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165687 11/12/2008
CITY OF CARMEL, INDIANA VENDOR: 00351629 Page 1 of 1 ONE CIVIC SQUARE CR SALES SERVICE CHECK AMOUNT: $326.32 !i CARMEL, INDIANA 46032 226 N TRAUB AVENUE oN INDIANAPOLIS IN 46222 CHECK NUMBER: 165687 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT. DESCRIPTIO 1120 43500 -00 46877 326.32 EQUIPMENT REPAIRS M A s r a C R Sales Service, Inc, INVOICE 226 North Traub Ave. Indianapolis, IN 46222 -4216 Invoice Number: 46877 Invoice Date: Oct 31, 2008 Page: 1 Voice. 317- 423 -0184 Fax: 317- 423 -0186 "f ON i R t ,0 "O a Carmel Fire Dept 2 Civic Square Carmel, IN 46032 a�ustome y �.m. Carmel Fire Dept Net 10 Days 11110108 iax.- Descnption Amount Manitowoc ice machine, used customers cleaner and cleaned ice machine. Found probe and dump valve bad, replaced both. Tested unit. Truck 55.00 Materials 115.32 Labor 156.00 Subtotal 326.32 Sales Tax Total Invoice Amount 326.32 Check /Credit Memo No: Payment /Credit Applied TOTAL R�� X326 32 t s .ate �k�.�T- �a a; �"`�"�lufi.. .s '`�c 22. �:M Overdue invoices are subject to late charges. 22, No. IbAvenue WORK ORDER INDIAN. i, IN 46222 (3,17)42 .)4 FAX (317) 423 -0186 1 4991 3 SALES AND SERVICE, INC. NAME E rc- c'I` DATE ADDRESS J' EQUIPMENT CITY Vii/ STATE ZIP CODE MODEL C4' i) 94;Z BILL TO: SERIAL /r f 7;4 STREET: TYPE CITY, STATE, ZIP P.O. Dispatch Time lifoo Customer Sign Cond. Coil Clean AMP's Arrival Time Customer Sign Head Pres. Defrost Departure Time ©d Customer Sign Suction Pres. Amps Reg. Hrs. 2,f-) OT Hrs. Helper Box Temp._ Defrost Voltage Times Service Performed C 1 Quantity Materials Used Amount Factory Authorization Cot Name_ Vac Braze Number Nitrogen Environmental List Recovery 71 z )v 3 r��rc O Retumed Op ©O N a- J r Disposal Quantity Type_ Total Shipping Extended Warranty Truck c Total of Travel_ Materials 3 L 3 The seller retains title to all materials and property listed herein until payment has been made in full. A 1 -1/2% per month Labor service charge will be applied on all accounts over 30 days old. This is an annual percentage rate of 18 It is understood and agreed that C R SALES SERVICES shall not be responsible to purchaser for any insured loss- Fuel Charge The customer signature on this work order acknowledges the work was performed. Customer understands this is not an Tax invoice. If work performed is not covered under warranty the customer is responsible and will be billed for the work performed. Pay This Amount The customer agrees that in the event it's account becomes past due and is turned over to an attorney for collection, the customer agrees to be responsible for all legal fees, as well as, together with all reasonable costs of collection. '—r Customer Signature zz 7 Service Technician dkr"g Printed Name r" z ,L)- VOUCiHER NO. WARRANT NO. ALLOWED 20 C R, Sales Service IN SUM OF 226 N. Traub Avenue Indianapolis, IN 46222 $326.32 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 46877 43- 500.00 $326.32 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 NOV 10 2008 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)) 46877 Repair Sta. 41 Icemaker $326.32 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