233805 6 /18/2014 "p"'� CITY OF CARMEL, INDIANA VENDOR: 364570
® ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: $....*1,250.00*
�3, i° CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 233805
9M�TON G�` NOBLESVILLE IN 46060 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9284 1,250.00 OTHER EXPENSES
1
MCS, INC. M ,
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9284
Invoice Date: Apr 30, 2014
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Bill To: Ship to:
CARMEL WATER COMPANY JOB 14300 004419
3450W. 131ST ST CARMEL WATER COMPANY
WESTFIELD, IN 46074 PM-MAY 2014
C�
Customer ID"°"`";• Customer PO Payment Terms"r
CARM Net 30 Days
5ales'Re iD•w__ .. . ._ - yrs m :'letl�c�;m:a u.. - .:;..._. r::
(�'• pp 5,. .'Ship:Date", "ID,
�e.Date
5/30/14
Quantity Item
"
', Desc�i'ption Unit Price Amount
Sales-Service 1,250.00
Subtotal 1,250.00
Sales Tax
Total Invoice Amount 1,250.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL r .y 1,250:00
EnMechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Stony Creek a Noblesville, In 46060 Fax: (317)773-7340 004419
Name: Qty, Description Purchase Order Number Amount
Address: $
City: N \ State: Z Zip. $
Contact: $
Phone No.: $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year: Total Material= $
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Servic erformed:
Service Call
Preventive Maintenance
Warranty
No Heating Call
No Cooling Call � �QIL6
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. 1 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 /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
C HRS /HR REGULAR V 2nd Arrival
HRS /HR OVERTIME E 2nd Departure
R HRS @ /HR OVERTIME L Truck Charge
C 1. Material $ Alt 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
E for a period of 30 days.
�
S
Tbt91,Arrfount Due $ Terms: Net- Due Upon Receipt
Service Man: Customer: 4 Date:
SignaturIBILL
Printed:
GCOPY
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 6/5/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/5/2014 9284 $1,250.00
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 Officer
VOUCHER # 135287 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
9284 01-6360-06 $1,250.00
Voucher Total $1,250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund