192552 12/07/2010 f CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR
0 CHECK AMOUNT: $376.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 192552
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4221 376.00 OTHER EXPENSES
Residential Heating Air LLC
"CALL THE PRO"
1950 E Greyhound Pass Ste 18 #1 4
Carmel, IN 46033
(317) 435 3797 NOV 2 4 20 10
SERVICE PICK UP PH NE PAIR IN DATE OF AODHO n
INSTALL DELIVER(L'
NAME DATE PROMISED
ADDRESS APARTMENT
CITY DATE OF ORIG. INSTAL.
W
MAKE MODEL SERIAL NO. ESTIMATE
4- [:]WARRANTY
❑CONTRACT
NATURE OF t El CASH
SERVICE
REQUEST CHARGE
el
❑C.O.D.
OUAN. PART NQ DESCRIPTION PRICE AMOUNT
L!n Ej
0V 2 Wq
LIP
SERVICE P FORMED /J f� TO °may C'l�
MATERIAL a
TECHNICAL
�)/J r1 ��3/ /�•tJ� �'J'IW" ^x� l "O��N I"�J SE RTIME
TAX COMPLETION
D rr� CASH OF WORK- TOTAL 76 <2, 4
INVOICE COP I hereby accept above performed se ice, and char as being satis-
factory and acknowledge that nod nt has b r en tt in ood pondition.
1DD�
Technician Customer'sSignaturx f
VOUCHER 106655 WARRANT 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
Y 7.oU
4221 01- 7362 -06 •$41ZG 9
D� 7,L,vL 3.717,
Voucher Total $376.00
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 11/30/2010
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/30/201( 4221 $376.00
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
l �('yl rn
Date Officer