HomeMy WebLinkAbout171179 04/22/2009 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION
CARMEL, INDIANA 46032 PO Box 606 CHECK AMOUNT: $316.39
ZIONSVILLE IN 46077 -0606 CHECK NUMBER: 171179
CHECK DATE: 4/22/2009'
DEPB,- QTM ENT ACCOUNT PO NUMB IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 19608 316.39 EQUIPMENT REPAIRS M
E j
REFRIGERATION Invoice
317 769 3691
P O BOX 606 Date Invoice
ZIONSVILLE IN 46077 -0606
3/10/2009 19608
Bill To Ship To
CARMEL FIRE DEPARTMENT #45
10701 N. COLLEGE AVE.
INDIANAPOLIS, IN 46280
P.O. No. Terms Equip. Name Model Serial Install Date
Due on receipt SCOTSMAN CO330SA -1 A 07031320016247 4 -20 -07
Item Qty Description Rate Amount
RE- CONNECTED ICE MACHINE. HAD TO RUN
NEW DRAIN LINE FROM ICE MACHINE TO
CONDENSATE PUMP. INSTALLED NEW WATER
FILTER AND RE- STARTED, O.K.
MAT 1 EVERPURE 1 -2000 WATER FILTER 69.42 69.42
MAT 2 3/4 PVC ST ELLS 2.04 4.08
MAT 1 3/4 PVC ELI. 0.66 0.66
MAT 1 PVC MIP ADAPTER 0.62 0.62
MAT 6 FT 3/4 PVC PIPE 1.31 7.86
SERVICE CALL 1 INITIAL SERVICE CALL REQUEST 145.00 145.00
SB 1.25 S'I'EVE BLACKWELL S.T. 71.00 88.75
Subtotal $316.39
Sales Tax (7.0 $0.00
Total $316.39
Payments /Credits $0.00
Balance Due $316.39
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER Y
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))
19608 Repair Sta. 45 Ice Maker $316.39
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
r,,ace industries
IN SUM OF
305 Bend Hill Road
Fredonia, PA 16124
$316.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 19608 43- 500.00 $316.39 1 hereby certify that the attached invoice(s), or
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
APR I
4
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund