240988 1 /13/2015 ` 1+us CggMf
CITY OF CARMEL, INDIANA VENDOR: 366475
ONE CIVIC SQUARE FACILITIES MANAGEMENT LLC CHECK AMOUNT: $****...171.00*
CARMEL, INDIANA 46032 8505 ZIONSVILLE ROAD CHECK NUMBER: 240988
9y,roN-o, INDIANAPOLIS IN 46268 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 26334 171.00 BUILDING REPAIRS & MA
Facilities Management, «C Invoice
8505 ZIONSVILLE ROAD*INDIANAPOLIS, IN*46268
PHONE: (317)291-0816*FAX: (317)291-0823(fax) Date Number
www.fmcanfixit.com 12/4/14 26334
Billing Address Service Address
CITY OF CARMEL--STREET DEPARTMENT CITY OF CARMEL--STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL, IN 46032 CARMEL, IN 46032
PO Number: Terms Due Date
Reference: Work Order 26449 DUE ON RECEII 12/4/2014
Item Quantity Description Unit Price Amount
Labor 2.00 PLUMBING LABOR $83.00 $166.00
Miscellaneous 1.00 TEMPORARY FUEL CHARGE 5.00 $5.00
12/4/14:PROVIDE ESTIMATE ON WATER
HEATER PER JAMES BENTLEY.INSPECTED
MIXING VALVE AND WATER HEATER.FOUND
UNIT IS 11 YEARS OLD AND NEEDS
REPLACED.PROVIDED QUOTE TO REPLACE.
WAITING ON REPLY.
Sales Tax: $0.00
'We gladly accept all credit cards with a 3%surcharge." TOTAL: $171.00
C J= s,gm
Cw,n ,icipt F1 E4ulpme t 5—ice As ,?,tion
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))
12/04/14 26334 $171.00
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.
Facilities Management, LLC ALLOWED 20
IN SUM OF $
8505 Zionsville Road
Indianapolis, IN 46268
$171.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#lrlTLE AMOUNT Board Members
2201 I 26334 I 43-501.001 $171.00 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
rid January 09, 2015
t
eStfeet Commi sioner
Stree 0mmiacin!
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund