HomeMy WebLinkAbout205585 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR CHECK AMOUNT: $211.00
ro CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032 CHECK NUMBER: 205585
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4574 211.00 OTHER EXPENSES
Residential Heat' F�� Air LLC
"CALL T4 U 4574
1950 E Greyhound Pass Ste 18 #144
Carmel, IN 46033
(317) 435.3797
ERVICE PICK UP PHONE REPAIR IN DATE OF ORDER
INSTALL DELIVER HOME [t/HOP /—Y—/ r—
NAME f DATE PROMISED
G CA�
ADDRESS APARTMENT
CITY DATE OF ORIG. INSTAL,
MAKE iJ D MODEL SERIAL NO. ESTIMATE
WARRANTY
CONTRACT
NATURE OF JJ ❑CASH
SERVICE
REQUEST [:]CHARGE
�j 2 Pg C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
CAW
IAKJ
III
SERVICE PERFORMED
TOTAL
®l ��rn����/ �NI (J�� MATERIAL
TECHNICAL
SERVICE
TIME
TAX
A �J
7 D; C PL CASH OF WORK
L ETION TOTAL
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
factory and acknowledge that eq nntt ha been left in �good condition.
Technician Customer's Signatur
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 12/30/2011
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 4574 $211.00
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
VOUCHER 116586 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
4574 01- 7202 -05 $162.00
4574 01- 7362 -05 $49.00
Voucher Total $211.00
Cost distribution ledger classification if
claim paid under vehicle highway fund