158608 04/15/2008 ,a CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
zi. ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144 CHECK AMOUNT: $59.00
CARMEL IN 46032 CHECK NUMBER: 158608
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3435 59.00 OTHER EXPENSES
1
RESIDENT Call tHEATI AIR
1950 E Greyhound Pass Ste. 18 #144 3435
Carmel, IN 46033
4o 3
(317) 435 -3797 C) 736 0
SERVICE PICKUP PHONE REPAIR IN DATE OF ORDER
INSTALL DELIVER HOME SHOP 3- f 7
NAME DATE PROMISED
ADDRESS APARTMENT
CITY /'7 j DATE OF ORIG. INSTAL.
MAKE MODEL SERIAL NO. M ESTIMATE
WARRANTY
CONTRACT
NATURE OF ma y"' ❑CASH
SERVICE
REQUEST ❑CHARGE
I 1 C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
Oyu
Tc>,.
s
CC-
SERVICE PE ORMED TOTAL
C
n /�i ��Z �f' (_(Y D H MATERIAL
T TECHNICAL
7,-' `j� SERVICE
TIME
TAX
DATE C PLETED CASH ON COMPLETION TOTAL
sO OF WORK>
INVOICE COPY I hereby accept above performN service, a harges, as being satis-
factory and acknowledge that epqipment ha ben left in ood condition.
r 1
Technician Customer's Signature
VCUCHER 085193 WARRANT ALLOWED
33704 IN SUM OF
RESIDENTIAL HEATING AIR
1950 E. Greyhound Pass
P
Ste 18 #144
Carmel, IN 46033
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3435 01- 7362 -05 $59.00
r
Voucher Total $59.00
'Cost distribution ledger classification if
'claim paid under vehicle highway fund
Prescrib @d 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. R
Payee
353704
RESIDENTIAL HEATING AIR Purchase Order No.
1950 E. Greyhound Pass Terms
Ste 18 #144 Due Date 4/1/2008
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2008 3435 $59.00
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