174019 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
ONE CIVIC SQUARE RESIDENTIAL HEATING AND AIR
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144 CHECK AMOUNT: $109.00
CARMEL IN 46032
CHECK NUMBER: 174019
CHECK DATE: 6/24/2009
DZP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3763 .109.00 OTHER EXPENSES
Residential Heating Air LLC
"CALL THE PRO"
1950 E Greyhound Pass Ste 18 #144 3763
14. Carmel, IN 46033
(317) 435 3797
SERVICE PICK UP PH ONE REPAIR IN DATE OFO DER
F INSTALL DELIVER HOME SHOP
NAME DATE PROMISED ADDRESS -1 APARTMENT
CITY g DATE OF ORIG. INSTAL.
MAKE MODEL C /I SERIAL NO. ESTIMATE
[:]WARRANTY
CONTRACT
NATURE OF ❑CASH
SERVi REQUEST CHARGE
C.O.D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT V
4 S _S;L_ S C
RECD J U N 0 4 2009
SERVICE PERFO TOTAL
MATERIAL �v
L TECHNICAL
�'1 /I L �Cy� y�/��• SERVICE
TIME
TAX
DATA CQIy�PLETED ON COMPLETION
CASH OF WORK TOTAL Q
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
factory and acknowledge that equipment has been left in good condition.
Technician Customer's Signature
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 6/15/2009
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/2009 3763 $709.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
l el, Or- -k
Date Officer
VOUCHER 095823 WARRANT ALLOWED
35 704 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
60.06
3763 01- 7202 -05 0
3763 01- 7362 -05 $49.00
bq,00
Voucher TotAl 9.00
Cost distribution ledger c ssification if
claim paid under vehicle hi wa fund