HomeMy WebLinkAbout231764 04/23/14 CITY OF CARMEL, INDIANA VENDOR: 362779
ONE CIVIC SQUARE LEACH & RUSSELL CHECK AMOUNT: $*****1,855.00*
?� CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 231764
FISHERS IN 46038 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 29968 645.00 OTHER CONT SERVICES
1115 4350100 31806 30142 1,210.00 SPLIT SYSTEM COMPRESS
T Leach & Russell
a Mechanical Contractors, Inc. pD
n 9151 Ford Circle Invoice
Fishers, Indiana 46038
R U S S E L L Phone: (317)841-7877
M E C H A N I C A L Fax: (317) 841-7460
City of Carmel for Invoice Number: 29968
o Carmel Redevelopment Commission Invoice Date: 03/11/2014
One Civic Square Our Job Number 146008
m Carmel, IN 46032
Job Name: Carmel Energy Center
Your Purchase Order Number: John Duffy -
Labor needed for HVAC service in above location.
Cleaned heat exchangers in preparation for summer.
s
(See copy of work order attached)
4
TOTAL AMOUNT DUE $645.00
Submitted To
1
' APR 212014
z.i
Clea Treasurer
Terms: Due Upon Receipt
WORK ORDER 007025
TO: �. ,.. LEACH & RUSSELL
MECHANICAL CONTRACTORS, INC.
9151 Ford Circle
Attention: Fishers, Indiana 46038-3000
JOB LOCATION:
Phone (317) 841-7877 Fax (317) 841-7460
WORK REQUESTED.^.. r /....,.., ....
/ / ..._.�/J I.,4•iry•K[;'..l....... Date: f7Contract
_
�. .. ...... n „./.. ... .............Vy./G K."C/......... .... Oler Tale. Time&Material
cJ BY `_ =Warranty
Customer =Job Complete
'✓JOrder No.: =Job Incomplete
Phone Model Number:
Number:
• „ , Our Job -� � Serial Number: �}
Number•
OTHER CHARGES AMOUNT
Truck..C.ha.rge.. ........ 55....... ....
QTY MATERIALS AMOUNT
TOTAL OTHER CHARGES
DATE LABOR LABOR ST 1.5 DT AMOUNT
_ l
i
TOTAL MATERIAL TOTAL LABOR
TOTAL MATERIAL, OTHER & LABOR 6 LJ 5 d
Work Ordered By: TAX
Signature: TOTAL v
.{hereby acknowledgethe satisfactory completion of the above described work and—
agree to render payment upon receipt of invoice.
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))
03/11/14 29968 Energy Center $645.00
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
VOUCHER NO. WARRANT NO.
Leach & Russell Mechanical Contractors, Inc ALLOWED 20
IN SUM OF $
9151 Ford Circle
Fishers, IN 46038
$645.00
ON ACCOUNT OF APPROPRIATION FOR
Building Operations Account
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1208 I 29968 I -509.00 I $645.00 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
Monday, April 21, 2014
Director, Adminstration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
T Leach & Russell
an Mechanical Contractors, Inc. !
9151 Ford Circle Invoice
Fishers, Indiana 46038
= Phone: (317)841-7877
.: R U S S E L F
M E C H A N I C A L ax: (317) 841-7460
City of Carmel Invoice Number: 30142
o for Carmel Communications Invoice Date: 04/09/2014
One Civic Square Our Job Number: 147029
01 Carmel, IN 46032
Job Name: Carmel Communication Center
Your Purchase Order Number: 31806
Labor and materials needed for the replacement of the
Carrier split system compressor in above location as
quoted per the purchase order.
(See copy of purchase order and quote attached)
TOTAL AMOUNT DUE $1,210.00
Carmel
INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 31W6
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3118=14 Compressor Replacement CCC
Leach&Fussell Mechanical Contractors, Inc Carmel Communication Center
VENDOR SHIP 31 1st Ave NW
TO
9151 Ford Circle Carmel, IN 46032
Fishers, IN 46036 (317)571-2566
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each Carrier Split System Compressor Replacement $1,210.00 $1,210.00
Sub Total: $1,210.00
I � °�:� h ��� gin•
v r•°
� � a°n• °
Send Invoice To: �, V' l �
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1115 Communications PAYMENT $1,210.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. I•/ `
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 8®6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
Signature
---- — -- — 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))
04/09/14 I 30142 I I $1,210.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Leach & Russell Mechanical Contractors, Inc
IN SUM OF $
9151 Ford Circle
Fishers, IN 46038
$1,210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31806 I 30142 I 43-501.00 I $1,210.00 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
Wednesday, April 1 X20 4
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund