASED
N PR CT TYPE
iv K am- FAULT CODE DATE GAL HECEIvEO
DEL NU
u z J r NUMBER T j A Jv(
/0 v 111
DATE RED
IIAL NUMBER ER CE" R P l
1 C'}8C �ca i try 1 C C t 1
tVl E AGREEMENT T R r,. I DEFECT CODE
ESTIMATE jqjj /_e76
OF REPAIR
7RAC 1 ER: ICRO LEAK REARING'
PARTS
�A PD COU NUCNBE WITH BEFORE AFTER
M NUFACTU ER
GIs
3 1RATI N TIME STARTED LABOR
SALES TAX WARRANTY PART WARRANTY CONSUMER
IE COMPLETED TIM£ ON JOEI SPECIAL
n j TOTI TE AUTHORIZATION
!TY p PART NUMBER INVOICE NUMBER PART COST SUB TOTAL
PARTS
HANDLING
:SCRIPTION: EXTENSION: TOTAL
PARTS
TOTAL MILES
TRAVELED
SCRIPTION: EXTENSION:
TRIP ®ZJ
T__—____._---------.-----------------._ CHARGE
COMP CALL
LABOR
:SCRlPTIDN: EXTENSION: DIAGNOSTIC
w FEE
TOTAL
LABOR
:SCRIPTION: EXTENSION: STATE
TAX
LOCAL c
TAX `z
:SCRIPT10N: EXTENSION: ENVIR.
c
MOTOR I SEALED UNIT NO. OLD AiAG. M070R 1 LED UNR N NEiY SELLING DEALER DISTRIBUT R: FEE q
The repairs ant
v ee or'n fac tory to me. a METH TOTAL CUSTOME eN O a SIGf�IATU TE i il k
dvised of the i -tip device range. for my ran
I have b C H, ti
�--C o L v II F lull
CUSTOMER s''
SIGNATURE DATE E RES
I hereby c ove service has been performed parts SMiT NUMBER nunlYeo B�: OT)ACR
SIGNATUR 1 DATE H O
VOUCH NO. WARRANT NO.
ALLOWED 20
Kerr Refrigeration
IN SUM OF
13G S. Davidson Street
Indianapolis, IN 46202
$115.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 3158OLI -5 43- 500.00 $115.00 1 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
II N 7 2ajn
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))
31580L1 -5 Sta. 42 $115.00
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