241782 02/03/15 t.44q
J'' '• CITY OF CARMEL, INDIANA VENDOR: 364570
!s ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: $....***360.00*
?� CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 241782
NOBLESVILLE IN 46060 CHECK DATE: 02/03115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9505 360.00 OTHER EXPENSES
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MCS, INC.
15371 STONY CREEK WAY INVOICE
NOBLESVILLE, IN 46060 Invoice Number: 9505
Invoice Date: Dec 31,2014
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
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CARMEL WATER COMPANY JOB 14300 003895
3450W. 131STST CARMEL WATER COMPANY
WESTFIELD, IN 46074 SERVICE CALL
Customeril3 +GusfomerPO
Payment Terms
CARM Net 30 Days
7.. Sales Rep IDS ,;',, ;" 5lpping,"Method, Ship[aa#e , D eDafe
1/30/15
Quanfy Item :.Desnpfign' Unit Price Amounit
Sales-Service 360.00
Subtotal 360.00
Sales Tax
Total Invoice Amount 360.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL
swMechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 003895
Name: ( PLA=411,_p n /1Jn I Qty. Description Purchase Order Number Amount
Address:
Cit : State: Zip: $
Contact: $
Phone No.: $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year:- Total Material= $
W ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed:
Service Call
Preventive Maintenance
Warranty
No Heating Call
No Cooling Call
Equipment Check List R Code Environmental Check List L
C
ompressor: Voltage Ph. E Refrigerant Type:
7 sor Coil: Clean: Di F 1 Recovered: Yes_No Qty,
T e Leek Char e R2 Recycled: Yes_No_Qty.
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 @ $ /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
HRS@ $ /HR REGULAR V 2nd Arrival
G HRS @ /HR OVERTIME E 2nd Departure
R 1. Material $HRS @ $ /HR OVERTIME L Truck Char e
C All parts noted above are warranted as per
H 2.Truck Charge $ manufacturers specifications.
A 3. Labor $ 2 All labor noted above relative to the
R 4.Sales Tax $ equipment serviced as noted,is guaranteed
G
E (ora period of 30 days.
S t Terms: Net- Due Upon Receipt
Total Amount Due a �a P P
Service Man: /� ✓ Customer: Date:
C Signature: Printed:
BILLING COPY —
VOUCHER # 142825 WARRANT# ALLOWED
364570 IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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PO# INV# ACCT# AMOUNT Audit Trail Code
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9505 01-6360-06 $360.00
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Voucher Total $360.00
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Cost distribution ledger classification if i
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 1/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2015 9505 $360.00
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