HomeMy WebLinkAbout257146 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 365495
ONE CIVIC SQUARE EXCEL MECHANICAL INC CHECK AMOUNT: $*****2,1 16.40*
CARMEL, INDIANA 46032 3005 S RURAL ST CHECK NUMBER: 257146
INDIANAPOLIS IN 46237 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 7164 2,116.40 OTHER CONT SERVICES
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
11/03/15 7164 $2,116.40
1206 101
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 2Q_
EXCEL MECHANICAL INC
IN SUM OF
3005 S RURAL ST
INDIANAPOLIS, IN 46237
$2,116.40
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund I AMOUNT Board Member
7164 43-509.00 j $2,116.40 1 hereby certify that the attached invoice(s), or
1206 101 Prior Year 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
Tues y, Mar 5,
Street CommIsslonor
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CHECK LIST ITEM OR PART DESCRIPTION MOUNT "}' gn �°• Fppt�� ��rr"t� ' �jg"�
o COMPRESSOR PSI EXCEL +aiELi INICAL tilZrC 4 1 6 4
- 1 � �1 3005S. RUR?.L S I I. %7
❑HEAD PSIU INDIANAPOLIS,- .1NIb�j?J/ DATE
❑VOWS AMPS M, r�„ Fla 3S'1 54203
❑ELECTRICALCONNECTIOtJS ^7
❑CONTACTS TIGHT&CLEAN .,t/ - ��! 788-Ob2.�2 FAX 1317{ 7 88-0759 �
I ❑OIL LEVEL&CONDITION (L'N �d ` / DAT ORDE D
I ❑ CONDENSER COIL
I NAME L-(.aA;i
I
CLEAN COILS CHECK COND. / DATESCHEDULED
❑ENT- 'F LVO `F - f ,,:L /'-/N F f r'� „r t( f/
❑ REFRIGERANT j d }G /0 /_ /'' L��7d�fr .�Tr%
I '�Us' ! � �!/ L STREET _ PHONE
❑LEAK ❑CHARGE. , J'ff L=''--'J L,,J ,,•Y:,7:N -s f
❑ FAN AND MOTOR � �/� ��' 7
El VOLTS AMPS- CITY STATE ZIP WK.OR CELL
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❑ELECTRICALCONNECTIONS �''•1' d ( "'! `��'°yd
II MAKE MODEL SERIAL NUMBER
II ❑
FAN
(ADJUST
BCLEAN � ❑WARRANTY
I'` ❑FAN PULLEYS(ADJUST BELT) CD CONTRACT
1 ❑
CHECK.LUBE BEARINGS&MOTOR P SEflVICE CONTRACT I`
❑CFM
❑ EVAPORATOR COIL ❑NORMAL
JOB.� ❑CLM- CCILE CHECK FIN - LOCATION � I •T- /6o• 1, �e E:j _COMM.
❑ENT Be_°F LVG DB_'F ! -
❑E —°F ILVG WB—'F DESCRIPTION OF WORK
NTWB
IC' ❑ CONDENSATE AREAS
pI F-1 INSPECT&CLEAN DRAIN.PAN - L-I - ,� T 1 Y' J 61411,14 VA � F
V
F ❑INSPECT&CLEAN DRAIN
III ❑ AIR FILTERS
O CLEANED p REPLACED _
FILTER SIZEI'?i'k; �• " ;r'!
❑ HEATING ASSY ��77 S lt"f/SIC _ iT�r� r �rafv�JL
I ❑BURNER&HEAT EXCHANGER �f ii]�/f PO e.1P -/'1l-e,+7 V �ln1 f/'L-1 ,✓
I ❑FUELSUPPLY&PRESSURE /--! f 4•// Yr. --
( ❑PILOTASSEMBLY f r^ "!
F-1FLAMEADJUSTMENT - S.,1 �-^+l G� -Vfvr✓ I' .J�1'-"�
I; ❑PRIMARY RELAY&FLUE y}.�� ryry•• p/J // ^y_
❑FAN&LIL{IT SWITCH OPER. -��7Tt�l -U� /�Ll✓/ -1-+rJJ f �e� eC/'<
I ❑BLOWERASSEMBLY TOTAL PARTS ,/'� r�� !!!!!! f
E)RV VALVE (� &Pyy?/ 1qJ l ILW! -�•+f C.J(LA i�/� r(��U 16?4-V -
c WHITE OR CODE AMOUNT
❑STRIP HEAT PARTS WARRANTY _ p
❑DEFROST CYCLE. All parts as recorded are warranted as per R - _ ----! -
❑ manufacturer ELECTRICAL,COMP-TS G -_-
urerspeclfications. ,
❑RELAYS' ❑CONTACTORS e
LABOR GUARANTY s _ _
❑OVERLOAD ❑PRESS.SWITCH The labor charge as recorded here relative to the F TECH REGULAR O OVERTIME
THERMOSTAT v HRS.
❑ equipment serviced as noted,le guaranteed for Q{ _ #1 HRS.C� IHR._ e @ /HR._
❑O.K. ❑ REPLACE period of 30 days. is nlrenn+acry usace REGULAR T OVERTIME
❑RELOCATE We do not,of course,guaranty other parts than those • TECH I HRS.
TRAVEL TIME we supply.If repairs later become necessary due to E #2 HRS.Ga MR:= Et @ MR.
other defective parts,they will be charged separately. L TOTAL TECHNICIAN CERT.# TOTAL
TIME w OTHER_ CHARGES$ SIGNATURE OTHER
. CHARGES
ARRIVED ENVIRONMENT CHECK LIST , •• • • sua= (,
TIME CHP,.TYPE SYSTEM 9 E CHANGED TOTAL G -[ Q
DEPARTED I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO
C N Bj O OUT(OR ❑ ❑
_ ORDER AS OUTLINED ABOVE.IT IS AGREEDTHAT THE SELLER WILL I
R REFRIG. QTY. U REPLACEDI?
' TRAVEL � r YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL
TIME E ❑ ❑ I DIS FINAL&COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT
RECOVERED? QTY. P TRIP
MILEAGE, Yes NO 6 ' MANTLED? ❑ ❑ MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO
F M YES NO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR CHARGE
ENDING R FJ RECYCLED? D 'O7X' N REFFIIGERANT DISPOSAL ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX
START I I��S-T T C
.� RECLAIMED? u QTY. OUR PERSONNEL L�
'G 9 RECOMMEND;
TOTALMILES E- RETURNED TO Ir�I S �L • '
THIS SYSTEM? L�1 QTY.
R{{ YES NO ' Jr�
P- f(q'1 DISPOSAL _ e
m X- MR.= A l .� ---- AUTHORIZED SIGNATURE
OWNER'S INITIALS ABOVE ORDERED WORK•HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. DATE H-NC
R XL= N [NONUSSAIAILE ACCEPTED DECLINED E
TRIP T TaT O QTY.
h' CHARGEx j
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