251143 1 1 /04/15 a u._c�qM
> ;' CITY OF CARMEL, INDIANA VENDOR: 366469
j; ® i'r ONE CIVIC SQUARE JNA MECHANICAL CHECK AMOUNT: S"''""655.00'
:. r� CARMEL, INDIANA 46032 421 WEST MAIN ST CHECK NUMBER: 251143
`4%�rro�i-0� GREENWOOD IN 46142 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 1298 275.00 BUILDING REPAIRS & MA
1110 4350100 33203 1299 380.00 SLOAN BATTERY OPERATE
JNA Mechanical 0
421 West Main Street
Greenwood, IN 46142 0 0
(317)640-8104 d
jnamechanical@gmail.com
http://jnamechanical.com '
0 0
0
INVOICE
BILL TO INVOICE# 1298
Carmel Police DATE 10/21/2015
3 Civic Square DUE DATE 11/20/2015
Carmel, IN 46032 TERMS Net 30
United States
JOB LOCATION
Water Heater# 1
ACTIVITY -_ _ _ RATE AMOUNT
Service 235.00 235.00
Troubleshoot water heater not working and tripping breaker.
Found bad element shorted out due to lime. Replaced with new Lochinvar factory
element.
Found bad thermostat control, replaced with new Lochinvar factory thermostat
control.
Trip Fee 40.00 40.00
Trip Fee.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------
We appreciate your business! BALANCE DUE
$275.00
JNA Mechanical p
421 West Main Street
Greenwood, IN 46142 O O
(317)640-8104
jnamechanical@gmail.com
http://jnamechanical.com '
O O
O
INVOICE
BILL TO INVOICE# 1299
Carmel Police DATE 10/21/2015
3 Civic Square DUE DATE 11/20/2015
Carmel, IN 46032 TERMS Net 30
United States
JOB LOCATION
First Floor Mens
Bathroom
ACTIVITY RATE AMOUNT
Service 380.00 380.00
Install Sloan Auto Flush Valve on 1 toilet in men's bathroom.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
We appreciate your business! BALANCE DUE
$380.00
INDIANA RETAIL TAX EXEMPT PAGE
City ® Carmelf.-
a" CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
.;t FEDERAL EXCISE TAX EXEMPT 3202
't
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
'FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. j VENDOR NO. DESCRIPTION
9089462095
JNA NochadW Camol Polleo Dopadmolt
VENDOR SKIP 3 CIVIC squm
421 'Met M@In ¬ TO C@ Y� GI' IN
GFoomood, IN 46142 (397)671.2W
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4314W9.63
9 Each Sloan battery operated flush valve $380.00 0380.00
Sub Total: $380.00
11l L
F ' ✓� I ,�e
oa
\ Y l
00LES ° `�
Send Invoice To:
Cumol Pollee Oopwtmon4
Attn: Pat Young
31 CIVIC Sgeem
Czrfflol' IN 4m2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT d41ZlOLINT
"armal Police Dep'.
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. PPR
THIS AOi I�N�T TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY PRIATION SUF,/�
SHIPPING LABELS. ®i P(�IIco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33203 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.-_.------
ALLOWED 20
IN THE SUM OF$
G�1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
—--................................_._.
Title
Cost distribution ledger classification if
claim paid rnotor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/21/15 1298 plumbing repair $275.00
10/21/15 1299 Auto flush valve $380.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
JNA Mechanical
IN SUM OF $
421 West Main Street
Greenwood, IN 46142
$655.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 1298 43-501.00 $275.00 hereby certify that the attached invoice(s), or
bills) is (are)true and correct and that the
33203 1299 43-501.00 $380.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, O tober 29, 2015
�Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund