212599 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $261.07
�o CARMEL, INDIANA 46032 PO BOX 606
ray ZIONSVILLE IN 46077-0606 CHECK NUMBER: 212599
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 23536 261 . 07 EQUIPMENT REPAIRS & M
7& D Invoice
Date Invoice#
PO Box 606 Zionsville,IN 46077 317.-769-3691 Fax 317-7693330 8/28/2012 23536
www.GraceReiri8eration.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 C0330SA-IA 07031320016247 4-20-07
Item Qty Description Rate Amount
ICE CUBES CLOUDY.SUMP FLUSH SET TO AUTO
(FACTORY SETTING).RESET TO MAX FLUSH.
ALSO FOUND WATER FILTER NEEDED TO BE
CHANGED.
I-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 74.57 74.57
SERVICE CALL... 1 INITIAL SERVICE CALL JIM C.,INCLUDES FIRST 145.00 145.00
HOUR,TRUCK,GAS.INSURANCE
JC 0.5 JIM CALDWELL S.T. 83.00 41.50
Sales Tax (7.0%)
Pay online at: https://ipn.intuit.com/c7ni3p8g
Grace Refrigeration Sells and Leases the most popular $261.07
ice machine on the planet, Scotsman Ice Machines.
For a quote call 317-769-3691 Payments/Credits $0.00
Balance Due
SCOtsm $261.07
E-mail
Building Our Business On TRUST steve0gracerefrige ration.corn
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF $
P.O. Box 606
Zionsville, IN 46077
$261.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 23536 I 43-500.00 I $261.07 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 'kP 10 201Z
f , C
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
23536 $261.07
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