207068 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
s ONE CIVIC SQUARE GRACE REFRIGERATION
CARMEL, INDIANA 46032 PO Box 606 CHECK AMOUNT: $331.22
ZIONSVILLE IN 46077 -0606
CHECK NUMBER: 207068
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 22846 331.22 EQUIPMENT REPAIRS M
Invoice
:1 7 4 5 �i 4 0 iE� :L Date Invoice
PO Bo.x 606 Gans.ville,, IN 460.77
2/27/2012 22846
Fax 317-7
gracerefrigC&tds.net
Bill To Ship To
CARMEL FD 444
5032 E. 131ST ST.
CARMEL, IN 46033
P.O. No. Terms Equip. Name Model Serial Install Date
Due on receipt SCOTSMAN CO330MA- I A 09061320014975 11-12-2009
Item Qty Description Rate Amount
REGULAR PM SERVICE ON ICE MACHINE FOR
MARCH 2012
K -20 1 K -20 COURSE WATER FILTER 11.85 11.85
1 -2000 1 EVERPURE 1-2000.5 MICRON WA'T'ER FILTER 74.57 74.57
ICE MACH CLE... 16 OZ. ICE MACHINE CLEANER 2.05 32.80
SERVICE CALL 1 INITIAL SERVICE CALL JIM C., INCLUDES FIRST 133.00 133.00
HOUR, TRUCK, GAS, INSURANCE
JC 1 JIM CALDWELL S.T. 79.00 79.00
Sales Tax (7.0
Pay online at: https /ipn.intuit.coin/g5vkv9j7
Total $0.00
Grace Refrigeration Sells and Leases the most popular $331.22
ice machine on the planet, Scotsman Ice Machines.
Fora quote call 317- 769-3691 Payments /Credits $0.00
Balance Due $331.22
AsCotsm
E -mail
Building Our Business On TRUST steve@gi gracerefrigeration.com
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))
22846 44 $331.22
1 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
Grace Refrigeration
IN SUM OF
P.O. Box 606
Zionsville, IN 46077
$331.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
T
1120 I 22846 I 43- 500.00 I $331.22 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
MAR 12 2 1 1 9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund