188029 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $805.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 188029
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4087 805.00 OTHER EXPENSES
Residential Heating
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"CALL THE PRO" II, I D I,
1950 E Greyhound Pass Ste 08 7
Carmel, IN 46033
(317) 435 3797 JUL 02 2010
SERVICE PICK UP PHONE REPAIR IN DAT OF OR DER
INSTALL DELIVER
NAME f s, DATE PROMISED
ADDRE fX APARTMENT
CITY i DATE OF ORIG, INSTAL.
MAKE MODEL SERIAL NO []ESTIMATE
WARRANTY
CONTRACT
NATURE OF I ❑CASH
SERVICE 1 CHARGE
REQUEST 6 �.5/ /I_
W C C.O.D.
OUAN. PART NO. DESCRIPTION PRICE AMOUNT
C C Z
ze
A 51171 N 4 c
SERVICE
P/ERFOH /M /E /Q +J. 1 A TOTAL
W ;2, C; G PClf GAL
nq` f�/� /J L� 4�(f� /�fa 1✓S� Z� �/!7 /l SERVICE C�
l lI .I IILo��"91.�/ N JE "i` ��l ]/�'�W C //�Qr�P TIME
TAX
Dn Q r�TED CASH OF WORKLETIO4. TOTAL 4.
INVOICE CO I hereby accept above performed service, and charges, as being satis-
factory and acknowledge that equipment has been left in good condition.
Technician A Customer's Signa
e- -1- GOM
F,)()
VOUCHER #.,,10577,4 WARRANT ALLOWED
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353704 IN SUM OF
RESIDENTIAL HEATING AIR
1950 E. Greyhound Pass
Ste 18 #144
Carmel, IN 46033
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4087 01- 7202- 058B3V�1
1
Voucher Total $805.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353704
RESIDENTIAL HEATING AIR Purchase Order No.
1950 E. Greyhound Pass Terms
Ste 18 #144 Due Date 7/7/2010
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2010 4087 $805.00
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
Date Officer