189489 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 189489
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4143 90.00 CONT SVS- OTHER -S PLAN
P
Residential Heating Air LLib
"CALL THE PRO"
1950 E Greyhound Pass Ste 18 LJ
Carmel, IN 46033
(317) 435 3797 r� AUG 20 2010
SERVICE PHONE EPAIR IN DAT OF RDER
INSTALL DELIVER HOME HOP
NAME Q CCCIII ISED
ADDRESS APARTMENT
0 4
CITY T /fin ',l` /•1 DATE OF ORIG. INSTAL.
_.."of/ gr�
MAKE MODEL SERIAL ESTIMATE
J� qri Q� S
[:]WARRANTY
CONTRACT
NATURE OF ❑CASH
SERVICE S
REQUEST /�G ❑CHARGE
C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
Z s•®
b
SERVICE PERFOFb,A��
TOTAL O
MATERIAL G
N w ��p Jt +u t4 TECHNICAL
SERVICE
TIME
TAX
DATEeD PL�ET�ED CASH OF COMPLETION TOTAL a
INVOICE COP 66 1 I h h ereby accept above performed servi nd c' es, a being satis-
factory and acknowledge tha equipm s eft in good condition.
Technician Customer's Signatur
O t 36 a. 66
VOUCHER 106097•. 'NARRANT ALLOWED
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
4143 01- 7362 -06 $90.00
Voucher Total $90.00
Cost distribution ledger classification if
'claim paid under vehicle highway fund
Prescribed by State Board of Accounts r' City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER t
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 8/24/2010
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bili(s)) Amount
8/24/2010 4143 $90.00
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
a
Date Officer