HomeMy WebLinkAbout218860 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
4` ONE CIVIC SQUARE GRACE REFRIGERATION CHECK AMOUNT: $345.81
CARMEL, INDIANA 46032 PO Box 606
oN,�a ZIONSVILLE IN 46077-0606 CHECK NUMBER: 218860
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 24191 345 . 81 EQUIPMENT REPAIRS & M
D MON Invoice
EM
HNI° IEmAga Date Invoice#
PO Boa 606 Zionsville,IN 46077 317-769-3691 Pax 317-769-3330 3/26/2013 24191
www.GraceRelri6eration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT#45
10701 N.COLLEGE AVE.
INDIANAPOLIS.IN 46280
Equip. Name 1
SCOTSMAN
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 AND
WATER FILTER FOR APRIL 2013
ICE MACH CLE... 16 OZ.ICE MACHINE CLEANER 2.05 32.80
K-10 1 K-10 COURSE WATER FILTER 5.58 5.58
1-2000 1 EVERPURE 1-2000.5 MICRON WATER FILTER 77.43 77.43
SERVICE CALL... 1 INITIAL SERVICE CALL JIM C..INCLUDES FIRST 146.00 146.00
HOUR,TRUCK.GAS,INSURANCE
JC 1 JIM CALDWELL S.T. 84.00 84.00
Sales Tax (7.0%)
Pay online at: https:Hipn.intuit.com/wkhbz4zm
45.81
Total
$345.81
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
Lr®Scotsman $345.81
E-mail
Building Our Business On TRUST
sblack-we1148@gmail.com
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))
24191 PM Ice Machine-Sta. 45 $345.81
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF $
P.O. Box 606
Zionsville, IN 46077
$345.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 24191 I 43-500.00 I $345.81 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
, L
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund