241770 02/03/15 9,`'u Fop*F� CITY OF CARMEL, INDIANA VENDOR: 362779
j; ® ';i ONE CIVIC SQUARE LEACH & RUSSELL CHECK AMOUNT: $**'***'789.76*
FISHERS CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 241770
°M iuN FISHERS IN 46038 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32751 32345 789.76 REPAIRS TO HVAC
I
T Leach & Russell .
b Mechanical Contractors, Inc.
r, 9151 Ford Circle Invoice
Fishers, Indiana 46038
R O 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 Invoice Number: 32345
o for Carmel Police Dept Invoice Date: 01/16/2015
One Civic Square Our Job Number: 158021
in Carmel, IN 46032
Job Name: -- Motorcycle Barn
Your Purchase Order Number:
Labor and materials needed for HVAC service in above
location. Called for no heat in the motorcycle barn.
Replaced fan motor and capacitor.
(See copy of work order attached)
TOTAL AMOUNT DUE $789.76
Terms: Due Upon Receipt
City 0 ®,Jlr(�° Catb' ael
INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
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
V27d2015
Leach &Russell Mechanical Carmel Police Department
3 Civlc q�1am
VENDOR X5.1 Ford Circle SHIP
To Carmel, 1h1 46032
Fithers, IN 460 (317)071 50
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.509.00
4 Each repairs to heating!cooling system $786.76 $789.76
Sub Total: $789.76
Q�i •L.FRD ���I�y'H µq
4 • C i C i IJ
Send Invoice To:
Carmel Police Departm@nf
Attn: Pat Young
3 Civic Square
Cannei, IN 46032®
PLEASE INVOICE IN DUPLICATE
III �_ _ DEPART -ENS ACCOUNT PROJECT PROJECT ACCOUNT �iA�IAOUNT
yr awaaa¢u.a ¢ a+aa var �4P/L• r.�-M
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. //1
THIS AP PROP RIAJTIOf fSpJ FICIENT To PAY FOR THE ABOVE ORDER.
• //''
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / "j
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -.-/ 6 i ild
SHIPPING LABELS. Chl'of o Pcall��,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I !
v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32751 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
f' l
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
i
- -- Title
Cost distribution ledger classification if
claim'paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Leach & Russell Mechanical
IN SUM OF$
9151 Ford Circle
Fishers, IN 46038
$789.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
32751 I 32345 I 43-501.00 I $789.76 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, January 28, 2015
Chief of Police
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))
01/16/15 32345 repairs to heating/cooling at barn $789.76
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
120
Clerk-Treasurer