188524 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1
b ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS CHECK AMOUNT: $915.00
CARMEL,JNDIANA 46032 PO BOX 19635
c; o INDIANAPOLIS IN 46219 CHECK NUMBER: 188524
CHECK DATE: 813!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 126388 915.00 EQUIPMENT REPAIRS M
�U L 0 010 NVOICE NUMBER 1 ?.6388
P.O. BOX 635 INVOICE DATE
ihdi nap3pe Indiana 46219 07/l_3/10
(317) 322 5800 PAGE 1
SOLD TO CARMEL CLAY PARKS REC. dba PEON M SHIP TO HIMON CENTER
114 E. 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CAMEL, IN 46032
(317) 571 -4140
CUSTOMER I.D.: 113022
SHIP VIA: SERVICE P.O. NUMBER:
SHIP DATE: 7/14/10 P.O. DATE:
DUE DATE: OUR ORDER NO:
TERMS: Het 15 SALESMAN: Da Beck
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE AMOUNT TX
7071153360 REDUCER -GEAR LHi 5/1 HD 1 1 610.00 610.00
830 -1130 ON 7 -13 3.000 3.000 65.00 195.00
1 HR ON 7/6/10 1.000 1.000 65.00 65.00
TRIP CHARGE 45.00
IV voide subtotal 915 -00
Invoice total 915 -00
SIGNATURE.
I AGREE THAT EVER PHING LISTED ON INVOICE IS ACCOUNTED FOR UNDAMAGED UNLESS OTH RwsE NOTED.
Purchase
Description
P.O. I or F
G.L.
Budget
Urie Descr
Purchaser Date
Approval Date
WHITE COPY SOUTHERN FOOD SYSTEMS YELLOW COPY CUSTOMER
s w�=?..-• r. t.. 1ra_ .qa:�.�_. +,�.rTC- ..w- -a w..: -.'w� yt/'>'.. Nt`- �r- c-•-; �jY�- cti�."-,,,-..--.-....' y�'< ,.�r-^s.^.- ..w,.- .::r- c.�-TS-.. 4n��.'+. xr. -`�.YSti�"h- :r.�:..- a.r•wr.'\.� -..r mac^.
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770 J y to
Account Phone 311'84 7;�'75 Date: 7- IS- 0
um Account (Name &Location) 000 O E raTE R
P.O. Box 19635
12- CE�,TkAl— PAR D RIVE E A:5.
Indianapolis, IN 4621.9.. Ltd L16032-
Phone: 31,7- 322 -5800 Bill to:
J
Toll Free: 800 776 -5100
REASON FOR CALL: ETo R N 7 IC Contacted By: M L4-k t- LL F CE LC 4 1 1 1- 6S 17
REPLACE A SI bE GLA e- AEb .ER-
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PROBLEM FOUND: SF Rv I C-E C A Lt n ti
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WORK PERFORMED: E N\. t I E
REPLALEt GE A1Q, RE DvC-E P-. Q F- Aojc= r.
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COMMENTS Description MAOA//7r
t�CPAIF�S i� rl
P.O. 3 751 PcP o
lons -t- `t35oDOO JUL 5 2010 rI
Bud EQUIP R-p� I1�S i C
Purchaser Date
SER IAL Parts Total 00
1W1d �o�.0D Labor Total `�,t�D.�
Z $k— 230 V -0 A W C- Trip Charge 4 9 00
f Tax
Technician: f�� 1C� Date: 7 1 f C7 X f _Date (3 I Balance Due r^ J
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
P
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
362955 Southern Food Systems
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description Amount
or note attached invoice(s) or bill(s)) PO
Date Number 23754 915.00
7113110 126388 Repair soft serve machine
Total 915.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
36 2.955 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of
915.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 126388 4350000 915.00 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
29-Jul 2010
Signature
915.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund