226679 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 360650 Page 1 of 1
ONE CIVIC SQUARE GRACE REFRIGERATION
CARMEL, INDIANA 46032 PO Box 606
CHECK AMOUNT: $209.34
o? ZIONSVILLE IN 46077-0606
CHECK NUMBER: 226679
CHECK DATE: 1213/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 24913 209 . 34 EQUIPMENT REPAIRS & M
i
D won Invoice
amm. Ilsm"N Date Invoice#
PO Box 606 Zionsville,IN 46077 317-769-3691 Fax 317-7693330 11/18/2013 24913
www.GraceRelri8eration.com
Bill To Ship To
CARMEL FIRE DEPARTMENT 445
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 10-24-2007
Item Qty Description Rate Amount
ICE MACHINE NOT WORKING.FOUND UNIT WITH
BAD WATER LEVEL SENSOR,REPLACED.
SCOTSMAN PA... I A39030-021 WATER LEVEL SENSOR SCOTSMAN 42.34 42.34
PART
SERVICE CALL... 1 INITIAL SERVICE CALL JOSH H.,INCLUDES FIRST 146.00 146.00
HOUR,TRUCK,GAS,INSURANCE
JH 0.25 JOSH HESSELGRAVE S.T. 84.00 21.00
Sales Tax (7.0%)
Pay online at: https:Hipn.intuit.com/gnh77vht
09.34
Total
$209.34
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
Scotsman
$209.34
E-mail
Building Our Business On TRUST
Steve @GraceRefrigeration.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grace Refrigeration
IN SUM OF $
P.O. Box 606
Zionsville, IN 46077
$209.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITFFT AMOUNT Board Members
1120 I 24913 I 43-500.00 I $209.34 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
DEC%-2 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
24913 I $209.34
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