242210 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 00351470
® ONE CIVIC SQUARE BURGESS MECHANICAL CHECK AMOUNT: $*****1,515.48*
CARMEL, INDIANA 46032 12220 SOUTHEASTERN AVE CHECK NUMBER: 242210
INDIANAPOLIS IN 46259 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 15-059 1,515.48 OTHER EXPENSES
Burgess Mechanical Corporation Invoice
urgess 12220 Southeastern Ave.
Indianapolis, IN 46259 1 •
® ® (317)862-4395 01/30/2015 15-059
lb@burgessmechanical.com Ter Due Date
www.burgessmechanical.com Due on receipt 01/30/2015
Citv of Carmel Utilities
9609 Hazel Dell Parkway
Indianapolis,IN 4628o
-- — $1,5—48 —
Please detach top portion and return with your jpaymcut.
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Activity
•
01/23/2015 Carmel Water Water Plant. Valved off heating coil and hooked up circulator pump to 1,36o.00
inlet and outlet of coil Circulated water then added coil cleaner. Circulated
approximately 31/2 hours to clean out debris inside of coil. Flushed out the coil with
fresh water and put piping back together. Coil is ready to be used.
01/23/2015 Premium Coil Cleaner 75.48
01/23/2015 Truck/Fuel Charge 80.00
Delinquent accounts are subject to reasonable legal and collection fees. •
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
00351470
BURGESS MECHANICAL Purchase Order No.
12220 SOUTHEASTERN AVE Terms
INDIANAPOLIS, IN 46259 Due Date 2/11/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 15-059 $1,515.48
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 # 146741 WARRANT # ALLOWED
00351470 IN SUM OF $
BURGESS MECHANICAL
12220 SOUTHEASTERN AVE
INDIANAPOLIS, IN 46259
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
15-059 01-7362-06 $1,515.48
Voucher Total $1,515.48
Cost distribution ledger classification if
claim paid under vehicle highway fund