HomeMy WebLinkAbout174392 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 173000 Page 1 of 1
ONE CIVIC SQUARE KERR REFRIGERATION
CARMEL, INDIANA 46032 130 SOUTH DAVIDSON STREET CHECK AMOUNT: $115.00
INDPLS IN 46202
CHECK NUMBER: 174392
CHECK DATE: 7/8/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 223942 115.00 EQUIPMENT REPAIRS M
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LAST�NAME 1 FIRS INVOICE 'NO.
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MAG,.j MOTOR SEALED UNIT NO OLD MAG MOTOR /.SEALED UNIT NO. NEW SELLING DEALER DISTRIBUTOR y 'FEE
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The re a Qavye. en ei formed in a man er satisfactor to me: TOTAL
P P Y METHOD OF PAYMENT AMOUNT O D ATE' Q CASH ❑CONTRACT CHECK#
1 have, been advised of�the anti -tip device for my range. Q CHARGE 111111 IIIII IIIII IIIII 111111 IIII
CUSTOMER VISA MC DISCV AMEX OTHER
SIGNATURE DATE AUTH- NO. EXPIRES 12345E
I hereby certify b above service has been performed p rtS USed L IIT{IIRANS INTERNAL CONTROL NO. AU• T D BY: I o eP: I �C�
TECHNICIAN
.SIGNATURE
"Art' estimate as required (Section 9844 of the California, Business and
Professions Code) for repairs shall be given to the custom by, the ser-
vice dealer in writing, and the service dealer may not charge for word
r done orf'parts supplied- in excess -dVthe estimate without prior consent.of
=the customer., !/here` provided in writing, the service dealer may charge a
omsonab(e fee for services provided in determining the nature the mal-
f'nction :in preparation of a written estimate for rain. For information
contact the Bureau' of and Appliance Repair, 'Department of
C`onsumer Affairs; ,Sacramento, CA',95814.
LaC IAC.R�14�1- r ii. ,TECH. NO !TIME (DATE Y
J CALL IF REVISED ESTfPAA7E LS OVER REVISED EST. APPROVED BY DATE TIA1E M i RECEIVED BY
ii SES nMATED CHARGES INGLU.DE i DATE LAST,SERVICE SO TECH CB DEALER P.O.
SERVICE CALL
TECH SERVICE DATE t TECH NO' I SP EXe ESTIh1ATED TIME FOR COMPLETION COMPLETED
is WORKDAYS. AND NOTIFIED
Pi DELFVERY
PAR PARTS USAGE WORKLOAD AND PARTS ORDERS I I
I' REVISED ESTIMATE I COULD CAUSE DELAY BYX
TECHNICAL
PARTS! OTHER COMMENTS
OTHER
TOTAL
i DATE. TECH BIN LOC. ORDER
MIN MARGE NUMBER
NR635 (419V, BACK 'i
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))
223942 $115.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ker- Refrigeration
IN SUM OF
130 S. Davidson Street
Indianapolis, IN 46202
$115.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 223942 43- 500.00 $115.00 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
JUL -6 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund