216717 01/29/2013 \�f CITY OF CARMEL, INDIANA VENDOR: 362896 Page 1 of 1
ONE CIVIC SQUARE GREAT LAKES COMMERCIAL SALES INEHECK AMOUNT: $932.66
1, CARMEL, INDIANA 46032 12705 ROBIN LANE
' ? BROOKFIELD WI 53005 CHECK NUMBER: 216717
CHECK DATE: 1/2912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 151062IN 900 . 00 EQUIPMENT REPAIRS & M
1093 4350000 151173IN 32 . 66 EQUIPMENT REPAIRS & M
GREAT LAKES INVOICE Page: 1
.LAUNDRY
COMMERCIAL SALES, INC. INVOICE NUMBER: 0151062-IN
INVOICE DATE: 12/31/2012
12705 Robin Lane
Brookfield,WI 53005
(262)790-5885 (262)790-5886 Fax
- INVOICE ADDRESS: SERVICE ADDRESS: -
Carmel Clay Parks & Recreation Carmel Clay Parks&Recreation
1427 E 116th Street
Carmel, IN 46032 1427 E 116th Street
Carmel, IN 46032
CONFIRM TO:
0006185
CUSTOMER NO:
CUSTOMER P.O. SHIP VIA SHIP DATE SALESPERSON TERMS
0702 DUE ON RECEIPT
ITEM NO. QUANTITY PRICE DISCOUNT AMOUNT
/WARNTY Service Agreement 900.00
Service Agreement 11/1/2012-10/31/2013
JAN 0 7 2013
LBY-
Purchase �0 // - !0/3/1,3
Dcscrlptio /' ^
P.O.# -ZGI Jai P C�/J
G.L.#
Budget
Line Descr
Purchaser Date
Approval Date
Please Remit To:
Net Invoice: 900.00
12705 Robin Lane Less Discount: 0.00
Brookfield,WI 53005 Freight: 0.00
Sales Tax: 0.00
Invoice Total: 900.00
GREAT LAKES INVOICE Page: 1
LAUNDRY
COMMERCIAL SALES, INC. INVOICE NUMBER: 0151173-IN
INVOICE DATE: 1/7/2013
12705 Robin Lane
Brookfield,WI 53005
(262)790-5885 (262)790-5886 Fax LJAN �4Tai D
: f
INVOICE ADDRESS: ��� SE RVICE ADDRESS:
Carmel Clay Parks & Recreation --- Monon Center
1427 E 116th Street
Carmel, IN 46032 1195 Central Park Dr.West
Carmel, IN 46032
CONFIRM TO:
0006185
CUSTOMER NO: -—— — -
STONIER P/.O. SHIP VIA SHIP DATE SALESPERSON TERMS
oQ 3��Lp 0726 DUE ON RECEIPT
ITEM NO. QUANTITY PRICE DISCOUNT AMOUNT
1/4-MFS35PNFTS/15000173NV-REPLACED TWO WAY WATER VALVE
AND TESTED.
23001455 Valve,Two Way(220V) 1 40.82 32.66
/SMSH Service-Mike H(IN) 0.00
NO CHARGE FOR LABOR PER SERVICE AGREEMENT.
P CO
Purchase � /'�2,�Z�%l6NlPi
# ;rin nn 3hQ/o
t-L. 4 !D�3- gAF0_U1112_---
. bescr_
R,:rchaser— , Date
Please Remit To: Net Invoice: 32.66
Less Discount: 0.00
12705 Robin Lane
Freight: 0.00
Brookfield,WI 53005
Sales Tax: 2.29
Invoice Total:
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
a
12705 Robin Lane
Brookfield, WI 53005
Invoice ;;Number voice Description
Date (or note attached invoice(s) or bill(s)) PO# Amount
12131/12 1062IN Laundry service agreement 11/1/12 - 10/31/13 29123 $ 900.00
1/7/13 151173IN Washing machine repair $ 32.65
Total $ 932.65
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
120
Clerk-Treasurer
Voucher No. Warrant No.
362896 Great Lakes Laundry Allowed 20
12705 Robin Lane
Brookfield, WI 53005
In Sum of$
$ 932.6�j
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 151062IN 4350000 $A 900.00 1 hereby certify that the attached invoice(s), or
1093 1 51173I 4350000 $ 3 bill(s) is(are)true and correct and that the
:3-2'(16 materials or services itemized thereon for
which charge is made were ordered and
received except
24-Jan 2013
y1.P/Yi
Signature
$ 932.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
V