229571 2/25/2014 „yf CITY OF CARMEL, INDIANA VENDOR: 364570 Page 1 of 1
ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE
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CARMEL, INDIANA 46032 HECK AMOUNT: $360.00 15371 STONEY CREEK WAY
a roe�o, NOBLESVILLE IN 46060 CHECK NUMBER: 229571
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9167 360 . 00 OTHER EXPENSES
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! ��� INC.
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15371 STONY CREEK WAY
NOBLESNLLE. |N 48000 Invoice Number: 0187
Invoice Date: Jan 31.2014
Page: 1
Voice: 317-7737370
Fox: 317'773'7340
2-1
CARMEL WATER COMPANY JOB 14300 004335
3450 W. 131 ST ST CARMEL WATER MAIN ST.
WESTFIELD, IN 46074 SERVICE CALL
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| US prpaippirig Method, �
ARM Net 30 Days
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3/2/14
Sales-Service 360.00
Subtotal 360.00
Sales Tax
Total Invoice Amount 360.00
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Check/Credit Memo No: Payment/Credit Applied
Mechanical Contracting Services, Inc. Phone: (317)773-7370 0 0 4 3 3 5 SERVICE REPORT
Balm I A ,
15371 Stony Creet Way Noblesville, In 46060 Fax: (317)773-7340
70:4'Name:
Address: Qty. Description Purchase Order Number Amount
$
City:—14. State: Zip: $
Contact: $
Phone No.: $
Date: $
Eui : $
Model No.: $
Serial No.: $
Year: I Total Material= $
WE RE PERFORMING THE FOLLOWING ITEMS: Plumbinq Service Perfor d:
Service Call
(dJU7
Preventive Maintenance
Warranty
No Heating Call
No Cooling Call
Equipment Check List R Code Environmental Check List <�
Compressor: Voltage Ph. E Refrigerant Type:
Condensor Coil: Clean: Dirty F 1 Recovered: Yes_No_Qty.
Refrigerant: Type Leek Charge_ R 2 Recycled: Yes_No_Qty.
Fan&Motor: Voltage Ph. I 3 Reclaimed: Yes_No_Qty.
Evaporator Coil: Clean Dirty G 4 Returned: Yes_No_Qty _
Condensate: Clean Dirty E 5 Non Usable: Yes_No_Qty, j
Air Filters: Clean Dirty R 6 Disposal: Yes_No_Qty.
Heating Assembly: Clean Dirty A Notes:
Electrical: Relay Contactor P.S. N
Thermostat Replace—, Relocate T
L HRS @ /HR REGULAR T Time Left Last Job
A HRS @ $ /HR REGULAR R Time Arrived On Job
B HRS @ cb /HR REGULAR A Time Departed From Job
C /HR REGULAR V 2nd Arrival
HRS /HR OVERTIME E 2nd Departure
R HRS @ $ /HR OVERTIME LI I Truck Charge
C 1. Material $ All parts noted above are warranted as per
H 2.Truck Charge $ S 00 manufacturers specifications.
A 3. Labor $2:31100 All labor noted above relative to the
R
4.Sales Tax $ equipment serviced as noted,is guaranteed
G
E for a period of 30 days.
Total Amount Due $ 01 Co Terms: Net- Due Upon Receipt
Service Man: Customer Date: 1 3 f
Signature: Printed:
BILLING COPY
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
364570
MECHANICAL CONTRACTING SERVICES Purchase Order No.
15371 STONY CREEK WAY Terms
NOBLESVILLE, IN 46060 Due Date 2/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/13/2014 9167 $360.00
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
Date dfAer
VOUCHER # 134093 WARRANT # ALLOWED
364570 IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9167 01-6360-06 $360.00
Voucher Total $360.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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