HomeMy WebLinkAbout180089 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION
INDIANA 46032 PO Box 60s CHECK AMOUNT: $3,472.55
CARMEL
ZIONSVILLE IN 46077 -0606
CHECK NUMBER: 180089
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 20182 106.92 OTHER EQUIPMENT
102 4467099 12705 20282 3,365.63
GW CE REFRIGERATION Invoice
17 769 3691
P O BOX 606 Date Invoice
ZIONSVILLE IN 46077 -0606
11/12/2009 20282
Bill To Ship To
CARMEL FD #44
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
INS'T'ALLED NEW ICE MACHINE. BIN. AND
WATER FILTER AS PER QUOTE.
MAT 1 SCOTSMAN CO330MA -IA, 09061320014975 ICE 1.964.07 1.964.07
MACHINE
MAT 1 SCOTSMAN B3301 ICE BIN 712.31 712.31
MAT 1 EVERPURE WATER FILTER SYSTEM 314.25 314.25
INST 1 INSTALLATION OF ICE MACHINE 375.00 375.00
Subtotal $3;365.63
Building Our Business On TRUST Sales Tax (7.0%)
$0.00
Total $3,365.63
Payments /Credits $0.00
Balance Due $3.365.63
E -mail
gracerefrig a tds.net
GRACE REFRIGERATION, INC. U
P.O. Box 606
ZIONSVILLE, IN 46077 20282
(317) 769 -3691
PHONE DATE OF ORDER
ORDER TAKEN BY CUSTOMER'S ORDER NUMBER
TO C�h *'rJ D DAY WORK D CONTRACT D EXTRA
JOB NAME /NUMBER
JOB LOCATION
JOB PHONE STARTING DATE
TERMS:
OTY. MATERIAL PRICE AMOUNT DESCRIPTION OF WORK
Equip. N ame
Model
Serial
g 3� G 1' Installation Date
9U 2 ZS L ti p Nr'� Icy 0&'
wo YF5S'
OTHER CHARGES
Serymce Call
TOTALOTHER
LABOR HRS. RATE AMOUNT
Payment due within 10 days of receipt of Invoice.
L ate payments will e c arge z u per mon
Customer agrees to pay all cost incurred in collection. TOTAL LABOR
DATE COMPLETED
TOTAL MATERIALS TOTAL MATERIALS
TOTAL OTHER
Work ordered by Truck Charge
(D/ Jac) TAX
Signature SDr
rj 11L 1 sar7 above described work. TOTAL
GRACE REFRIGERATION Invoice
317 769 3691
P O BOX 606 Date Invoice
ZIONSVILLE IN 46077 -0606
10/16/2009 20182
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
DROPPED OFF WATER FILTER AND INSTALLED.
MAT 1 1 -2000 MICRO WATER FILTER 69.42 69.42
SB 0.5 STEVE BLACKWELL S.T. 75.00 37.50
Subtotal $106.92
Building Our Business On TRUST o
Sales Tax (7.0%) $0.00
Total 6 $106.92
Payments/Credits $0.00
Balance Due $106.92
E -mail
gracerefrig a tds.net
x GRACE REFRIGERATION, INC. JURE2 P
P.O. Box 606
ZIONSVILLE, IN 46077 2
(317) 769 -3651
PHONE DATE OF ORDER
16 -16-07
ORDER TAKEN BY CUSTOMER'S ORDER NUMBER
TO ��/t,rti E l DAY WORK CONTRACT El EXTRA
JOB NAME /NUMBER
JOB LOCATION
JOB PHONE STARTING DATE
TERMS:
OTV. MATERIAL PRICE AMOUNT DESCRIPTION OF WORK
Equip. Name
Model
Serial
I ns tallation Date
I
OTHER CHARGES
Service Call
TOTAL OTHER
LABOR HRS. RATE AMOUNT
Payment due within 10 days of receipt of Invoice.
I ate payments well R mon
Customer agrees to pay all cost incurred in collection. TOTAL LABOR
DATE COMPLETED TOTAL MATERIALS TOTAL MATERIALS
TOTAL OTHER
Work ordered by
Truck Charge
TAX
Signature
hereby acknowledge the satisfactory completion of the above described work. TOTAL
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))
20282 $3,365.63
20182 $106.92
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF
P.O. Box 606
Zionsville, IN 46077
$3,472.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12705 20282 102 670.99 $3,365.63 1 hereby certify that the attached invoice(s), or
12705 20182 102- 670.99 $106.92 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
1OE ®7 2
F Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund