HomeMy WebLinkAbout196798 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
s 0 ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $308.35
CARMEL, INDIANA 46032 PO BOX 606
'w off ZIONSVILLE IN 46077 -0606 CHECK NUMBER: 196798
CHECK DATE: 4/26/2011
D EPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 21549 308.35 EQUIPMENT REPAIRS M
f 7 -111
Grace
t�--� R Invoice
e er tr
"L f ,5 4 ,5 .D 1 Date Invoice
PO Box 606 Zionsville, IN 46077
F'zisc 317-769-3-330
3/28/20!1 2154)
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Bill To Ship To
CARMEL FIRE DEPARTMENT 445
10701 N. COLLEGE AVE,
INDIANAPOLIS, IN 46280
P.O. No. Terms Equip. Name Model Serial Install Date
Due on receipt SCOTSMAN CO330SA -IA 07031320016247 4 -20 -07
Item Qty Description Rate Amount
REGULAR PM SERVICE ON ICE MACHINE FOR
APRIL, 2011
1 -4000 1 EVI RPURE 1-4000.5 MICRON HIGH CAPACITY 79.00 79.00
WATER FILTER
K -20 I K -20 COURSE WATER FILTER 11.85 11.85
ICE MACH CLE... 10 OZ. ICE MACHINE CL,I ANER 2.05 20.50
SERVICE CALL... I INITIAL, SERVICE CALL .10E W.. INCLUDES FIRST 125.00 125.00
HOUR. TRUCK. GAS, INSURANCE
1W I JOE W. S.T. 72.00 72.00
Sales Tax (7.0
Pay online at-: littps: /ipn.intuit.com /„49gmsk
$0.00
Building Our Business On TRUST T otal $308.35
Payments /Credits S0.00
Balance Due $308.35
E -mail
gracerefri g(:iDmds. net
VOUCHER NO. WARRANT NO.
Grace Refrigeration ALLOWED 20
IN SUM OF
P.O. Box 606
Zionsville, IN 46077
$308.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 21549 43- 500.00 $308.35 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
APR 2 2 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
21549 Sta. 45 Ice Maker PM $308.35
1 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