172012 04/29/2009 CygMt CITY OF CARMEL, INDIANA VENDOR: 353704 Page 1 of 1
f, ONE CIVIC SQUARE RESIDENTIAL. HEATING AND AIR CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 1950 E GREYHOUND PASS STE 18 #144
CARMEL IN 46032
CHECK NUMBER: 172012
CHECK DATE: 4129/2009
DEPARTMENT ACCOU PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTIO
x+551 5023990 511663 3705 3,000.00 REPAIR CONDENSOR
ire
Residential Heating Air LLC 4 6 3
"CALL THE PRO"
1950 E Greyhound Pass Ste 18 #144 3
Carmel, IN 46033
(317) 435 3797
4 1 CAA— r/c e ,il
F SERVICE ❑PICK UP PHONE REPAIR iN DAT OF ORDER
NSTALL DELIVER w El HOME SHOP(
AME �s�'/' DATE PROMISED
i7 rrV/ ZV, SA C�ci�
ADDRESS W /y APARTMENT
CITY DATEOFORIG. INSTAL.
MAKE MODEL SERIAL NO. ESTIMATE
[:]WARRANTY
L ,I j CONTRACT
NATURE OF f/ f/ h/ l �J t/'t C+% V J {i •ir CASH
SERVICE
REQUEST CHARGE
/O�Cf ❑C.O.D.
QUAN. PART NO DESCRIPTION PRICE AMOUNT
T AN 340 119�2 Ole.
0
0 L�o.fd -te iad +I'r
SERVICE P W MEED TQTAL
MATERIAL
CK
HNICAL
SERVICE
TIME
TAX
DAT� OMPLETED SASH ON COMPLETION TOTA Co G�
YL� I� �.�.mLL"A1GG OF WORK
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
factory and acknowledge that equip n has been left in good condition.
Technician Customer's Signature
i
0 Ca`
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 q
Ste 18 #144 Due Date 4/20/2009
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2009 3705 $3,000.00
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
Date Officer
VOUCHER 095477 WARRANT ALLOWED
353704 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
3705 01- 7202 -05 $2,900.00
3705 01- 7362 -05 $100.00
i
6�1���
I�
Voucher Total $3,000.00
Cost distribution ledger classification if
claim paid under vehicle highway fund