227020 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 356465 Page 1 of 1
0 ~, ONE CIVIC SQUARE JIM RUSSELL PLUMBING&HEATING CHECK AMOUNT: $210.00
CARMEL, INDIANA 46032 70 E HAWTHORN ST
ZIONSVILLE IN 46077 CHECK NUMBER: 227020
CHECK DATE: 12111/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 217486 210 . 00 BUILDING REPAIRS & MA
hate '''°° Invoice
03/13 217486
'`PLUMBING,HEATING&AIR CONDITIONING,L.L.C.
Page I
70 E!HAWTHORNE ST.• ZIONSVILLE,IN 46077
PH:(317)873.5773 FAX:1317)873-2816
LICENSE# CP10200006
Billed To:
Carmel Fire Dept. Station Job: SERVICE
2 Civic Sq. Customer Phone: 508-5777
Carmel, In.46032
Description of Work: Day Work
Re:-Station-42 - -- -- - - ---
1. Cleaned drain line to floor drains from sediment trap.
Total $ 10.00
PAYMENT DUE UPON RECEIPT.
Customer Copy
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Russell Plumbing, Heating &Air Conditioni
IN SUM OF $
P.O. Box 846
Zionsville, IN 46077
$210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#rrITLE I AMOUNT Board Members
1120 I 217486 I 43-501.00 I $210.00 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
nEC -A 701
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))
217486 $210.00
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