210379 07/05/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION
CARMEL, INDIANA 46032 PO BOX 606 CHECK AMOUNT: $470.90
ZIONSVILLE IN 46077 -0606
�a CHECK NUMBER: 210379
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 23236 337.90 EQUIPMENT REPAIRS M
1120 4350000 23283 133.00 EQUIPMENT REPAIRS M
D GGM Invoice
RM
M or am Date Invoice#
PO Box 606 Zion3ville, IN 46077 317- 769 -3691 Fax 317 769 -3330 6/1812012 23236
www.GraceRelrtgeration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT #45
10701 N. COLLEGE AVE.
INDIANAPOLIS, IN 46280
P.O. No. Terms Equip. Name Model Serial Install Date
Due on rece... SCOTSMAN CO330SA -IA 07031320016247 4 -20 -07
Item Qty Description Rate Amount
UNIT SLOW, FOUND OFF ON #1 (MAX FREEZE).
RESET UNIT AND WATCHED CYCLE, 15 MINUTE
FREEZE, 1/2 SHEET OF ICE. CHECKED
PRESSURES. LITTLE LOW. ADDED REFRIGERANT,
CYCLE O.K. CHECKED FOR LEAK. FOUND SOME
OIL ON INSULATION, BUT COULD NOT LOCATE
ANY LEAKS. PUT BACK TOGETHER AND
RESTARTED.
R- 404A/OZS 5 R -404A REFRIGERANT 1.48 7.40
SERVICE CALL 1 INITIAL SERVICE CALL BOB H., INCLUDES FIRST 133.00 133.00
HOUR, TRUCK, GAS, INSURANCE
BH OT 0.5 BOB HARTON O.T. 118.50 59.25
JC 1.75 JIM CALDWELL S.T. 79.00 138.25
Sales Tax (7.0
Pay online at: https: /ipn.intuit.com /ct9ccnkb
Total $0.00
Grace Refrigeration Sells and Leases the most popular $337.90
ice machine on the planet, Scotsman Ice Machines.
For a quote call 317- 769-3691 Payments /Credits $0.00
Balance Due
C,o.® $337.90
c s
E -mail
Building Our Business On TRUST steve@gracerefrige ration. corn
D G®N I
RM
Gi AMC. IE A Date Invoice
PO Box 606 Zionsville, IN 46077 317 769 -3691 Fax 317- 769 -3330 6/20/2012 23283
www.GraceReiri8oration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT #45
10701 N. COLLEGE AVE.
INDIANAPOLIS, IN 46280
P.O. No. Terms Equip. Name Model Serial Install Date
Due on rece... SCOTSMAN CO330SA -IA 07031320016247 4 -20 -07
Item Qty Description Rate Amount
UNIT NOT WORKING. FOUND SUMP EMPTY.
CLEANED WATER PROBE AND RESTARTED.
SERVICE CALL I INITIAL SERVICE CALL JIM C., INCLUDES FIRST 133.00 133.00
HOUR, TRUCK, GAS, INSURANCE
Sales Tax (7.0
Pay online at: https: /ipn.intuit.com /bp2ppsgx8
Total $0.00
Grace Refrigeration Sells and Leases the most popular $133.00
ice machine on the planet, Scotsman Ice Machines.
For a quote call 317- 769-3691 Payments /Credits $0.00
Balance Due
$133.00
E -mail
Building Our Business On TRUST steve@gracerefrige ration. corn
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))
23283 $133.00
23236 45 Ice $337.90
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
$470.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 j 23283 j 43- 500.00 j $133.00 1 hereby certify that the attached invoice(s), or
1120 23236 43- 500.00 $337.90 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
jUN 2;9 1012
n5
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund