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211756 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362896 Page 1 of 1 ONE CIVIC SQUARE GREAT LAKES COMMERCIAL SALES INC � CARMEL, INDIANA 46032 12705 ROBIN LANE CHECK AMOUNT: $82.00 BROOKFIELD WI 53005 CHECK NUMBER: 211756 CHECK DATE: 8114/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350000 145311IN 82 . 00 EQUIPMENT REPAIRS & M GREAT LAKES INVOICE Page: LAUNDRY 1 COMMERCIAL SALES, INC. INVOICE NUMBER: 0145311-IN RECF �7.TF� INVOICE DATE: 4381 W.96th 8/3/2012 Indianapolis,IN 46268 AUQ 9 6 2912 (317)228-9545 (317)228-9552 Fax INVOICE ADDRESS: -- SERVICE ADDRESS:Sy Carmel Clay Parks & Recreation 1427 E 116th Street 1195 Central Park Dr.West C Carmel,IN 46032 Carmel, IN 46032 CONFIRM TO: CUSTOMER NO: 0006185 Matthew 317/721-2874 Q13FFd� CUSTOMER P.O. SHIP VIA SHIP DATE SALESPERSON TERMS DUE ON RECEIPT ITEM NO. 7/30/2012 QUANTITY 0726 PRICE DISCOUNT AMOUNT Washer on right-door will not open at end of cycle. They have to shut power completely off to machine to get door open. 8/2-MFS35PNFTS/15000173NV-REPLACED DOOR LOCK COIL AND TESTED. 23001146 Coil(240V) 1 0.00 0.00 /TCIN Trip Charge-IN 7.00 /SMSH Service-Mike H(IN) 75.00 Purchase r� Description P.O.# hr--En 5-Z-0$ P ory G.L.# Fsudget n Line Uescr_ QL (J I�t cw: L P?L� Purchaser / Date Approval I1 t Date �► / �� Please Remit To: Net Invoice: 82.00 Less Discount: 0.00 12705 Robin Lane Freight: 0.00 Brookfield,WI 53005 Sales Tax: 0.00 Invoice Total: 82.00 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. 362896 Great Lakes Laundry Terms 12705 Robin Lane Brookfield, WI 53005 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/3/12 145311 IN Washer repair $ 82.00 Total $ 82.00 I 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. 362896 Great Lakes Laundry Allowed 20 12705 Robin Lane Brookfield, WI 53005 In Sum of$ $ 82.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 145311 IN 4350000 $ 82.00 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 9-Aug 2012 Signature $ 82.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund