HomeMy WebLinkAbout155881 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $2,200.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 155881
CHECK DATE: 1/23/2008
DE 4RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4350000 3372 2,200.00 EQUIPMENT REPAIRS M
.,a
RESIDEN"TI l tHEATING AIR
1950 E Greyhound Pass Ste. 18 #144 3372
Carmel, IN 46033
(317)4
15-3797
PICKUP PHONE REPAIR IN DATE OF ORDER
STALL I DELIVER 35�� y`3 HOME SHOP Yf-, 7
NAME DATE PROMISED
ADDRESS APARTMENT
C, U Q/•
CJ{ r S S
CITY n DATE OF ORIG. INSTAL.
MAKE MODEL SERIAL NO. ESTIMATE
WARRANTY
CONTRACT
NATURE OF CASH
SERVICE
REQUEST 7 oL� ��..��pQ� ❑CHARGE
C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
G..t� CJ l.J G ec l" ���E3
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s
/C.Q.. d� •O�
SERVICE P RFORMEpD M 1 TOTAL
/`^W MATERIAL
VVVVVV
SERVICE
i ce/ SE RTIME
�J fi,/J,2r TAX
DATE COMPLE(�TED CASH OF WORKLETION TOTAL ON
INVOICE COPY •'F) I hereby accept above performed service, and ch es, ,a as c being satis-
factory and acknowledge that equipm nt has bee I ft in good condi'on.
Technician Customer's Signature
Y
Pfescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
<,„S Purchase Order No.
I4So E. G.��„�.....1 P� .1 she. ►P A v e, Terms
C. -Al Y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
e eltc4 0 C
Total 2 2 00 o d
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
h
VOUCHER NO. WARRANT NO.
ALLOWED 20
R e1i�N�a SUM OF
i
l is> E. G�o P as/ S {t, l l yy
ti
C ....ti r t i =N
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
`1bZ fJ(� Z z oo. 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
s
I `l 20 O
Signat re
Cost distribution ledger classification if Tltl
claim paid motor vehicle highway fund