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222391 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 00352933 Page 1 of 1 `4 I; 0 ONE CIVIC SQUARE G C S SERVICE, INC CHECK AMOUNT: $374.40 CARMEL, INDIANA 46032 ECOLAB EQUIPMENT CARE `+ 24673 NETWORK PLACE „o CHECK NUMBER: 222391 CHICAGO IL 60673-1246 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4350000 92711715 —9 . 00 EQUIPMENT REPAIRS & M 1095 4350000 92854157 383 . 40 EQUIPMENT REPAIRS & M REPRINTED DEBIT MEMO , Equipment Care - Cust No:691662 PO No:29691 Inv No:92554157 Commercial Kitchen Equipment Service&Parts Sales Office: Louisville RSSC Order No:500070S IS Inv Date:0413011-013 www.EquipmentCare.com 1 800 822 2303 Payment Terms:Net 30 FID#13-0758620 Ship Date 04/30/2013 Performance Guarantee 90 days on parts 30 days on labor MAKE CHECKS PAYABLE TO GCS SERVICE, INC. ,,.Blllln rName_,and Address:;.;.::.;;;;;;;;, ;,,,,,,;; �Slii •To Address°:'�":.`:.'�'' ,:; '"Remit To - Monon Center Monon Center Ecolab Equipment Care #722 Attn: Kurtis Baumgartner GCS Service, Inc. 1235 Central Park Dr E #722 24673 Network Place Carmel, IN 46032 US 1235 Central Park Dr E Chicago, IL 60673-1246 Carmel, IN 46032 US Page I of I Quantity ;; Material Descnptlon/OEM Unit Price UOM Total Price 4.000 s 75077347 BEARING,OUTSI DE 9.92 EA 39.68 21793400 18.000 75001196 BEARING, HR (TEFLON) 12.21 EA 219.78 21748900 22.000 75001222 SEAL,GREASE 1/41-G 1 4.27 EA 93.94 3/80DXIID TT 422300 P&609 myt5 29091 ILAg-I-L-35 o� I I JUL - 3 2013 IBY;- Subtotal 353.40 Ship ' &Handling 30.00 al Tax 26.84 ue urcharge 0.00 Less Amount Paid 0.00 P.,AYMENTD.U_E_ _ PLEASE CONTACT US AT 800 822 2303 OR www.EquipmentCare.com 383.Ll THANK YOU FOR CHOOSING ECOLAB EQUIPMENT CARE,THE LEADER IN KITCHEN EQUIPMENT SERVICE & PARTS! ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- Please cut here and include with payment Credit card payment:[]Master Card ❑Visa ❑American Express Make checks a able to GCS Service Inc. Name on Card ;C usto.mer;.;;;::;` iJrrv..No:.-; :;.::: :Total,Due; 691662 92854157 410.24 Card Number — �----�. REPRINTED CREDIT MEMO Equipment Care Cust No:691662 PO No: Inv No:Q?71171 Commercial Kitchen Equipment Service&Parts Original SO#:500021019 Original Inv#: 92702237 Inv Date:0 1/10/20 13 � w=v^EqvipmpntCn,ezmn | 800 8222303 Payment Terms: Net 30 FID#13-0758620 Ship Date: pem,nnaoxo evomnmo oo days on parts m days on labor MAKE CHECKS PAYABLE TO GCS SERVICE, INC. Carmel Clay Part And Rec Center Carmel Clay Part And Rec Center Ecolab Equipment Care #722 #722 GCS Service, Inc. 1411 E 11 6th St 1235 Central Park Dr E 24673 Network Place Carmel, IN 46032-3455 US Carmel, IN 46032 US Chicago, IL 60673-1246 Pxwc | o[ | '6EM7I- rice ni 1.000 FREIGHT-ADJ FREIGHT ADJUSTMENT 9.00 EA 9.00 JUL 3 2013 YA cc 5(09 Subtotal 9.00 Shipping&Handling 0.00 Fuel Surcharge 0.00 Less Amount Paid 0.00 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! ------------------------------'--------------------'---------------'----------------' Please cut here and include with payment Credit card paym*,u:[]Master Card E]Visa E]American Express Make checks pavable to G S Service Inc re Name onCard Card Number 691662 92711715 9.63 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 Date Number (or note attached invoices)or bill(s)) PO # Amount 29691 � 383.40 4/30/13 92854157 Hotdog machine parts $ (9.00) 1/10/13 92711715 Credit for overcharge in shipping Total $ 374.40 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. (Ecolab) Allowed 20 00352933 GCS Service, Inc. 24673 Network Place Chicago, IL 60673-1246 In Sum of$ $ 374.40 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 1095-1 92854157 4350000 $ 383.40 1 hereby certify that the attached invoice(s), or 1095-1 92711715 4350000 $ (9.00) 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 25-Jul 2013 Signature $ 374.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund