HomeMy WebLinkAbout203001 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $631.59
CARMEL, INDIANA 46032 PO Box 606
ZIONSVILLE IN 46077 -0606 CHECK NUMBER: 203001
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 22382 323.12 EQUIPMENT REPAIRS M
1120 4350000 22383 308.47 EQUIPMENT REPAIRS M
7 Grac
Invoice Refrigeratiolli 4
l 1 Date Invoice
PO, $o,x 6,06 Gio.nsville,,, IN 46037
10/3/2011 22382
Fax 317-769:- 3.330
JracerefriJ atds..net
Bill To Ship To
CARMEL FIRE DEPARTMENT 445
10701 N. COLLEGE AVE.
INDIANAPOLIS, IN 46280
P.O. No. Terms Equip. Name Model Serial Install Date
Due on receipt SCOTSMAN CO330SA -IA 07031320016247 4 -20 -07
Item Qty Description Rate Amount
REGULAR PM SERVICE ON ICE MACHINE FOR
OCTOBER 2011
K -20 1 K -20 COURSE WATER FILTER 11.85 11.85
I -2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 74.57 74.57
ICE MACH CLE... 14 OZ. ICE MACHINE CLEANER 2.05 28.70
SERVICE CALL 1 INITIAL SERVICE CALL JOE W., INCLUDES FIRST 133.00 133.00
FLOUR, TRUCK, GAS, INSURANCE
JW 1 JOE W. S.T. 75.00 75.00
Sales Tax (7.0
Pay online at: l ittps: /ipn.intuit.com /frvbimyf
$0.00
Building Our Business On "TRUST Total $323.12
Payments /Credits $0.00
Balance Due $323.12
E -mail
Steven gracerefi-igeration.com
p G Invoice
1 �i �D �a 4S 7EA Date Invoice
PO, Bo,x 6,Ub, Zionsville, IN 46;077
Fax 3 1% 7 6 9- 3.3 3 U 10/3/2011 22383
JracerefrirgCc!) tds. net
Bill To Ship To
CARMEL FD 444
5032 E. 131 ST ST.
CARMEL, IN 46033
P.O. No. Terms Equip. Name Model Serial Install Date
Due on receipt SCOTSMAN CO330MA -IA 09061320014975 11-12-2009
Item Qty Description Rate Amount
REGULAR PM SERVICE ON ICE MACHINE FOR
OCTOBER 2011
K -20 1 K -20 COURSE WATER FILTER 11.85 11.85
I -2000 1 EVERPURE I -2000 .5 MICRON WATER FILTER 74.57 74.57
ICE MACH CLE... 16 OZ. ICE MACHINE CLEANER 2.05 32.80
SERVICE CALL 1 INITIAL SERVICE CALL JOE W., INCLUDES FIRST 133.00 133.00
HOUR, TRUCK, GAS, INSURANCE
JW 0.75 JOE W. S.T. 75.00 56.25
Sales Tax (7.0
Pay online at: https: /ipn.intuit.com /8�4cx2r9n
$0.00
Building Our Business On TRUST Total $308.47
Payments /Credits $0.00
Balance Due $308.47
E -mail
steve@gracerefi gracerefi•igeration.com
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
22383 44 $308.47
22382 45 $323.12
1 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
Grace Refrigeration
IN SUM OF
P.O. Box 606
Zionsville, IN 46077
$631.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 22383 I 43- 500.00 I $308.47 1 hereby certify that the attached invoice(s), or
1120 I 22382 I 43- 500.00 I $323.12 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
OCT 2.4 20
s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund