HomeMy WebLinkAbout244876 05/05/15 ,y .s�qb CITY OF CARMEL, INDIANA VENDOR: 00350714
l D ONE CIVIC SQUARE AIRWORX CORP CHECK AMOUNT: $"'""'707.50'
x ?4 CARMEL, INDIANA 46032 PO sox 7042 CHECK NUMBER: 244876
9�'��ro'iv'�'` INDIANAPOLIS IN 46207 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 288714-0001 707.50 OTHER EXPENSES
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���''+�sonstructiun a?utp�en! Reml t TO ,:'' F
ajrwrorxcorp.com PO =BOX 7042.
Indianapolis Cincinnati Warsaw Fort Wayne ,'INDIANAPOLIS, IN, .4.62,07=.7042
317-471-1272 513-407-9902 574-268.9664 260-247-2816
501 W. RAYMOND ST.
INDIANAPOLIS, IN 46225 317-471-1272
CARMEL ..UTILITIES'"-:'WASTEWP;TER WORK ORDER INVOICE
;96,0>9:.HAZEL ,DELL• 'PARKWAY
INDIANAPOLIS., I'N ,46280
Invoice#:` 286714 000,1`
Date.`: '�4e/
Customer-* 4545
Job-..•.Loc 9 6 0 9 HAZEL` DELL• `PARKWA ,
Job Site 96',09 HAZEL DELL PARKWAY,,` INDIA Job No 1 CARMEL UTILITIES ..
_CARMEL, UTILITIES .r WASTEWATER: P 0 # S15020
,. 9609' HAZEL'DELL PARKWAY Atitho-r zed JEFF COOPER
INDIANAPOLIS, IN. 46280 Received' on ` A 15/15 :'
Finished -on 4/_29/15
317-716-58.82 Last;° con/cus
Equip # Make Model Serial # Descripti"on
X51598039 CONDOR V2648XL X51598039 CUSTOMER OWNED EQUI
Work Order Description:
ATTERIES PROBLEM?
WORK PERFORMED:
Drove to customer unit location, load tested batteries -found 3 at 6 .3v and 1 a
5 . 8v Charging system goes to 31v and still going up. Need new charger. Instal
ed new charger, tested all good.
ARTS: �-
Qty Part NumberL; D.escriptionU/M y Price: Extended
ELECTRICAL SYSTEMS j
1 063944 0'-01 HARGER,BATTi' 2�5A 110 EA ' °` 45„0 X000 450 . 00
AG.k2
;r
Sect.i.on Total : 450 . 00
MILEAGE CHARGE 1 . 00 �•�Mi_l.res at 8,560?0 85 . 00
LABOR:
Mechanic Hours Work Rate Extended
108 1 . 50 115 . 00 172 .50
CONTINUED. . .
ATTN:CUSTOMER IS TO CALL EQUIPMENT OFF RENT AND ACQUIRE A TERMINATION NUMBER
Dealer agrees to waive certain damages and loss claims against Customer,which are provided for on the reverse side of this contract,in consideration of the following:A.Customer shall pay a fee of
10%of gross rental charges.B.A valid certificate of insurance is provided Dealer prior to the hire of equipment,whereby Dealer is named an additional insured on an insurance policy,covering the risk
of loss by damage,death or otherwise,of the subject equipment,and said insurance being primary coverage as against any other insurance which may be provided by Dealer.
DAMAGE WAIVER DECLINED
I HAVE READ AND I AGREE TO THE CONTRACT TERMS ON THE BACK OF THIS DOCUMENT.THOSE TERMS CONSIST OF OUR ENTIRE AGREEMENT. NO ONE HAS ANY ORAL OR OTHER
WRITTEN REPRESENTATIONS OR PROMISES NOT INCLUDED IN THIS CONTRACT. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT.
CUSTOMER SIGNATURE DATE NAME PRINTED DELIVERED BY DATE
YOU ARE CHARGED FOR THE TIME EQUIPMENT IS IN YOUR POSSESSION,NOT TIME IT IS USED,AND CONDITION OF EQUIPMENT DESCRIBED ABOVE IS IN GOOD WORKING ORDER
Page 2
snnstructiun equipme:�!
mit 'To:
airWorxcorp.com ,
PO BOX 7042
Indianapolis Cincinnati Q Fort Wayne IND IANAPOL°I S, IN 4:62 0 7-7 0 4 2
317-477-1272 513.407-9902 574-264-288.96fs 260-247-2816 y
501 W. RAYMOND ST.
INDIANAPOLIS, IN 46225 317-471-1272
Bill To
CARMEL UTILITIES -. WASTEWATER WORK ORDER INVOICE
9609 HAZEL DELL PARKWAY _
INDIANAPOLI;S;° IN-'462;80 " �." �
Invoice -
# . : 288;714 0001.°,
Date: 4/.29/15 ,
- Customer #. .4545
<r Job ;toc: . ..,-9609 HAZEL DELL":PARKWA ,
Job Site 9,6Q9 ,HAZEL DELL PARKWAY, INDIAr
Job No 1 - CARMEL UTILITIES
CARMEL -UTILITIES WASTEWATER P.O. #. . . . . . S15020
9609-HAZEL''DELL :PARKWAY °' Authorized. ' JEFF ,COOPER .
,INDIANAPOLIS,, • :IN 46280 Received on
Finished on: 4/29/15
31?-716-5882 -Last con/.cus .:.._ - -
�.
Equip °# Make -,Model ,,,.,, Serial # Description,
X51598039 CONDOR V2648XL X51598039 CUSTOMER OWNED EQUI
****************************************************************
*** Thank you We appreciate your business ! ***
****************************************************************
Total Parts & Materials 535 . 00
Total Labor 172 .50
Total Amount 707-.50
ATTN:CUSTOMER IS TO CALL EQUIPMENT OFF RENT AND ACQUIRE A TERMINATION NUMBER.
Dealer agrees to waive certain damages and loss claims against Customer,which are provided for on the reverse side of this contract,in consideration of the following:A.Customer shall pay a fee of
10%of gross rental charges.B.A valid certificate of insurance is provided Dealer prior to the hire of equipment,whereby Dealer is named an additional insured on an insurance policy,covering the risk
of loss by damage,death or otherwise,of the subject equipment,and said insurance being primary coverage as against any other insurance which maybe provided by Dealer.
DAMAGE WAIVER DECLINED
I HAVE READ AND I AGREE TO THE CONTRACT TERMS ON THE BACK OF THIS DOCUMENT.THOSE TERMS CONSIST OF OUR ENTIRE AGREEMENT. NO ONE HAS ANY ORAL OR OTHER
WRITTEN RIEPRESENTATIONS OR PROMISES NOT INCLUDED IN THIS CONTRACT. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT.
CUSTOMER SIGNATURE DATE NAME PRINTED DEUVERED BY DATE
YOU ARE CHARGED FOR THE TIME EQUIPMENT IS IN YOUR POSSESSION,NOT TIME IT IS USED,AND CONDITION OF EQUIPMENT DESCRIBED ABOVE IS IN GOOD WORKING ORDER
i
VOUCHER # 155424 WARRANT # ALLOWED
00350714 IN SUM OF $
AIRWORX CORP
PO BOX 7042
INDIANAPOLIS, IN 46207-7042
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
288714-0001 01-7502-06 $707.50
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Voucher Total $707.50
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
00350714
AIRWORX CORP Purchase Order No.
PO BOX 7042 Terms
INDIANAPOLIS, IN 46207-7042 Due Date 4/30/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2015 288714-0001 $707.50
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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
sl lis ��._.�-r'�.,'�.✓►1�.-,...��—
Date Officer