208299 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION
CARMEL, INDIANA 46032 PO Box 606
CHECK AMOUNT: $288.80
ZIONSVILLE IN 46077 -0606
CHECK NUMBER: 208299
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 22938 288.80 EQUIPMENT REPAIRS M
Invoice
C�
Date Invoice
PO Box 606 Zionsville, IN 46077 317- 769 -3691 Pax 317 -769 -3330 4/13/2012 22938
www.GraceRetri6eration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT 445
10701 N. COLLEGE AVE.
INDIANAPOLIS. IN 46280
P.O. No. Terms Equip. Name Model Serial Install Date
Due on receipt SCOTSMAN CO330SA -IA 07031320016247 4 -20 -07
Item Qty Description Rate Amount
REGULAR PM SERVICE ON ICE MACHINE FOR
APRIL 2012
1 -2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 74.57 7457
K -10 I K -10 COURSE WATER FILTER 5.58 5.58
ICE MACH CLE... 8 OZ. ICE MACHINE CLEANER 2.05 16.40
SERVICE CALL 1 INITIAL SERVICE CALL BOB H., INCLUDES FIRST 133.00 133.00
HOUR, TRUCK, GAS, INSURANCE
BI -I 0.75 BOB HARTON S.T. 79.00 59.25
Sales Tax (7.0
Pav online at: littps:Hipn.intuit.com /3m3v5sv8
Total $0.00
Grace Refrigeration Sells and Leases the most popular $288.80
ice machine on the planet, Scotsman Ice Machines.
Fora quote call 317- 769-3691 Payments /Credits $0.00
Balance Due $288.80
Scots 7
E -mail
Building Our Business On TRUST steve @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))
22938 45 Ice $288.80
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.
Grace Refrigeration ALLOWED 20
IN SUM OF
P.O. Box 606
Zionsville, IN 46077
$288.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 22938 I 43- 500.00 I $28880 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
APR 23 M2.
A j
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund