188972 08/18/2010 (9D CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $95.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 188972
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4124 95.00 OTHER EXPENSES
Residential Heating Air LLC
"CALL THE PRO"
1950 E Greyhound Pass Ste 18 #144 4124
Carmel, IN 46033
(317) 435 3797
SERVICE PICK UP PHONE REPAIR IN DATE OF ORDER
INSTALL DELIVER []HOME VHOP /0
NAME DATE PROMISED
ADDRESS APARTMENT
CITY l DATE OF ORIG. INSTAL.
MAKE MODEL SERIAL NO. []ESTIMATE
WARRANTY
O
[:1 CONTRACT
NATURE OF �s ❑CASH
SERVICE �.Q.
REQUEST -77 []CHARGE
C.O.D.
QUAN. ART NO. DESCRIPTION PRICE AMOUNT
i
AUG 0 2 Z0
ULJ
BY
SERVICE PERFORMED TOTAL QA,�
w �G��� ����bs'' ATERIAL �C1
E
TCHNICAL CASJ
�r �'�_QQ SERVICE
C,/1 /•c ��Z TIME
TAX
DATE COMPLETED CASH OF WOMKLE TOTAL
INVOICE COPY 1 hereby accept above performed service, and charges, as being satis-
factory and acknowledge that equipment has been left in good condition.
Technician mer's Signatur
s) VOUCHER 105981 WARRANT ALLOWED
353704 IN SUM OF
RESIDENTIAL HEATING AIR
1950 E. Greyhound Pass
Ste 18 #144
Carmel, 1N 46033
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4124 01- 7202 -06 620.00
4124 01- 7362 -06 $75.00
Voucher Total $95.00
Cost distribution ledger classification if
claim paid under 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 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 8/9/2010
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/9/2010 4124 $95.00
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