HomeMy WebLinkAbout200987 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
�4 Q� ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $109.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 200987
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4462 109.00 OTHER EXPENSES
NW Residential Heating Air LLC 4462
"CALL THE PRO"
AmMi 1950 E Greyhound Pass Ste 18 #144
Carmel, IN 46033
(317) 435 3797
SERVICE PICK UP PHONE REPAIR IN DAT F �q D ER
INSTALL DELIVER HOME OP
NAME DATE PROMISED
ADDRESS _C_t�" /YL�nV���' APARTMENT
CITY G/ �/I� DATE OF ORIG.INSTAL.
MAKE MODEL SERIAL NO. ESTIMATE
[:]WARRANTY
[]CONTRACT
NATURE OF CASH
SERVICE
REQUES D
T �'V []CHARGE
3� c.o.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
J
AUG 19 2011
IR
Iny
SERVICE PERFOJRMED TOTAL
^D_ �p MATERIAL
G JJ lh 1 q J TECHNICAL
S V�i`�/ SERVICE 7
TIME
A Z
TAX
og DAT O7L,T_D CASH OF CORKLE� TOTAL
INVOICE COPY I hereby accept above perfo dNse and charges, as being satis-
factory and acknowledge that en ha on left in good condition.
Technician Customer's Signature If
VOUCHER 115735 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
4462 01- 7202 -06 $60.00
4462 01- 7362 -06 $49.00
Voucher Total $109.00
Cost distribution ledger classification if
claim paid under 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 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 8/22/2011
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/22/2011 4462 $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