162322 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 361232 Page 1 of 1
ONE CIVIC SQUARE EXPERT ICE COMMERCIAL REFRIDE�Rpp��
ECK AMOUNT: $195.00
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CARMEL, INDIANA 46032 4014 RACHEL LANE
CARMEL IN 46033 CHECK NUMBER: 162322
CHECK DATE: 8/712008
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4350000 2053 195.00 EQUIPMENT REPAIRS M
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OOB ICE
EXPERT ICE COMMERCIAL
REFRIGERATION W 20
4014 Rachel Lane Carmel, IN 46033
(317) 705 -9877
ATE o O�RDERE� ORDER TAK� N �Co W
O PHONE NO. CUSTOMER ORDER
ADDRESS JOB LOCATION
JOB PHONE STARTING DATE
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ATTENTION TERMS
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WOR ORDERED BY
TOTAL LABO )30,
DATE ORDERED TOTAL MATERIALS
DATE COMPLETED TOTAL MISCELLANEOUS 6S
SUBTOTAL
CUSTOMER APPROVAL
SIGNATURE TAX
AUTHORIZED SIGNATURE GRAND TOTAL q� p
P.}+scribetl b Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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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.
i Payee
Z 1Cv_ Purchase Order No.
41y L�'r'� Terms
6 V/ :LAJ• `f &1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 z� of 3 F e� ,fi ti q5,y
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
77 IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoices or
DEPT. Y Y
225 6-o 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
20
S NP t
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund