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246432 06/17/15
/ � CITY OF CARMEL, INDIANA VENDOR: 364570 3. ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: $*'"'"1,843.39" s �� CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 246432 •�,__�.'�, NOBLESVILLE IN 46060 CHECK DATE: 06/17/15 [TON�� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 9617 1,843.39 OTHER EXPENSES INVOICE MC,S, *4-C. 15311 STONY CREEK WAY NOBLESVILLE, IN 46060 Invoice Number: 9617 Invoice Date: Apr 30, 2015 Page: 1 Voice: 317-773-7370 Fax: 317-773-7340 Brtl:7o f Ship_to CARMEL WATER COMPANY JOB 15300 004531 3450W. 131ST ST CARMEL WATER WESTFIELD, IN 46074 SERVICE CALL 'C", CU' GusfomerPO': Payment3Te`nns —CARM - ------Net 30 Days _ - -_--- =SalesRepul© ?.. N Shipping"Methort..,.. Ship,t3ate ,' Due9C7ate. 5/30/15 ° Quantity `Item.. . Unit Price Amount . . Sales-Service 1,843.39 Subtotal 1,843.39 Sales Tax Total Invoice Amount 1,843.39 Check/Credit Memo No: Payment/Credit Applied Ca Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT it 15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 004531 Name: ? Qty- Description J Purchase Order Number Amount Address: $ City: AA State: Zip: $ Contact: $ Phone No.: $ Date: $ Equip: $ Model No.: $ Serial No.: $ Year: Total Material= $ 3, WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Se Perfo ed1: n r' Service Call Preventive Maintenance W rranty Heating Call C Cooling Call Equipment Check List R Code Environmental Check List Compressor:Voltage Ph. E Refrigerant Type: Condensor Coil: Clean: Dirty 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. Of 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 G HRS @ $ /HR REGULAR V 2nd Arrival I 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 $ /000 manufacturers specifications. A 3. Labor $ All labor noted above relative to the R 4.Sales Tax $ G equipment serviced as noted,is guaranteed for a period of 30 days. E i S o �I Aount Due $ Terms: Net- Due Upon Receipt Service Man: -46 Customer, Date: Signature: Printed: BILLING COPY VOUCHER # 152057 WARRANT# j ALLOWED 364570 i IN SUM OF $ MECHANICAL CONTRACTING SERVIC 15371 STONY CREEK WAY NOBLESVILLE, IN 46060 i Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Z � I Board members J PO# INV# ACCT# AMOUNT Audit Trail Code 9617 01-6200-06 $553.39 I 9617 01-6360-06 $1,290.00 ,I 1 d Voucher Total $1,843.39 Cost distribution ledger classification if claim paid under vehicle highway fund j I 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 6/6/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/6/2015 9617 $1,843.39 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