242790 03/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 364570
ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: S*****1,494.12*
CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 242790
NOBLESVILLE IN 46060 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9521 1,494.12 OTHER EXPENSES
MCS, INC. INVOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9521
nvo ice Date: Jan 30,2015
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
CARMEL WATER COMPANY JOB 15300 003856
3450 W. 131ST ST CARMEL WATER COMPANY
WESTFIELD,IN 46074 PM,WINTER INSPECTION+ BELTS
93
0
_CARM . _ Net 30_Days
_.
� ShrPA
3/1/15
Qua f�# ttenn 't?eserrpt�on' Unit Pace Amount%'
Sales-Service 1,494.12
Subtotal 1,494.12
Sales Tax
Total Invoice Amount 1,494.12
Check/Credit Memo No: Payment/Credit Applied
y"TQC..
3
C33Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 003856
1 Name: /rJJ_4F'L QA_ Qty, Description Purchase Order Number Amount
Address:/ (A �t^ ` y $
City:&/_ State: Zip: `' $
Contact: 67, 7
Phone No.: ` $
Date: Z . 3�� $
Equip: $
Model No.: $
Serial No.: $
Year: Total Material= $ Al- , jZ
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed:
Service Call
Preventive Maintenance
Warranty /`�, n� '
No Heating Call lilt R 9 )�_ C_'(Ft
No Cooling Call /170
Equipment Check List R Code Environmental Check List
C
ompressor:Voltage Ph. E Refrigerant Type:
sor Coil: Clean: Di F 1 Recovered: Yes_No_Qty.
Refrigerant: Type-Leek Charge_ R 2 Recycled: Yes_No_Qty.
Motor: Voltage Ph. 1 3 Reclaimed: Yes_No_Qty,
ator Coil: Clean Dirty G 4 Returned: Yes_No_Qty.
sate: Clean Dirty E 5 Non Usable: Yes_No_Qty.
rs: Clean Dirty R 6 Disposal: Yes No_Qty.
Assembly: Clean Dirty A Notes:
Electrical: Relay Contactor P.S. N
Thermostat Replace-, Relocate T
L '51 HRS @ $ /HR REGULAR T Time Left Last Job
A )IT, 44 HRS @ $ /HR REGULAR R Time Arrived On Job
B HRS @ $ /HR REGULAR A Time Departed From Job
O HRS @ /HR REGULAR V 2nd Arrival
HRS @ /HR OVERTIME E 2nd Departure
R HRS @ $ /HR OVERTIME L Truck Charge
C 1.Material $ ` " All 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
E for a period of 30 days.
/v5lJ, DU
Total Amount Due $� �1c t Terms- Net-Due Upon Receipt
Servt;e Man: Customer: Date:
� ` 2 Signature: Printed:
`� BILLING COPY J
VOUCHER # 151026 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
r
9521 01-6200-06 $144.12
9521 01-6360-06 $1,350.00
'i
Voucher Total $1,494.12
Cost distribution ledger classification if
claim paid under vehicle highway fund
j 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 2/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/20/2015 9521 $1,494.12
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
Date 44, 0fficer