HomeMy WebLinkAbout198727 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
I ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $109.00
s, CARMEL., INDIANA 46032 1950 E GREYHOUND PASS STE 18#144
CARMEL IN 46032 CHECK NUMBER: 198727
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4373 109.00 OTHER EXPENSES
NW Residential Heating Air LLC
"CALL THE PRO 4373
1950 E Greyhound Pass Ste 18 #144
Carmel, IN 46033
(317) 435 3797
P ERVICE PICK UP PH ONE REPAIR IN DATE OF ORDER
INSTALL DELIVER El HOME. SHOP
NAME /J A DATE PROMISED
ADDRESS /`f/' p u jj W APARTMENT
Of
CITY DATE OF ORIG. INSTAL.
MAKE MODEL SERI AL NO. ❑ESTIMATE
WARRANTY
CONTRACT
NATURE OF CASH
SERVICE
REQUEST ❑CHARGE
BX 4 A-er�L�d jur- C C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
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SERVICE PERFORIyIE hr-S 4 rq -e— /`eL 3 TOTAL q�
I MATERIAL
TE CHNICAL
r �0�� VICE
y
I T 1 J TIME
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TAX
ON '7" D O P CMLETION TOTAL INVOICE COPY I h ereby accept above perform e rvice, and charges, as being satis-
factory and acknowledge that eq i nt has been left in good condition.
Technician Customer's Signature
N S sw
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 6/15/2011
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/2011 4373 $109.00
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
VOUCHER 115318 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
4373 01- 7202 -05 $60.00
4373 01- 7362 -05 $49.00
Voucher Total $109.00
Cost distribution ledger classification if
claim paid under vehicle highway fund