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HomeMy WebLinkAbout258156 04/29/16 CITY OF CARMEL, INDIANA VENDOR: 362779 CHECKAMOUNT: $*******325.00* . ® ONE CIVIC SQUARE LEACH &RUSSELL CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 258156 FISHERS IN 46038 CHECK DATE: 04/29/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 36173 325.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) LEACH&RUSSELL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 9151 FORD CIRCLE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by FISHERS,IN 46038 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $325.00 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Building Operations Date Due PO#/Dept.1 INVOICENO. ACCT#/FundInvoice Date Invoice# Description Amount AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s)) 36173 I 43-509.00 I $325.00 1 hereby certify that the attached invoice(s),or 04/18/16 36173 $325.00 1208 101 1208 101 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 ednesday,April 27,2016 Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 ,20 Clerk-Treasurer T Leach & Russell a Mechanical Contractors,-Inc. 1� b r, 9151 Ford Circle Invoice Fishers, Indiana 46038 R U S S E L L Phone:(317)841-7877 MECHANICAL Fax: (317)841-7460 Invoice Number: 36173 o City of Carmel Invoice Date: 04/18/2016 Carmel Utilities Our Job Number 168388 30 W Main Street, Suite 220 Carmel, IN 40632 Job Name: Carmel Energy Center Your Purchase Order Number: Labor needed for HVAC service in above location. Responded to power outage. Reset units. (See copy of work order attached) TOTAL AMOUNT DUE $325.00 6k Submitted To APR 2 7 2016 Clerk Treasurer Terms: Due Upon Receipt SERVICE WORK ORDER 003066 TO: - d��.........p... ..................................................... LEACH & RUSSELL MECHANICAL CONTRACTORS, INC. .............................................................................................................. 9151 Ford Circle JOB LOCATION: FL Fishers, Indiana 46038-3000 WORK PERFORMED: Phone (31 7) 841-7877 Fax (317) 841-7460 ................................................................................................................................... ......... ..........�.af........!I Date: QContrect - 0 Extra �? r ...�.. ........... Order Taken �TIRI5&Material y: QWarranty .._.._.. ......©.� lip y i LOJ��� .... Customer Q b Complete Order No.: =Job Incomplete ................................................................................................................................... Phone Model Number: Number: Our Job / 0. Serial Number: -- -- - Number: Ili 2�7r� - ........................................................................................................... OTHER CHARGES AMOUNT °UOTES'FOLLOW-UP: Truck Charge cj ................................................................................................................................... ....................................................................................................................................................... ................................................................................................................................... ....................................................................................................................................................... .................................................................................................................................. ....................................................................................................................................................... .................................................................................................................................. ....................................................................................................................................................... ....................................................................................................................................................... QTY MATERIALS AMOUNT .................................................................................................................. .........I.......................... ............................................................................................................................... TOTAL OTHER CHARGES ............................................................................................................................... �j b0 DATE LABOR ST 1.5 DT AMOUNT y' .......... 41'eu.'C.... .. .. ........a.�...�0 CO ............................................................................................................................... ................................................................. .................................................................................. ............................................................................................................................... ..............................................................................................................................I....................I ...................................-.......................................................................................... ............................................................................................................... .................................... ............................................................................................................................... ................................................................. ...........................................................I................ ...... ............................................................................................................................... ................................................................. ................................................................................. ............................................................................................................................... ................................................................. ................................................................................. ...................... ............................................................................................. ................................................................. ................................................................................. TOTAL MATERIAL TOTAL LABOR a-70 00 TOTAL MATERIAL, OTHER&LABOR 3,�'5 0z Work Ordered By: TAX Signature: TOTAL 3a hereby acknowledge the satisfactory comp a ion o e abovedescribedworkan agree to render payment upon receipt of invoice. LR-06-0615