169034 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 173000 Page 1 of 1
ONE CIVIC SQUARE KERR REFRIGERATION
CARMEL, INDIANA 46032 130 SOUTH DAVIDSON STREET CHECK AMOUNT: $616.74
INDPLS IN 46202
CHECK NUMBER: 169034
CHECK DATE: 2/17/2009
DE AC COUNT PO NUMBE INVOICE NUMB AMOUNT DESCRIPTION
1120 4350000 30532LI -2 616.74 EQUIPMENT REPAIRS M
LAST NAME_ NAM
I FIRST E
I"' 35- 1360636 �l L�nr IN
VOICE..NO
�►Ti J-III I I KERR REFROGE TIOM o e
STREET ADDRESS 1I Rp p9� SERVICER ACCOUNT NUMBER
g ,T'
I
r I O. l I l 18 SOUTH DARDSON I �i fl ZIP CODE
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l i I I I• I S I rE 7"'" 4 I I f Ita*�ll��+Q ve�9t 6nV
SERVICERS ACCOUNT NUMBER WITH PD
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HOME WOKP
HOM P HONE R
HON_E •'p' C.I❑.
i{ I per I `�AC� I l LLL��011 I0
F F i I of 33 i 1 1 qI R A F t 1 I a I I I I CON
SUMER S REQUEST, ,DATE PURCHASED�� th
wa a �Q�d�t �fior <3:. IS fi�'i hiN $Q ul
BRAND _PRODUCT TYPE 1
3 a T DAT CALL
I i l� I 1 i� °I 'i c .2� a r.1B C•P C2
)I �L a� �G'' I t I i1 1 I I I r r FAULT CODE'"'"" 'DATE CALL RECEIVED
MODELNUMBER
A�
SERIA
I fir, r r 1.� �IV(`I �G
I. I I I I I l
F1 ��5� t c� /S t al -a J I i 1���i p
UMBER
I.. SERVS PF jD a /�.7`�C+p j REPAIRED
�PyJ //��'y /I 1 G76c. j�Q Yy /G7_/(
I f� II� �71•I /i I�9M A r- a
SERVICE A CONTRACT�NUMBER &DE CT CODE g, —i ESTIMATE U -I i �'j z n= c y� T Cj I 1 i'I I 1 j I I I II I C� I I OF REPAIR GAR /WIS /'H r. �11L. /`r�C —1 L�
CONTRACTISSUER: N'
44 PARTS b E1 AOT� RER,.., "....'°rs.,�
CONSUMER E -MAIL ADDRESS PD ACC UN7 NUMBER-.WITH MANUF L(�_^ t EXPIRATION TIME STARTED LABOR ,f l)[ ,�j a��
Ir
A 1, 51 SALES TAX WA R� I RT A�RR CONSIlITt1ER
TIME C OM PL ETED TIME ON JOB r g ,O
I ESTIMATE °�t. `�P �IAL�
19 ®1 I r (3�. I TOTAL AUTHORIZATION u a L�
QTY PART NUMBER INVOICE NUMBER PART COST, SUB TOTAL'
PARTS
r HANDLING 1�_],
DE SC TION: EXTENSION: 1 I TOTAL
I I I PARTS
_��wJ.l' l.. .',,._�.la.
'�2n'iA1�2 1 (�/r1.,��1_ I _1Sc a•1 (�d, g Cv�SV511 U�A►►j Jy
I I Jj LY b �r i i TOT MALE
I DESCRIPTION: YETIS O :I0
TRIP
4LI'
I
l I I I f I1 If I I �I {I I� II II II
L�J LJ H L I U IT —LI LJ L.J L�1 I L�J I I H H COMP. CALL
LABOR
DESCRIPTION: EXTENSION: I G OS
DIA N TIC 210 FEE
P�2� UF J L J l�l I 1 J I�I LABOR
DESCRIPTION: /Olreq 9 �Q,� �s E NSIO
V Y A
N
XTE N
�S
co
LJU�JUUU,IU[�U�I_ �iJL1U UU U►� LO CAL
DESCRIPTION: EXTENS i f
fi v' ION:
ENVIR.
MAG. MOTOR /SEALED UNIT NO. OLD MAG.7 MOTOR SEALED UNIT NO. NEW SELLING DEALER/ DISTRIBUTOR: 4 U FEE`
IAA �JPxo"re. 01w
The repairs have een Z rm e METHOD OF PAYMENT
d in a manner satisfactory to me. TOTAL
S
611
IGNA CASH •CONTRACT El CHECK#
I have Pen b ladvised of the anti -tip device form ran e% CHARGE
CUSTOMER y g VISA MC DISCI AMEX OTHER, 1 111111 VIII VIII VIII .1111.1"111
SIGNATURE DATE AUTH. NO. EXPIRES 12345F
I hereby Certify the abo
service has been performed Used. T NUMBER INTERNAL CONTROL NO. AUDITED BV: OTHER:
TECHNICI -A .f FI L� 0 I 0 0 0
SIGNATU �iE/ "`�O DATE FF+��-- al�`�
L/X
"An estimate G as required (Section. 98 4 of Ahe California Business and
Professions Gode)' for repairs shal be~'given, the customer by the, ser-
vice realer :nrrng,and:- t service deafer _may not charge for Work
done or .pants supplied: in excess of the- estimate without prior consent of
tie customer: There; prov'.de�' in writing, the service dealer may c1tar'ge' a
reas onable' fee for- services} pxovided indeterr�iining the _nature of th6 mal=
functEOn Inprepaatiar of',arritten estimate for .repair. For information
contact- the Bureau of: El.. tropic and` Apply; nce Repair, Department of
rX
Consumer; Affiairs, „94 amento, .CA 95814.” l
X
LOG i {••IP.C.`�RV
r TECH. NO: IT1
t R9E DATE
CALL IF REVISED ESTIMATE IS OVE}i 2 'REVISED EST� APPROVED BY DATE I TIME AM .RECEIVED .BY
Pm
ESTIMATED CHARGES lNCU1DE k PATE LfiST'sERillSE so TTECi+T aCB DEALER P.O.
SERVICE Q�U a
TECH SERVICE DATE i 1 :ECFI NO: SP EXP ESMATED TIME FOR COMPLETION COMPLETED
PYU DELAIE s r IS bYORKDAYS., AND NOTIFIED
PARTS ~1 �k 1 PARTS USAGE :4�. •WORKLOAD AND PARTS ORDERS L L
f
ULD CAUSE DELAY ey i.
EVISED ESTIMATE
TECHNICAL
.PARTS "`1 �OTHER Y
OTHER r 3= t
TOTAL
DATE, t TEN BIN Loc. L ORDER
MINCHAr;L I NUMBER
N�:V 'sue g4r"35i 8Af.1�.. i r r.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER 7
CITY OF CARMEL s
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))
30532LI -2 Repair Sta. 42 Ice Maker $616.74
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
1 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kerr Refrigeration
IN SUM OF
130 S. Davidson Street
Indianapolis, IN 46202
$616.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 30532LI -2 43- 500.00 $616.74 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
FFR 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund