243274 03/18/15 (9' .
CITY OF CARMEL, INDIANA VENDOR: 364570ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: S"******170.00*
CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 243274
NOBLESVILLE IN 46060 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9584 170.00 OTHER EXPENSES
MCS, INC. INVOICE
153711STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9584
I nvo ice Date: Feb 27, 2015
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
CARMEL WATER COMPANY JOB 15300 004553
3450W. 131ST ST CARMEL WATER SERVICE CALL
WESTFIELD, IN 46074
Gu"st,,merCbPayrrientTe ms `
- . -
CARM Net 30 Days
;Sales Rep ld Sh �{in 3M_i od,'3 3 S I Da#e Due;Data - -
3 x` .. .......... r.. I�,., ..v..,. 9 3
ti
3/29/15
„4uanty Item ' Descnptton',r 3 tlnit,Pr[ce Amount
Sales-Service 170.00
Subtotal 170.00
Sales Tax
Total Invoice Amount 170.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL
Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Sony Creek Way 4� Noblesville, In 46060 Fax: (317)773-7340 004553
Name: Qty. Description Purchase Order Number Amount
Address: $
City: tate: Zip: $
Contact: $
Phone No.: $
Date: $
a
Equip: i $
Model No.: $
Serial No.: $
Year: ;` Total Material= $
WE AKE PERFORMING THE FOLLOWING ITEMS: Plumbing Servic Perform d:
Service Call
Preventive Maintenance
arranty
No Heating Call
No Cooling Call
Equipment Check List R Code Environmental Check List
Com Compressor:Voltage Ph. E Refrigerant Type:
Condensor Coil: Clean: Di F 1 Recovered: Yes_No Qty.
Refrigerant:erant: T e Leek Charge_ R 2 Recycled: Yes_No_Qty.
7Fan'&Motor: Voltage Ph. 11 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
O HRS Cc3 /HR REGULAR V 2nd Arrival
HRS /HR OVERTIME E 2nd Departure
R HRS @ /HR OVERTIME Truck Charge
C 1. Material $ All parts noted above are warranted as per
H 2.Truck Charge $ r 00 manufacturers specifications.
A 3. Labor $ i'410All labor noted above relative to the
R
4.Sales Tax $ equipment serviced as noted,is guaranteed
E for a period of 30 days.
E �.,,
S !?t To al Amount Due $ Terms: Net-Due Upon Receipt
Service Man: .yam Customer: Date:
GLr/ Signature: Printed:
BILLING COPY
VOUCHER# 151136 WARRANT# ALLOWED
364570 IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060
.i
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR 4
j
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1
9584 01-6360-06 $170.00
i
I
1
ti
Voucher Total $170.00 l
Cost distribution ledger classification if
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 3/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2015 9584 $170.00
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 6P, Officer