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221508 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00352933 Page 1 of 1 0 ONE CIVIC SQUARE G C S SERVICE,INC CHECK AMOUNT: $21.29 CARMEL, INDIANA 46032 ECOLAB EQUIPMENT CARE a� 24673 NETWORK PLACE CHECK NUMBER: 221508 CHICAGO IL 60673-1246 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4237000 92887734 21 . 29 REPAIR PARTS i Equipment Care <.. Cust No:691662 PO No:29781 Inv No:92887734 Commercial Kitchen Equipment Service& Parts Sales Office:Washington/Baltimore Order No:500077484 Inv Date:05/28/2013 www.EquipmentCare.com 1 800 822 2303 Payment Terms:Net 30 FID# 13-0758620 Ship Date:05/28/2013 Performance Guarantee 90 days on parts 30 days on labor MAKE CHECKS PAYABLE TO_GCS_S,ERVICE, INC. .....T. :.................................................................. Morton Center Morton Center Ecolab Equipment Care #722 Attn: Kurtis Baumgartner GCS Service, Inc. 1235 Central Park Dr E #722 24673 Network Place Carmel, IN 46032 US 1 235 Central Park Dr E Chicago, IL 60673-1246 Carmel, IN 46032 US Page 1 of 1 r . ..::::::::::..:::. .. .......:.:......................................... .....................................................................................................................:..:::::::::::::.:.:::::::.:::.:::::.:::::::::::::::::.:::::::: ::..:::..:::::::::::::.:.:.....:............................................ .................................................................:::.:::::.::.::::::::::::............:::::::::::.:.................. ........................................... 4.000 75166715 SPC SS 8-32X1/2 5.00 EA 20.00 THUMBSCREW 05.04.305.00 Do JUN 04 2013 By- Purchase Description --- P.O.# urchaser -- Date,_® Subtotal 20.00 Shipping& Handling 1.29 Total Tax 0.00 Fuel Surcharge 0.00 Less Amount Paid 0.00 21.29 PLEASE CONTACT US AT 800 822 2303 OR www.EquipmentCare.com THANK YOU FOR CHOOSING ECOLAB EQUIPMENT CARE,THE LEADER IN KITCHEN EQUIPMENT SERVICE&PARTS! 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 (Ecolab) 00352933 GCS Service, Inc. 24673 Network Place Chicago, IL 60673-1246 Invoice Invoice Description PO# Amount Date Number (or note attached invoice(s) or bill(s)) 29781 $ 21.29 5128113 92887734 Repair parts for chip warmer Total $ 21.29 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 , 20_ Clerk-Treasurer Voucher No. Warrant No. 0 (Ecolab) Allowed 20 00352933 GCS Service, Inc. 24673 Network Place Chicago, IL 60673-1246 In Sum of$ $ 21.29 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1095-1 92887734 4237000 $ 21.29 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 20-Jun 2013 Signature $ 21.29 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund