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HomeMy WebLinkAbout176444 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1 ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS CARMEL, INDIANA 46032 PO BOX 19635 CHECK AMOUNT: $388.60 INDIANAPOLIS IN 46219 CHECK NUMBER: 176444 CHECK DATE: 8/1912009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4237000 063009 77.50 REPAIR PARTS 1047 4350000 070109 311.10 EQUIPMENT REPAIRS M -r� p c. 11 Rep'Air Account Phone 317- 90 3 9.7 Date: Account (Name&Location) moNor-s CCr P.O. Box 19635 !T c E NT P-A CARmE-L To 3 z- 'T�' V-7 Indianapolis, IN 46219 Phone: 317-322-5800 Bill to: A T5 c. v Toll Free: 800-776-5100 JUL Z 3 2009 UU REASON FOR CALL: So1 Z T �AT0- Contacted By: �A HC LLE to tal scriptloh'—, .6nit Q PROBLEM FOUND: 0 P- 1T C. I A AA T f4c) -S 1E SO ;k so 15 coo A Qt; px-, G, -cc 4 C11 R 11187s kEA k SEAL 13-7 W7.90 II8 89 1 1 c4.o8 j o q WORK PERFORMED: SL) P P 0 Purchase 12 Im ?kC SSOI-ES- C&LIN6 fkR-MAL Lull" vUb G&A) WATEI �L-0"' e ,A 0 L" G.L et COMMENTS: and Un er 1 -Acf, Purch Apps Date_ S -TI me I w `J .'-,"Ti 11he Out ours ERIAL*� Rate .MAKE MODEL 1 P. 8 8 T` F, T ')a L SC I()' U LaborTotal I L% (D (.,F. 9 7. ST ;?�b \1 I \,tj G Ll 1 1 Trip Charge L4 S C)CD Tax Technician: tv\ i \4 E T� E- Date: 1-09 Date 7-1 -0 Balance Due n lo pa'lubrder i to 3• FOOD` SYS�. EMS �3` 1 1 no I REASON FOR CALL: +i t'=i. 'mac% x rywrba '#3�'R S. ,d.�° #.:+^�d v s Qty Part;# #r Description r$ Umt Price�f,Total PROBLEM FOUND: ecjUtjEn 14o o x WORK PERF E,N COM .,c a� �9,�." n"�. ,`a„°�;r- ,�a.�,_1` F Mt r y. w ash HuUr 4w Xq? a N w r KE x WMODELN SERIAL #r` k u: Time I:n Time Out s Rate 1 k r,a Y 474 '�[�'Z"7rgs,. A7� d.,.t�:x:. 3_w.'. SIGNATURE y. Iherebyackno� +ledge�completion?ofthe ab ee des r b� a rk x Z ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 362955 Southern Food Systems Terms P.O. Box 19635 Indianapolis, IN 46219 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/30/09 6/30/09 Repair soft serve machine 22279 F 77.50 7/1/09 7/1/09 Repair soft serve machine 22279 p 311.10 Total 388.60 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. 362955 Southern Food Systems Allowed 20 P.O. Box 19635 Indianapolis, IN 46219 In Sum of 388.60 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 6/30/09 4237000 77.50 1 hereby certify that the attached invoice(s), or 1047 7/1/09 4350000 311.10 bill(s) is (are) true and correct and that the j materials or services itemized thereon for which charge is made were ordered and received except 13 -Aug 2009 Signature 388.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund