251650 11/18/15 •_Cly
�'u " CITY OF CARMEL, INDIANA VENDOR: 364570
® °I ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: $....*1,237.97*
�_ CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 251650
�.y,__oN�. NOBLESVILLE IN 46060 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9710 1,237.97 OTHER EXPENSES
MCS, INC. ONVOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9710
Invoice Date: Sep 30,2015
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Ship
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CARMEL WATER COMPANY JOB 15300 003912
3450 W. 131ST ST CARMEL WATER COMPANY
WESTFIELD, IN 46074 SERVICE CALL
res X J
Ciiiidni6 10 �r CU"s",to"rn e r P 0
F M4 tit uflrni
CARM Net 30 Days
hip' r-b'
7
a es� elp" Ye Date,;
10/30/15
'Item nit' n nount=,
Sales- Service 1,237.97
A
-te
Subtotal 1,237.97
Sales Tax
Total Invoice Amount 1,237.97
Check/Credit Memo No: Payment/Credit Applied
Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 003912
Name: Qty. Description Purchase Order Number Amount
Address: C $ Z
City: State: Zip: $
Contact: j '� $ I .
Phone No.: $ d
Date: U V $
Equip: $
Model No.: $
Serial No.: $
Year: Total Material= Is ,
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbinq Service Performed: ,
Service Call
Preventive Maintenance
Warranty
No Heating Call
No 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. 1 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
B0 HRS @ $ /HR REGULAR A Time Departed From Job
L- RS /HR REGULAR V 2nd Arrival
O HRS @ /HR OVER E 2nd Departure
R HRS CSD $ /HR OVERTIME L Truck Char e
FI
C 1. Material $ All parts noted above are warranted as per
H 2.Truck Charge $ 01 00 manufacturers specifications.
A 3. Labor $ 00 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.
S
Total Amount Due $ 3�, Terms: Net- Due Upon Receipt
Service Man: Customer: Date:
Signature: Printed:
BILLING COPY
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 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 9710 $1,237.97
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
VOUCHER # 153507 WARRANT # ALLOWED
364570 IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9710 01-6200-06 $232.97
9710 01-6360-06 $1,005.00
Voucher Total $1,237.97
Cost distribution ledger classification if
claim paid under vehicle highway fund