213979 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 356465 Page 1 of 1
ONE CIVIC SQUARE JIM RUSSELL PLUMBING&HEATING
CARMEL, INDIANA 46032 PO Box 846
CHECK AMOUNT: $422.32
ZIONSVILLE IN 46077 CHECK NUMBER: 213979
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 216421 136 . 92 BUILDING REPAIRS & MA
1120 4350100 216430 285 .40 BUILDING REPAIRS & MA
Date Invoice
O11�5%41;2N� 216430
R.
PLUMBING,HEATING&AIR CONDITIONING,L.L.C. Page 1
BOX 846 •ZIONSVILLE, IN 46077
PH ,(3171 873-5773 FAX: (317( 873-2816
yGICENSE#CP10200006
Billed To:
Carmel Fire Dept. Station Job: SERVICE
2 Civic Sq. Customer Phone: 508-5777
Carmel, In. 46032
Description of Work: Day Work
Re: Station#42
1. Replaced closet sloan valve. Old valve was cracked in brass casting,
2. Tightened toilet at the floor.
Total 285.40
PAYMENT DUE UPON RECEIPT.
Customer Copy
— `
Invoice
FM216421
LLLUMBING,HEATING&AIR CONDITIONING,L.L.C.
Page 1
OX 846 -ZIONSVILLE, IN 46077
171 873-5773 FAX: (3171 873-2816
Billed To:
Carmel Fire Dept. Station Job: SERVICE
2 Civic Sq. Customer Phone: 508-5777
Carmel, In. 46032
Description of Work: Dal Work
-- ---'
Re: Station 43 this was sent to wrong address.
1. Sloan valve in water closet running continously. Replaced vaccum
breaker and diaphram and O-ring.
Total 1136.92
PAYMENT DUE UPON RECEIPT.
Customer Copy
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Russell Plumbing, Heating &Air Conditioni
IN SUM OF $
P.O. Box 846
Zionsville, IN 46077
$422.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 216421 43-501.00 $136.92 1 hereby certify that the attached invoice(s), or
1120 216430 43-501.00 $285.40 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
OCT 2 2 2012
Y V �
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))
216421 $136.92
216430 $285.40
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