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220175 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 362896 Page 1 of 1 ONE CIVIC SQUARE GREAT LAKES COMMERCIAL SALES INC 4 � CHECK AMOUNT: $1,878.64 CARMEL, INDIANA 46032 12705 ROBIN LANE BROOKFIELD WI 53005 CHECK NUMBER: 220175 CHECK DATE: 5/2112013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350000 155210IN 1, 878 . 64 EQUIPMENT REPAIRS & M GREAT LAKES INVOICE Page: LAUNDRY COMMERCIAL SALES, INC. RF �D INVOICE NUMBER: 0155210-IN 12705 Robin Lane 7AP0 2013 INVOICE DATE: 4/26/2013 Brookfield,WI 53005 (262)790-5885 (262)790-5886 Fax BY: INVOICE ADDRESS: SERVICE ADDRESS: Carmel Clay Parks & Recreation Carmel Clay Parks&Recreation 1427 E 116th Street Carmel, IN 46032 1427E 116th Street Carmel, IN 46032 CONFIRM TO: —-— — — - CUSTOMER NO: 0006185 0139734 CUSTOMER P.O. SHIP VIA SHIP DATE SALESPERSON TERMS 4/26/2013 0726 DUE ON RECEIPT ITEM NO. QUANTITY PRICE DISCOUNT AMOUNT Ok to go ahead with repair on dryers. 2 gas valves,2 spark modules,2 flame sensors, 2 spark ignitors. ASAP please. Rick gave an estimate/quote of$1,174.96. Mike is awa re. 4/26-REPLACED THE FOLLOWING PARTS ON BOTH TD75 DRYERS. 143725 Gas Valve 4 259.48 1,037.92 143825 Spark Module 2 209.88 419.76 006828 Flame Probe 2 53.67 107.34 005824 Spark Igniter 2 51.95 103.90 169515 Lint Screen 4 52.43 209.72 /SMSH Service-Mike H(IN) 0.00 SERVICE AGREEMENT-NO TRIP OR LABOR CHARGES. Purchase Description �� /''(.LC �j►" '(�- .o. ,3 P Q y e e.L.# f�:t:,fcet Line-'bescr Purchaser Date_Approval Date — Please Remit To: Net Invoice: 1,878.64 12705 Robin Lane Less Discount: 0.00 Brookfield,WI 53005 Freight: 0.00 C la T 1'21 �n Invoice Total: �g-}, . 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 12705 Robin Lane Brookfield, WI 53005 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 4/26/13 155210IN Repair MCC Dryers 29367 $ 1,878.64 Total $ 1,878.64 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. 362896 Great Lakes Laundry Allowed 20 12705 Robin Lane Brookfield, WI 53005 In Sum of$ $ 1,878.64 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members INVOICE NO. ACCT#/TITL AMOUNT Dept# 1093 1552101N 4350000 $ 1,878.64 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 16-May 2013 14 Signature $ 1,878.64 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund