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256433 03/15/16 CITY OF CARMEL, INDIANA VENDOR: 364570 ® �I ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE�HECK AMOUNT: $*****3,830.54* ,� CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 256433 M,«oN�. NOBLESVILLE IN 46060 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 9769 815.00 OTHER EXPENSES 601 5023990 9770 961.63 OTHER EXPENSES 601 5023990 9771 2,053.91 OTHER EXPENSES VOUCHER # 154505 WARRANT# ALLOWED 364570 IN SUM OF $ MECHANICAL CONTRACTING SERVIC 15371 STONY CREEK WAY NOBLESVILLE, IN 46060 t Carmel Water Utility i ON ACCOUNT OF APPROPRIATION FOR Ii I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9771 01-6200-06 C$1,428.91 9771 01-6360-06 $625.00 lq-7-7p C�zr�P(� . 5'(-L3 Voucher Total 3 a c36-5-P2 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 364570 MECHANICAL CONTRACTING SERVICES Purchase Order No. 15371 STONY CREEK WAY Terms NOBLESVILLE, IN 46060 Due Date 3/7/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/7/2016 9771 $2,053.91 1 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 ' ` / IVICS, INC. INVOICE 15371 STONY CREEK WAY NO8LEGV|LLE. |N 46060 Invoice Number: 9768 Invoice Date: Jan 2U.201G Page: 1 _ Voice: 317-773'7370 For: 317'773'7340 -Bill hi"Aw CARMEL WATER COMPANY JOB 16300 004602 3450W. 131STST CARMEL WATER COMPANY WESTFIELD, IN 46074 CARM Net 30 Days 2/28/16 mQun Sales-Service 815.00 ' Subtotal 815.00 Sales Tax Total Invoice Amount 815.00 Check/Credit Memo No: Payment/Credit Applied Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT 15371 Stony C eek Way Noblesville, In 46060 Fax: (317)773-7340 004602 Name: Qty, Description Purchase Order Number Amount Address: ek,— $ City: State: Zip: $ Contact: $ Phone No.: $ Date: $ Equip: $ Model No.: $ Serial No.: Is Year: Total Material Is WE,ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed: Service Call Preventive Maintenance Warranty No Heating Call k ' No Cooling Call Equipment Check List R Code Environmental Check List potap, Compressor:Voltage Ph. E Refrigerant Type: ` k- Condensor Coil: Clean: Di F 1 Recovered: Yes_No_Qty. 7Refrigerant: 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 CB $ /HR REGULAR A Time Departed From Job LA 0 HRS C� /HR REGUR V 2nd Arrival R � HRS0 $ /HR OVERTIME E 2nd Departure HRS CSD $ /HR OVERTIME L Truck Charge C 1.Material $ All parts noted above are warranted as per H 2.Truck Charge $ !�79,eK manufacturers specifications. A 3. Labor $ CS—, All labor noted above relative to the R 4.Sales Tax $=Dj C equipment serviced as noted,Is guaranteed G E fora period of 30 days. Total Amount Due Terms: Net- Due Upon Receipt Service Man: Afi , I t Custom Date: Signature: Printed: nu I#Rin_e+nov IVIC 15371,ZTONY CREEK WAY INVOMCE ND8LESV|LLE. |N 46060 Invoice Numbor: 0770 Invoice Date: Jan 2A.2O1G Page: 1 Voice: 317'773'7370 Fou: 317-773'7340 CARMEL WATER COMPANY JOB 16300 004610 3450W. 131STST CARMEL WATER COMPANY WESTFIELD, IN 46074 err CARM Net 30 Days eisc 2/28/16 fit Sales-Service 961.63 Subtotal 961.63 Sales Tax Total Invoice Amount 961.63 Check/Credit Memo No: Payment/Credft Applied TOT--- ' EmMechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT 15371 S ony Cre k Way Noblesville, In 46060 Fax: (317)773-7340 004610 Name: Qt . Description Purchase Order Number Amount Address: 01 $ City: State: Zip: $ Contact: $ Phone No.: $ Date: $ Equip: $ Model No.: $ Serial No.: $ Year: Total Material WE ME PERFORMING THE FOLLOWING ITEMS: Plumbing Service Perform— - Service Call � —Preventive Maintenance Warranty No Heating Call No Cooling Call Equipment Check List R Code Environmental Check List C ompressor:Voltage Ph. E Refrigerant Type: densor Coil: Clean: Di F 1 Recovered: Yes_No Q ✓�-�. T e Leek Char e R 2 Recycled: Yes_No_Qty. &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. ck"\f'k Air Filters: Clean Dirty R 6 Disposal: Yes_No_Qty. Heating Assembly: Clean Dirty A Notes: 4LJ,�,41S4 Electrical: Relay Contactor P.S. N Thermostat Replace—, Relocate T 6 L HRS @ $ /HR REGULAR T Time Left Last Job A e4 HRS ® $ /HR REGULAR R Time Arrived On Job B HRS @ $ /HR REGULAR A Time Departed From Job Q HRS /HR REGULAR V 2nd Arrival R HRS /HR OVERTIME E 2nd Departure -� HRS @ $ /HR OVERTIME L Truck Charge C 1. Material $ 423 All parts noted above are warranted as per H 2.Truck Charge $ r 00 manufacturers specifications. A 3. Labor $ All labor noted above relative to the R Sales Tax equipment serviced as noted,is guaranteed G E for a period of 30 days. S Total mount Du Terms: Net- Due Upon Receipt Service Man: a `� Customer: qo� Date: Signature: Printed: RII 1 If,112%/'11DV ~ �� \��'@�� ^~^`~~~ INC.^^~`~ INVOICE ��~�'N�� 15371 STONY CREEK VVAY � ~^ ~� ~=' � �� =�� NOBLESV|LLE. |N 48060 Invoice Number: 9771 Invoice Date: Jan 2B.2O1G Page: 1 Voice: 317-773'7370 Fax: 317-773'7340 MEN PIIIT CARMEL WATER COMPANY JOB 16300 004613 3450W. 131STST CARMEL WATER COMPANY WESTFIELD, IN 46074 CARM Net 30 2/28/16 zutilt, ricie A' Writ Sales-Service 2,053.91 , OJU Subtotal 2,053.91 Sales Tax Total Invoice Amount 2,053.91 Check/Cmdft Memo No: Payment/Credil:Applied �,YMechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT EM 15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 004613 Name: rKG Qty, Description Purchase Order Number Amount Address: -3 'S L-). 13 SIS-4y-e $ Ci State: Contact: $ Phone No.: $ Date: Equip: $ Model No.: $ Serial No.: $ Year: Total Material= $ Pkz 6/ WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbin Service Performed: Service Call Preventive Maintenance �r} -� P,I Warranty No Heating Call r`e-c tDume No Cooling Call Equipment Check List R Code Environmental Check List Com ressor:Volta`e' , Ph. EE, Refrigerant Type: �\\ Condensor Coil: Clean:i F, 1 Recovered: Yes_No rctl N Refrigerant: Typd -'Lee Char e_ RRecycled: Yes o_Qty. PaQ,&Motor: Voltage Ph. I 3 Reclaimed: _No Qty. Evap or Coil: ClDirty G 4 AMuLneYes_No_Qty. Condensat n Dirty E 5 Non : Yes_No_Q Air Filters: can Dirty R; 6 ' posal: No_Qty. Heat' ssembly: Clean Dirty A Note . ctrical: Relay Contactor P.S. N Thermostat Replace , Relocate T C peL HRS /H REG T' Time Left Last Job Fjy HRS @ $ DO/H EGULAR R Time Arrived On Job B HRS @ $ 1,J /HR R A Time Departed From Job HRS /HR REGULAR V, 2nd Arrival Q HRS @ /HR OVERTIME E n 2nd De arture R HRS @ $ /HR OVERTIME L Truck Char 1.Material $ $� C All parts noted above are warranted as per H 2.Truck Charge $ S-D'00 manufacturers specifications. A3. Labor is -7 160 All labor noted above relative to the R �. $ 4.Sales Tax equipment serviced as noted,is guaranteed G E fora period of 30 days. S Total Amount Due $ A53,q 1 Terms: Net- DueApon Re ipt Service Man: -1 A, U1, Custo 1"l' Date' Sign re: Printed: nu 1 110 nnov ; � i, .. i �� . ' i ` h