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Home My WebLink About258264 05/06/16 CITY OF CARMEL, INDIANA VENDOR: 369349 ® ONE CIVIC SQUARE ELLIS MECHANICAL& ELECTRICAL CHECK AMOUNT: $***"4,410.04" CARMEL, INDIANA 46032 2929 BLUFF ROAD CHECK NUMBER: 258264 INDIANAPOLIS IN 46225 CHECK DATE: 05/06/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 160287 485.04 BUILDING REPAIRS & MA 1093 4350900 16088 3,925.00 OTHER CONT SERVICES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 369349 Ellis Mechanical & Electrical Terms 2929 Bluff Road Indianapolis, IN 46225 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 4/18/16 16088 MCC HVAC Preventive Maintenance 39520 $ 3,925.00 4/18/16 160287 Plumbing Repair Men's 2nd floor fitness xx3639 $ 485.04 Total $ 4,410.04 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No.. Warrant No. 369349 Ellis Mechanical & Electrical Allowed 20 2929 Bluff Road Indianapolis, IN 46225 In Sum of$ $ 4,410.04 �t ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1093 16088 4350900 $ 3,925.00 1 hereby certify that the attached invoice(s), or 1093 160287 4350100 $ 485.04 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 April 27, 2016 Signature $ 4,410.04 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund �'';Wss M-. echa a ictal, Inc. INVOICE X929 B Iuff,Road REC� �T�� ffln'ianapolis°IN 46225 7 78k295i =-t APR 2.0 2016 Date: 04/1'8/201;6 1 BY: Billed To: Carmel Clay Parks&Recreation ( 101 ) Project: Monon Center 2015-17`PMs Attention: Paula Schlemmer 1235 Central Park Drive East 1411 E. 116th Street Carmel IN 46032 Carmel IN 46032 Due Date: 05/18/2016 Contract#: 2015036 PO# 38230 Quote* 2015036 2/15/16-Completed monthly maintenance to AHU V. Changed filters,greased motors and bearing then checked belts. Began preventative maintenance. Changed filters in the VAVs and pulled and cleaned filters in the entry way heaters. 3/16/16-Completed monthly maintenance to AHU V. Changed filters and checked belts. Found one bad belt and replaced. No other issues found. 3/31/16-Began service of ice machines. Cleaned auger,drain pan,condenser coil,and bin of(1) ice machine in outdoor concession. Reassembled auger and drive to machine. Will return to complete. 4/4/16-Returned and completed cleaning and reassembly of(2)outdoor concession ice machines. Cleaned air and water side of both units. Reassembled and verified proper operation. 4/5/16-Cleaned and serviced east building ice machine. Cleaned air and water sides. Chemically cleaned and sanitized evaporator. Cleaned condenser coils then cycled and verified operation. 4/6/16-Completed preventative maintenance to both Dectron units and AHU#7 on rooftop. Changed filters,cleaned washable filters,checked belts,and greased motors, bearings,and pumps. Checked exhaust fans and adjusted belts in mechanical room fans. Found one fan in the mechanical room had a badly worn pulley. Will replace as soon as possible. Checked other exhaust fans as well. The heat recovery wheel was not running on RTU#7. Received approval to determine the problem. Reviewed the computer and determined it was not calling,turned it on from the computer and the recovery wheel began running. Completed cleaning and service of(1)remaining ice machine at indoor concessions. Cleaned air and water sides. Chemically cleaned and sanitized water side and evaporator. Cycled and verified operation. Adjusted ice bridge as needed. Also,cleaned and inspected lap pool heater. Cleaned burners,heat exchanger on fire side,and combustion chamber. Inspected ignitor and burners then cycled and verified operation. 4/7/16-Finished preventative maintenance. Checked and adjusted belts for exhaust fans. Inspected operation of the Dectron condensing units. The condensing fan motor in the south middle east side condenser is going out. Will provide replacement quote. Description Amount Spring HVAC Preventative Maintenance 3,925.00 There will be a 2%Service Charge per month on all invoices over 30 days past due. Amount Due 3;926.00 Thank you for your prompt payment! E L L I S MECHANICAL & ELECTRICAL 2929 Bluff Road • Indianapolis, Indiana 46225 Choose One: JOB#/WO# -� Telephone: 317-786-2957 0 Complete P ❑ Not Complete FAX: 317-786-2958 ❑ Partial Bill NAME �'I�N�v �// DATE ADDRESS TYPE INSPECTION CITY ❑ AIR CONDITIONING BILLTO: ❑ HEATING ❑ REFRIGERATION ❑ ELECTRICAL SERVICE PERFORMED 1 2 ivcl �• A••-o/ ell, c/Ea ti ✓zS (-v 1-41 4 G��vr�� f�2j rnv r>�E //n.i �,n.�✓ E6� 5 6 7 8 \ 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 ❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure ❑Burners ❑Head Pressure ❑Head Pressure 2 ❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge ❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3 ❑Fan&Limit ❑Oil Level&Pressure ❑Oil Level&Pressure ❑Pilot Safety ❑Cond.Coil ❑Cond.Coil 4 ❑Oil Filter ❑Evap.Coil — ❑Evap.Coil ❑Oil Nozzle ❑Contractors ❑C.C.Heater 5 ❑Barometric Damper ❑C.C.Heater ❑Moisture Indictor ❑Thermostat ❑Moisture Indictor ❑Condensate Pan/Drain 6 ❑Motor&Bearings ❑Condensate Pan/Drain ❑Thermostat ❑Air Filters ❑Thermostat ❑Motor&Bearings 7 ❑Pulley,Belts,Blower ❑Motor&Bearings ❑DefrostControls ❑Wiring ❑Air filter ❑Safety controls 8 ❑Safety controls ❑Pulley,Belts,Blower ❑AMPS ❑Amperage&Volts ❑Wiring ❑Door&Panels 9 ❑Door&Panels ❑Safety controls ❑Amperage&Volts 10 ❑Door&Panels TOTAL LABOR HRS. ATERIALS SALES TAX SERVICE r " CHARGE PAY THIS AMOUNT TERMS NET Technicia '"�� Customer's Signature E L L I S MECHANICAL & ELECTRICAL 2929 Bluff Road - Indianapolis, Indiana 46225 Choose One: JOB#/WO#ATelephone: 317-786-2957 Complete El Not Complete FAX: 317-786-2958 ❑ Partial Bill NAME—M 11 IV � [�'/ � DATE ,3 /&�i1(o ADDRESS CITY TYPE INSPECTION BILLTO: ❑ AIR CONDITIONING ❑ HEATING ❑ REFRIGERATION SERVICE PERFORMED ❑ ELECTRICAL W11 M4:Wk,-!u19tiC-6 k-� 46e tdtvc I aaJ Au reps Tt 7 ChA,-.gC-,6 /��s. ti �l<� IT,eA, Fo&A1Ao,Cj Oe.E 1361.E R4 14-g-604 4 5 US8 Mi MW-b I 6 7 8 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION I ❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure ❑Burners ❑Head Pressure ❑Head Pressure 2 ❑Vent Pipe ❑Ref rigerant Charge ❑Refrigerant Charge ❑Heat Exchanger ❑CompressorValves ❑CompressorVaives 3 ❑Fan&Limit ❑011 Level&Pressure ❑Oil Level&Pressure ❑Pilot Safety ❑Cond.Coil ❑Cond.Coil 4 ❑Oil Filter ❑Evap.Coil ❑Evap.Coil ❑Oil Nozzle ❑Contractors ❑C.C.Heater 5 ❑Barometric Damper ❑C.C.Heater ❑Moisture indictor ❑Thermostat ❑Moisture Indictor ❑Condensate PardDrain 6 ❑Motor&Bearings ❑Condensate PaiVDrain ❑Thermostat ❑Air Filters ❑Thermostat ❑Motor&Bearings 7 ❑Pulley,Belts,Blower ❑Motor&Bearings ❑Defrost Controls ❑Wiring ❑Air filter ❑Safety controls 8 ❑Safety controls ❑Pulley,Belts,Blower ❑AMPS ❑Amperage&Volts ❑Wiring ❑Door&Panels 9 ❑poor&Panels ❑Safety controls ❑Amperage&Volts 10 ❑Door&Panels LABOR HRS. MATERIALS SALES TAX f SERVICE d CHARGE TiHIIS AMOUNT ��7L'"—^' TERMS NET Technician Customer's Signature 5 E L L I S MECHANICAL & ELECTRICAL 2929 Bluff Road • Indianapolis, Indiana 46225 Choose One: JOB#/WO# 'V Telephone: 317-786 2957 11 Complete IR Not Complete FAX: 317-786-2958 Partial Bill NAME &r Om ,"Q-n V r.m le-ol DATE _37Milo ADDRESS CITY TYPE INSPECTION BILLTO: ❑ AIR CONDITIONING ❑ HEATING ❑ REFRIGERATION t SERVICE PERFORMED ❑ ELECTRICAL 1 C�jea 31. c.1' I 4e— c3 } cAri gijh Of 1) ce- 3cg �� j i 4 5 6 7 8 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 ❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure ❑Burners ❑Head Pressure ❑Head Pressure 2 ❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge ❑Heat Exchanger ❑CompressorVaives ❑CompressorValves 3 C)Fan&Limit ❑Oil Level&Pressure ❑Oil Level&Pressure ❑Pilot Safety ❑Cond.Coil ❑Cond.Coil 4 ❑Oil Filter ❑Evap.Coll ❑Evap.Coil ❑Oil Nozzle ❑Contractors ❑C.C.Heater 5 ❑Barometric Damper ❑C.C.Heater ❑Moisture Indictor ❑Thermostat ❑Moisture Indictor ❑Condensate Pan/Drain 6 ❑Motor&Bearings ❑Condensate Pah/Drafn ❑Thermostat ❑Air Filters ❑Thermostat ❑Motor&Bearings 7 ❑Pulley,Baits,Blower ❑Motor&Bearings ❑Defrost Controls ❑Wiring ❑Air filter ❑Safety controls 8 ❑Safety controls ❑Pulley,Belts,Blower ❑AMPS ❑Amperage&Volts ❑Wiring ❑Door&Panels 9 ❑poor&Panels ❑Safety controls ❑Amperage&Volts 10 ❑Door&Panels LABOR HRS. MATERIALS 0ewii -1SALES r TAX SERVICE CHARGE THIS } AMOUNT c. TERMS NET Technician Customer's Signature �= E L L I S MECHANICAL & ELECTRICAL 2929 Bluff Road • Indianapolis, Indiana 46225 ph Coe One: plete JOB#/WO# (�V Telephone: 317-786-2957 ❑ Not Complete FAX: 317-786-2958 b-1116 C1Partial Bill NAME fy)0-10^ MY� Q011DATE ADDRESS TYPE INSPECTION CITY ❑ AIR CONDITIONING BILLTO: ❑ HEATING ❑ REFRIGERATION SERVICE PERFORMED [I ELECTRICAL 2 LeedV1��,H�� G i, a Ir�Gl�r s 4 5 6 7 8 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 ❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure ❑Burners ❑Head Pressure ❑Head Pressure 2 ❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge ❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3 ❑Fan&Limit ❑Oil Level&Pressure ❑Oil Level&Pressure ❑Pilot Safety ❑Cond.Coll ❑Cond.Coil 4 ❑Oil Filter ❑Evap.Coil ❑Evap.Coil ❑Oil Nozzle ❑Contractors ❑C.C.Heater 5 ❑Barometric Damper ❑C.C.Heater ❑Moisture Indictor ❑Thermostat ❑Moisture Indictor ❑Condensate Pan/Drain 6 ❑Motor&Bearings ❑Condensate Pan/Drain ❑Thermostat ❑Air Filters ❑Thermostat ❑Motor&Bearings 7 ❑Pulley,Belts,Blower ❑Motor&Bearings ❑Defrost Controls ❑Wiring ❑Air filter ❑Safety controls 8 ❑Safety controls ❑Pulley,Belts,Blower ❑AMPS ❑Amperage&Volts ❑Wiring ❑Door&Panels 9 ❑Door&Panels ❑Safety controls ❑Amperage&Volts 10 ❑Door&Panels TOTAL LABOR HRS. MATERIALS SALES TAX SERVICE CHARGE THIS AMOUNT TERMS NET Technician. Customer's Signature ELLIS MECHANICAL & ELECTRICAL 0 2929 Bluff Road - Indianapolis, Indiana 46225 Choose One: J0B#/Wo#A0150A0 Telephone: 317-786-2957 0 Complete FAX: 317-786-2958 0 Not Complete F-1 Partial Bill NAME-ninam CnmA-nij1ii2Zj 4faJnIQ--- DATE ADDRESS J CITY. TYPE INSPECTION BILLTO: 0 AIR CONDITIONING 0 HEATING 0 REFRIGERATION SERVICE PERFORMED 0 ELECTRICAL 9t. '041 me-e X,1,e Cuf- le- 0,.,d b&, 0 V ae 5 6 7 8 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 11 Pilot or Electrodes 0 Suction Pressure 0 Suction Pressure 0 Burners 0 Head Pressure 0 Head Pressure 2 13 Vent Pipe 0 Refrigerant Charge 0 RefdgemntCharge 0 Heat Exchanger 0 CompressorValves 0 CompressorValves; 3 0 Fan&Limit 0 Oil Level&Pressure 0 Oil Level&Pressure 0 Pilot Safety 0 Cond.Coil 0 Cond.Coil 4 0 Oil Filter El Evap.Coil 0 Evap.Coil Cl Oil Nozzle 0 Contractors 11 C.C.Heater 5 0 Barometric Damper 0 C.C.Heater 0 Moisture Indictor 13 Thermostat 0 Moisture Indictor 0 Condensate Pan/Drain 6 11 Motor&Bearings 0 Condensate PaiVDrain 0 Thermostat 0 Air Filters 0 Thermostat 0 Motor&Bearings 7 0 Pulley,Bells,Blower 0 Motor&Bearings 0 Defrost Controls 0 Wiring 0 Air filter 0 Safetycontrols a 0 Safety controls [I Pulley,Belts,Blower 0 AMPS 0 Amperage&Volts 0 Wiring 0 Door&Panels 9 O.Door&Panels 0 Safety controls DAmperage&Volts 10 0 Door&Panels TOTAL LABOR HRS. 'MATERIALS SALES 1AA A A TAX SERVICE V CHARGE PAY i THIS AMOUNT TERMS NET Technician Customer's Signature t,r ELLIS MECHANICAL & ELECTRICAL 2929 Bluff Road - Indianapolis, Indiana 46225 Choose One: JOB#IWO#AO V Telephone: 317-786-2957 0 Complete FAX: 317-786-2958 ;W Not Complete 0 Partial Bill NAME DATE —V164 ADDRESS CITY TYPE INSPECTION BILLTO: 0 AIR CONDITIONING 0 HEATING 0 REFRIGERATION SERVICE PERFORMED 0 ELECTRICAL 9 P/" 2_ 6�e6dr& M gle ;,e S f ,4 , 3 IT6 lis &Ize4l d4to �zs �/ j 4 5 6 k4ol Ucc4e�fi/ Vogw. P,31y, td' ff jae�4 e4e 7 two* 1C iru 7. 9 (I'Leaelop -4- .A,&J- 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 0 Pilot or Electrodes 0 Suction Pressure 0 Suction Pressure 13 Burners 0 Head Pressure 0 Head Pressure 2 13 Vent Pipe [I Refrigerant Charge 0 Refrigerant Charge 0 Heat Exchanger 0 CompressorValves 0 CompressorValves 3 0 Fan&Limit 0 Oil Level&Pressure 0 Oil Level&Pressure 0 Pilot Safety 0 Cond.Coll 0 Cond.Coll 4 0 Oil Filter 0 Evap.Coll 0 Evap.Coll . 0 Oil Nozzle 0 Contractors 0 C.C.Heater 5 0 Barometric Damper 0 C.C.Heater 0 Moisture Indictor 0 Thermostat 0 Moisture Indictor 0 Condensate Pan/Drain 6 0 Motor&Bearings 0 Condensate Pan/Drain 0 Thermostat 11 Air Filters 0 Thermostat 0 Motor&Bearings 7 0 Pulley,Belts,Blower 0 Motor&Bearings 0 Defrost Controls 0 wiring 0 Air filter 0 Safety controls 8 C1 Safety controls 0 Pulley,Belts,Blower 0 AMPS OAmperage&Volts 0 Wiring 0 Door&Panels 9 D.Door&Panels CI Safety controls 0 Amperage&Volts 10 M Door&Panels LABOR HRS. TOTAL MATERIALS SALES TAX Au SERVICE V . 1 —�CHARGE THIS AMOUNT TERMS NET Technician Customer's Signature E L L I S MECHANICAL & ELECTRICAL 2929 Bluff Road • Indianapolis, Indiana 46225 Choose One: JOB#/WO# U� � Tele hone: 317-786-2957 ❑ Complete P ❑ Not Complete FAX: 317-786-2958 ❑ Partial Bill NAME DATE '-1 16 la, ADDRESS TYPE INSPECTION CITY ❑ AIR CONDITIONING BILLTO: ❑ HEATING ❑ REFRIGERATION SERVICE PERFORMED El ELECTRICAL 1 '7 l , r�70 1 h irZkne-�-S5,&n. 3 ' .I j 5 en "L-L,) n 6 ' 7 8 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 ❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure ❑Burners ❑Head Pressure ❑Head Pressure 2 ❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge ❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3 ❑Fan&Limit ❑Oil Level&Pressure ❑Oil Level&Pressure ❑Pilot Safety ❑Cond.Coll ❑Cond.Coil 4 ❑Oil Filter ❑Evap.Coil ❑Evap.Coil ❑Oil Nozzle ❑Contractors ❑C.C.Heater 5 ❑Barometric Damper ❑C.C.Heater ❑Moisture Indictor ❑Thermostat ❑Moisture Indictor ❑Condensate Pan/Drain 6 ❑Motor&Bearings ❑Condensate PaiVDrain ❑Thermostat ❑Air Filters ❑Thermostat ❑Motor&Bearings 7 ❑Pulley,Belts,Blower ❑Motor&Bearings ❑Defrost Controls ❑Wiring ❑Air filter ❑Safety controls 8 ❑Safety controls ❑Pulley,Belts,Blower ❑AMPS ❑Amperage&Volts ❑Wiring ❑Door&Panels 9 ❑Door&Panels ❑Safety controls ❑Amperage&Volts 10 ❑Door&Panels TOTAL LABOR HRS. MATERIALS SALES TAX ( SERVICE CHARGE THIS AMOUNT 99 TERMS NET Technician Customer's Signature ELLIS MECHANICAL & ELECTRICAL 2929 Bluff Road - Indianapolis, Indiana 46225 Choose One:>30 Complete JOB#/W()# Telephone: 317-786-2957 FAX: 317-786-2958 0 Not Complete C1 Partial Bill NAME—MbevOa- 4gesil DATE ADDRESS CITY TYPE INSPECTION BILLTO: 0 AIR CONDITIONING 0 HEATING 0 REFRIGERATION SERVICE PERFORMED El ELECTRICAL 2 eec:lteea C', 3 An e- 1, 4, uNI 111"Ile 6-tr-1 V 4 L-�le W, 5 6 7 8 9 10 SERVICE CHECKLIST BILL OF MATERIALS HEATING AIR CONDITIONING REFRIGERATION 1 11 Pilot or Electrodes 13 Suction Pressure (3 Suction Pressure 0 Burners 0 Head Pressure 0 Head Pressure 2 0 Vent Pipe 0 Refrigerant Charge 0 Refrigerant Charge 0 Heat Exchanger 0 CompressorValves 0 CompressorValves 3 0 Fan&Limit 0 Oil Level&Pressure 0 Oil Level&Pressure 0 Pilot Safety 0 Cond.Coll 0 Cond.Coll 4 0 Oil Filter 0 Evap.Coll -0 Evap..Coll EJ Oil Nozzle 0 Contractors 0 C.C.Heater 5 0 Barometric Damper 0 C.C.Heater 0 Moisture Indictor El Thermostat 0 Moisture Indictor 0 Condensate Pan/Drain 6 0 Molor&Bearings 0 Condensate Pait/Oraln 11 Thermostat 0 Air Filters El Thermostat 0 Motor&Bearings 7 0 Pulley,Belts,Blower El Motor&Bearings 0 Defrost Controls 0 Wiring [I Air filter 0 Safetycontrols 8 0 Safety controls 13 Pulley,Belts,Blower 0 AMPS 11 Amperage&Volts 0 Wiring 11 Door&Panels 9 13.Door&Panels 0 Safety controls 0 Amperage&Volts 10 0 Door&Panels TOTAL LABOR HRS. 'MATERIALS SALES TAX Gtt SERVICE CHARGE THIS AY AMOUNT L TERMS NET Technician , Customer's Signature 0110&,0 � IVlEc i�c4ir& IrEC'yTRICAL—� Service Invoice -gids_ zf - APR .2.0 2016 Tlnuoice#� 160287 2 29 BIuff;Road,`: ndianapolis,IN_46'28'y 31L-7-8&29.57 LY: S;Date 04/18%2'01 Billed To: Carmel Clay Parks & Recreation Location:Monon Community Center Attention: Paula Schlemmer 1235 Central Park Drive East 1411 E. 116th Street Carmel IN Carmel IN 46032 Payment Terms: Net 30 Days Work Order#: 160287 Due Date: 05/18/2016 Client PO#: Req No. 8169 03/08/16-Received call from Jim Ransford stating a toilet valve was leaking. Shut off water, replaced angle stop, and installed rebuild kit in flush valve on water closet. Turned on water and verified no leaks and proper operation. Descrintion Unit Quantity Price Total Labor: 3/8/16 Hrs 5.00 77.00 385.00 Material: Vacuum Breaker Repair Kit Ea 1.00 3.81 3.81 Angle Stop Ea 1.00 61.23 61.23 Truck Charge Ea 1.00 35.00 35.00 Non-Taxable Amount: 485.04 Taxable Amount: 0.00 There will be a 2%service charge per month on all past due invoices over 30 days. Sales Tax: 0.00 Thank you for your prompt payment! Amount-Due .tis� " '$ 85 E L L I S MECHANICAL and ELECTRICAL Joti#or WO# :. Person:Completmq Report: SERVICE DAILY REPORT Check Not Partial One: Complete ❑ Complete Bill Circle One: , DATE Sun Mon Tue Wed Thu Fri Sat Sun CUSTOMER NAME: �2 l�� Y s�/L�✓ l LOCATION NAME &ADDRESS: QTY MATERIALS USED STOCK OR SUPPLIER NAME COST LT Ell ��.o ,��9 /��i:�CC ��G1�CtlL/✓ ,�/T /ti �,LLCf�/ l��G �� W, R NAME START TIME LUNCH TAKEN Q.U/T TIME TOTAL HOUR /2