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232285 05/07/14 r Esq J'/ '• CITY OF CARMEL, INDIANA VENDOR: 364570 ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICEIfHECK AMOUNT: $....***450.00* f. �o CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 232285 NOBLESVILLE IN 46060 CHECK DATE: 05/07/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 9227 450.00 OTHER EXPENSES L MCS, INC. INVOICE 15371 STONY CREEK WAY NOBLESVILLE, IN 46060 Invoice Number: 9227 I nvo ice Date: Mar 31, 2014 Page: 1 Voice: 317-773-7370 Fax: 317-773-7340 Bi1l,To CARMEL WATER COMPANY JOB 14300 004413 3450W. 131ST ST PREVENTATIVE MAINTENANCE WESTFIELD, IN 46074 z V4l$tallltR a as c✓iia Y ` x CUS#omer PD Pa meet Terrr�s - - -CARM - --- -- - -- - — - -- -- -Net-30,-Day-s - --- MELSates Fps r,3 app' SE1N Dui©ate„ 4/30/14 Cku #qty Item Description `inrt Pace Ainoun# Sales-Service 450.00 lu �V Subtotal 450.00 Sales Tax Total Invoice Amount 450.00 Check/Credit Memo No: Payment/Credit Applied EMMechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT 15371 Stony Creek a Noblesville, In 46060 Fax: (317)773-7340 004413 Name: ��V Qty. Descri tion Purchase Order Number Amount Address: GL�Ii►� % $ Ci State: Zip: Contact: / $ Phone No.: $ Date: $ Equip: $ Model No.: $ Serial No.: $ Year: Total Material= $ WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Se rvi a Performed: Service Call Preventive Maintenance Warranty No Heating Call + �� No Cooling Call Equipment Check List R Code Environmental Check List Com Compressor:Voltage Ph. E Refrigerant Type: Condensor Coil: Clean: Di F 1 Recovered: Yes_No Qty. Refri erant: T e Leek Char e_ 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. 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 CSD $ /HR REGULAR T Time Left Last Job A HRS @ $ /HR REGULAR R Time Arrived On Job B HRS @ $ /HR REGULAR A Time Departed From Job O HRS @ /HR REGULAR V 2nd Arrival HRS /HR OVERTIME E 2nd Departure R HRS @1 /HR OVERTIME L Truck Charcie C 1.Material $ All parts noted above are warranted as per H 2.Truck Charge $ manufacturers specifications. A 3.Labor $ All labor noted above relative to the R 4.Sales Tax $ equipment serviced as noted,Is guaranteed G � ° r Qb for a period o130 days. S T mount Due $[��f c Terms: Net- Due Upon Receipt Service Man: Customer: / Date: Signature. Printed; IWGPY ali 11� VOUCHER# 134885 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 9227 01-6360-06 $450.00 Voucher Total $450.00 Cost distribution ledger classification if claim paid under 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 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 4/24/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/24/2014 9227 $450.00 i 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 L/ Date �" ✓N Date Officer