244746 04/29/15 ur[qq-
ar � CITY OF CARMEL, INDIANA VENDOR: 364570
;' � ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE�HECK AMOUNT: $"""""""450.00"
.r CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 244746
'M,«oN tp. NOBLESVILLE IN 46060 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9594 450.00 OTHER EXPENSES
501C% INC.
H11VOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9594
I nvo ice Date: Mar 31, 2015
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Shp
CARMEL WATER COMPANY JOB 15300 004575
3450W. 131STST CARMEL WATER COMPANY
WESTFIELD, IN 46074 SPRING PM 20145
C t,
MIS
CARM Net 30 Days
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ie$' 0107 Ofpping`Mbth6d! p-
4/30/15
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Sales-Service 450.00
Subtotal 450.00
Sales Tax
Total Invoice Amount 450.00
Check/Credit Memo No: Payment/Credit Applied
T6145,a 40 j
-
Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 004575
Name: Qty. Description Purchase Order Number Amount
Address-., $
City: State: zip: $
Contact: r✓` 'Y $
Phone No.: $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year: Total Material= $
WE AJ4E PERFORMING THE FOLLOWING ITEMS: Plumbing Servi erformed:
Service Call
Preventive Maintenan �g
ce
Warranty
No Heating Call
No Cooling Call, 0 b
Equipment Check List R Code Environmental Check List .-,j I Q 9 (4 �
Compressor:Voltage Ph. E Refrigerant Type:
7 Condensor Coil: Clean: Di F 1 Recovered: Yes_No_Qty, �� . `
Refrigerant: Type Leek Charge_ R 2 Recycled: Yes_No Qty.
Fan&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
C 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 Char e $ manufacturers specifications.
A 3. Labor $ All labor noted above relative to the
R 4.Sales Tax equipment serviced as noted,is guaranteed
G
E
for a period of 30 days.
sj
Total Amount Due $ �' Terms: Net- Du Upon Receipt
Service Man: Custom Date:
Signature: Printed:
BILLING COPY
VOUCHER # 151641 WARRANT# ALLOWED
364570 f IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
I
9594 01-6360-06 $450.00 .I
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Voucher Total $450.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 4/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/23/2015 9594 $450.00
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
Date Officer