215026 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $625.02
CARMEL, INDIANA 46032 PO BOX 606
ZIONSVILLE IN 46077-0606 CHECK NUMBER: 215026
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4350100 23823 233 . 80 BUILDING REPAIRS & MA
102 4350100 23832 391 . 22 BUILDING REPAIRS & MA
Invoice
IIc� Mum
4 am�m, Date Invoice#
PO Box 606 Zionsville,IN 46077 317-769-3691 Fax 317-769-3330
11/26/2012 23832
w GraceRelrigeration.com
E To Ship To
EL FD#44
. I 1 S7 S C EL.IN 46033
P.O. No. Terms Equip. Name Model#
Serial# Install Date
Due on rece... SCOTSMAN C0330MA-IA 09061320014975 11-12-2009
Item Qty Description
Rate Amount
REGULAR PM SERVICE ON ICE MACHINE AND
WATER FILTER.
ICE MACH CLE... 16 07_. ICE MACHINE CLEANER
K-20 1 K-20 COURSE WATER FILTER I '2.80
I-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 1 4.85 11.85
SERVICE CALL... 1 INITIAL SERVICE CALL JIM C.,INCLUDES FIRST 74.00 74.57
HOUR,TRUCK,GAS. INSURANCE 146.00 146.00
JC 1.5 JIM CALDWELL S.T.
84.00 126.00
Sales Tax (7.0%)
Pay online at: https•//ipn intuit com/7md4c6wg
Total q122
Grace Refrigeration Sells and Leases the most popular ice machine o the planet,Scotsman Ice Machines. For a quote call 317-769-3691 Payments/Credits
�Sc®�,5 �� Balance Due $391.22
Building Our Business On TRUST E-mail
Sgogsteve@- racere frigeration.com
II
I
�I
D � ®� Invoice
UM C^ Rego Date Invoice#
PO Box 606 Zionsville.IN 46077 317-769-3691 Fax 317-7693330 11/21/2012 23823
www.GraceRelrigeration.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
REGULAR PM SERVICE ON ICE MACHINE
ICE MACH CLE... 16 OZ.ICE MACHINE CLEANER 2.05 32.80
SERVICE CALL... 1 INITIAL SERVICE CALL JIM C., INCLUDES FIRST 146.00 146.00
HOUR.TRUCK,GAS,INSURANCE
JC 1.25 JIM CALDWELL S.T. 84.00 105.00
Sales Tax (7.0%)
Pay online at: https://ipn.intuit.com/dpnb9lirs
$0.00
Total
$283.80
Grace Refrigeration Sells and Leases the most popular ice machine on
the planet,Scotsman Ice Machines. For a quote call 317-769-3691 Payments/Credits $0.00
Balance Due
®Scotsman
$283.80
E-mail
Building Our Business On TRUST
Steve a gracerefrigeration.coin
I
I
I
I
Drescribed 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))
23823 $283.80
23832 $391.22
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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF $
P.O. Box 606
Zionsville, IN 46077
$675.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
— r T
23823 43-501.00 $283.80 1 hereby certify that the attached invoice(s), or
�o 23832 43-501.00 $391.22 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
DEC 3 2U12
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund