171054 04/16/2009 f 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: $199.00
off CARMEL IN 46032 CHECK NUMBER: 171054
CHECK DATE: 4/16/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3699 199.00 OTHER EXPENSES
Residential Heating Air LLC
"CALL THE PRO"
1950 E Greyhound Pass Ste 18 #144 3699
Carmel, IN 46033
(317) 435 3797�
SERVICE PICK UP PHONE R E PAIR IN DATE OF ORDER
INSTALL ❑DELIVER HOME SHOP 9
NAME DATE PROMISED
C'S
ADDRESS APARTMENT
CITY f i /I DATE OF ORIG. INSTAL.
MAKE MODEL 1/ 1 'ry S E�RIAL NO {1 ❑ESTIMATE
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❑CONTRACT
NATUREOF ��f ''s ❑CASH
SERVICE
REQUEST
0 (4 S ❑CHARGE
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TERIAL
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SE? TIME J
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If" DATE�OMP ETED ��^i ON COMPLETION TOTAL J L
'O CASH OF WORK
INVOICE COPY I hereby accept above performed service, an charges, as being satis-
factory and acknowledge that equipmen en left in good condition.
Technician Customer's Signatur
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1
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
t
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 4/7/2009
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2009 3699 $199.00
iereby certify that the attached invoice(s), or bill(s) is (are) true and
xrect and I have audited same in accordance with IC 5- 11- 10 -1,6
Date Officer
VOUCHER 095396 WARRANT ALLOWED
353704 v IN SUM OF
RESIDENTIAL HEATING AIR
1950 E. Greyhound Pass
Ste 18 #144
Carmel, IN 46033
f Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members r
PO INV ACCT AMOUNT Audit Trail Code
3699 01- 7202 -05 $150.00
3699 01- 7362 -05 $49.00
Voucher Total $199.00
I
Cost distribution ledger classification if
claim paid under vehicle highway fund