217157 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 362896 Page 1 of 1
ONE CIVIC SQUARE GREAT LAKES COMMERCIAL SALES INC
L CHECK AMOUNT: $178.76
CARMEL, INDIANA 46032 12705 ROBIN LANE
BROOKFIELD WI 53005 CHECK NUMBER: 217157
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 151699IN 178 . 76 EQUIPMENT REPAIRS & M
GREAT LAKES INVOICE Page: 1
LAUNDRY
COMMERCIAL SALES, INC. INVOICE NUMBER: 0151699-IN
C am. -` T 77"
INVOICE DATE: 1/22/2013
12705 Robin Lane JAN 2 5 2013
Brookfield,WI 53005
(262)790-5885 (262)790-5886 Fax
INVOICE ADDRESS: - SERVICE ADDRESS:
Carmel Clay Parks & Recreation Monon Center
1427 E 116th Street
Carmel, IN 46032 1195 Central Park Dr.West
Carmel, IN 46032
CONFIRM TO:
CUSTOMER NO: 0006185
0139878
CUSTOMER P.O. SHIP VIA SHIP DATE SALESPERSON TERMS
1/22/2013 0726 DUE ON RECEIPT
ITEM NO. QUANTITY PRICE DISCOUNT AMOUNT
Monthly service
1/22-MFS35PNFTS/20000175PA-REPLACED DRAIN VALVE AND TESTED.
NO TRIP OR LABOR CHARGE PER SERVICE AGREEMENT.
20%DISCOUNT ON PARTS.
23001244 Valve, Drain(240v-50/60) 1 223.45 178.76
/SMSH Service-Mike H(IN) 0.00
I'::rCh?9B
P.O.# i`1G603�$2 PorF
G.L.#
Pudget
Line
Purchaser Date
Date i 30 13
Please Remit To: Net Invoice: 178.76
12705 Robin Lane Less Discount: 0.00
Brookfield,WI 53005 Freight: 0.00
Sales Tax: -x-59--
Invoice Total: 7
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.
Terms
362896 Great Lakes Laundry
12705 Robin Lane
Brookfield, WI 53005
Invoice Invoice Description Amount
or note attached invoice(s) or bill(s)) PO#
Date Number ( $ 178.76
1/22/13 1516991N Washer repair
Total $ 178.76
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
362896 Great Lakes Laundry Allowed 20
12705 Robin Lane
Brookfield, WI 53005
In Sum of$
$ 178.76
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 151699IN 4350000 $ 178.76 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
7-Feb 2013
Signature
$ 178.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund