HomeMy WebLinkAbout301410 07/28/16 CITY OF CARMEL, INDIANA VENDOR: 3627179
ONE CIVIC SQUARE LEACH & RUSSELL CHECK AMOUNT: $*****7,136.20*
CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 301410
9M�roN
FISHERS IN 46038 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 36923 1,305.00 OTHER CONT SERVICES
1208 4350900 36945 1,095.00 OTHER CONT SERVICES
1208 4350900 36947 I 595.00 OTHER CONT SERVICES
1120 4350100 37075 914.06 BUILDING REPAIRS & MA
1205 4350100 37077 I 235.00 BUILDING REPAIRS & MA
1205 4350100 37078 285.00 BUILDING REPAIRS & MA
1205 4350100 37084 2,707.14 BUILDING REPAIRS & MA
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
LEACH & RUSSELL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
9151 FORD CIRCLE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,995.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Building Operations
Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
36947 43-509.00 $595.00 1 hereby certify that the attached invoice(s),or 6/30/16 36947 $595.00
1208 101 1208 101
36945 43-509.00 $1,095.00 bill(s)is(are)true and correct and that the 6/30/16 36923 $1,305.00
1208 1 1 101 1 materials or services itemized thereon for 1208 101
36_923 43-509.00 $1,305.00 6/30/16 36945 $1,095.00
1208 101
which_charge-is-made-were-ordered-and 1208 101
received except
Tuesday,July 26,2016
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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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
T Leach & Russell
Mechanical Contractors, Inc. '
9151 Ford Circle �'° Invoice
Fishers, Indiana 46038
R U S S E L 1. Phone:(317)841-7877
MECHANICAL Fax: (317)841-7460
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Invoice Number: 36947
o City of Carmel Invoice Date: 06/30/2016
for Carmel Utilities Our Job Number 168707
30 W. Main Street, Suite 220
Carmel, IN 46032
Job Name: Carmel Energy Center
Your Purchase Order Number: John Duffy
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Labor needed for HVAC service in above locatiori.
Responded to chiller failure. Cleaned coils and reset unit.
(See copy of work order and e-mail attached)
TOTAL AMOUNT DUE $595.00
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�ubm*tted T'®
j JUL 2 6 2016
Clerk `treasurer
Terms: Due Upon Receipt
WORK ORDER ® C�4 1 1 7
G�
TO: SJ �n �� LEACH & RUSSELL
MECHANICAL CONTRACTORS, INC.
............................................... ...................................... ..................... 9151 Ford Circle
. .
Attention: Fishers, Indiana 46038-3000
..................................................................................................................................
JOB LOCATION: �� Phone (317) 841-7877 Fax (317) 841-7460
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WORK REOUE5TED: /�.//
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Number.
QTY MATERIALS AMOUNT > OTHER CHARGES AMOUNT.
Truck Charge ®-�
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DATE, :,LABOR., ST 1:5: DT. AMOUNT
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TOTAL MATERIAL TOTAL LABOR 5q®
TOTAL MATERIAL, OTHER&LABOR 6 p
1 hereby acknowledge the satisfactory completion of the above described work and agree Ito render payment upon receipt of invoice. I acknowledge that TAX
unpaid balances,30 days after receipt of the invoice,shall accrue Interest at a rate of 1%permonth. I also agree to be responsible for all attorney fees,court
costs,expenses and any other costs Incurred by Leach&Russell Mechanical Contractors,Inc.to collect any unpaid balances. TOTAL 45 9 5
Work Ordered Bv:
(Signature) (Printed Name) (Date)
LR-05-1115
Kyle Wiltshire
From: Kyle Wiltshire .
Sent: Sunday, June 26, 2016 5:23 PM
To: Ed Penman
Subject: Re: Palladium Water
Ed, water temp should be going down. Temp chiller went down and we have no way to monitor it.
Sent from my iPhone
> On Jun 26, 2016, at 4:12 PM, Ed Penman <epenman(@thecenterpresents.org> wrote:
>
> Thx
> --
> Ed Penman
> Facility Manager
> The Center For The Performing Arts
> 317-370-2091
> Sent from my iPhone i
>
>> On Jun 26, 2016, at 4:08 PM, Kyle Wiltshire <kwiltshire(@leach-russellmech.com> wrote:
>> Ed, I have not had any alarms for high chilled water but I am looking into it now. I will
make adjustments for hot water.
>> Thanks
>> Sent from my iPhone
>>> On Jun 26, 2016, at 3:11 PM, Ed Penman <epenman(@thecenterpresents.ore> wrote:
>>> Hi Guys,
>>>
>>> Chilled water is at 53d. Hot water is lat 74d. We have an event that runs to 10:00
tonight.
>>> Thanks.
>>> Ed Penman
>>> Facility Manager
>>> The Center For The Performing Arts
>>> 317-370-2091
>>>
>>> Sent from my iPhone
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Y `
m Leach & Russell
Mechanical Contractors, Inc.
n 9151 Ford Circle Invoice
Fishers, Indiana 46038
= Phone: (317)841-7877
R e�C H A NEI C AL
Fax:(317)841-7460
I
Invoice-Number: 36945
o City of Carmel j Invoice Date: 06/30/2016
for Carmel Utilities Our Job Number 168695
ED 30 W. Main Street, Suite 220
Carmel, IN 46032
Job Name: Carmel Energy Center
Your Purchase Order Number: John Duffy
Labor needed for HVAC service in above location.
Monitored system during Late Night on Main.
(See copy of work order and e-mail attached)
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TOTAL AMOUNT DUE $1,095.00
oj� ' �1 A/
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Submitted To
JUL 2 6 2016
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Clerk Treasurer
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Terms: Due Upon Receipt
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SERVICE WORK ORDER 003 00
TO: LEACH & RUSSELL
.............................................................................................................
MECHANICAL CONTRACTORS, INC.
9151 Ford Circle
JOB LOCATION: Fishers, Indiana 46038-3000
WORK PERFORMED: ��(–' Phone (317) 841-7877 Fax (317) 841-7460
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�. �✓�, I Date: Contract
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t'1.0..... ( ?.� /!� .7 �/.�i �!ft°fS r"^t�,., Phone Model Number:
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Number:
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Job. �,/ Serial Number:
Number:
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OTHER CHARGES AMOUNT
QUOTES/FOLLOW-UP: Truck Charge �� �Q
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QTY MATERIALS AMOUNT
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TOTAL OTHER CHARGES SS a0
..............................................................................................................................
DATE LABOR ST 1.5 DT AMOUNT
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TOTAL MATERIAL TOTAL LABOR IOL10 00
TOTAL MATERIAL, OTHER& LABOR 10CIS 00
Work Ordered By: TAX
Signature:
TOTAL
TFi—reliy acknowledge the sa is ac orycomp a ion o e above described workan
agree to render payment upon receipt of Invoice.
LR-06-0615
r I
Kyle Wiltshire ,�� , dS
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From: Engelking, Steve C [SEngelking@carmel.in.gov]
Sent: Monday, June 20, 2016 3:52 PM
To: Duffy, John M; Clint Rempe; Kyle Wiltshire
Subject: RE: News Release- Late Night on Main
All: The big event involves a show/performance in the Palladium with the potential for up to 1500 people, but that is no
different than any other full-house performance. We jlust need to make certain that there is no halt to the Energy
Center service.
Steve Engelking
Director, Department of Administration
Carmel, Indiana 46032
Phone: 317-571-2403
From: Duffy, John M
Sent: Monday, June 20, 2016 3:36 PM
To: Clint Rempe; Kyle Wiltshire
Cc: Engelking, Steve C
Subject: FW: News Release - Late Night on Main
Clint and Kyle,
FYI, big event at the Paladium this Friday night. I don't know how much they will actually be in the Paladium, but
wanted to give you a heads up.Thanks
J Duffy
From: Heck, Nancy S
Sent: Monday,June 20, 2016 2:14 PM
To: Heck, Nancy S
Subject: News Release - Late Night on Main
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City of Carmel
www.carmel.in.gov One Civic Square,Carmel, IN 46032
NEWS RELEASE
Date: June 20, 2016
Contact: Nancy Heck(317) 571-2474
Release: Immediate j
Late Night on Main— Friday, June 24
Special night of music, shopping and dining coincides with U.S. Mayors'party
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CARMEL, IN—A special night of entertainment will take place on Main Street in the Carmel Arts& Design District Friday
night from 9 p.m.to Midnight as part of the city's role as a co-host city for the U.S. Conference of Mayors National
Conference.The public is invited to attend Late Night of Main, which will feature live music in the street, open art
galleries, restaurants and pubs with special hours and many other features.
"We are honored to play host to hundreds of ayors on their first night in central Indiana and we believe
lighting up the District with a party atmosphere is a great way to show them what makes Carmel so special,"said Nancy
Heck, Director of Community Relations and Economic Development.
The mayors will first attend a private event at The Palladium and Center Green,which will include a fireworks
display before they board buses and head a few blocks north to Main Street,where they will spend a few hours,
approximately 10 p.m.to Midnight, enjoying all the sights and sounds of the District.
Main Street from 1St Avenue W to-2nd Avenue NW-will--be closed Friday beginning about 2 p.m. so preparations
can be made, including the placement of a stage for a live band to play. Come early for dinner with friends. Live music
begins on Main Street at 9 p.m. in between the Pint Room and Muldoon's.
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Parking is available at city parking garages and other public parking spaces. Click here to see a parking map.
(carmelartsanddesign.com/images/Carmel_District_ParkingMap.pdf)
Stay on top of any changes or added features by following the City of Carmel on Twitter
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(twitter.com/citvofcarmel)and liking us on Facebook (facebook.com/City-of-Carmel-Indiana-Government-
166743870955) i
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Nancy S Heck
City of Carmel
Director of Community Relations
and Economic Development
One Civic Square
Carmel, IN 46032
(317) 571-2494
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II
T Leach & Russell
a Mechanical Contractors, Inc.
9151 Ford Circle �' Invoice
Fishers, Indiana 46038
R U S S E L L Phone:(317)841-7877
M ECHANICAL Fax:(317)841-7460
Invoice Number: 36923
o City of Carmel Invoice Date: 06/30/2016
for Carmel Utilities Our Job Number 168647
m 30 W. Main Street, Suite 220
Carmel, IN 46032
Job Name: Carmel Energy Center
Your Purchase Order Number: John Duffy
i
Labor needed for HVAC service in above location.
Monitored building system.
(See copy of work order and e-mail attached)
TOTAL AMOUNT DUE $1,305.00
ubmitted To
JUL 2 6 2016
Clerk Treasurer
Terms: Due Upon Receipt
SERVICE WORK ORDER 003678
TO: ,SAn...........�u��... ...................... IMEACH & RUSSELL
Wk
..... ............................... .
..............................................................................................................
MECHANICAL CONTRACTORS, INC.
9151 Ford Circle
JOB LOCATION: ;j�� Fishers, Indiana 46038-3000
WORK PERFORMED: Phone (317) 841-7877 Fax (317) 841-7460
.............................�..p.................................................. ..�..�.....1...�..a............................
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Date: QContract
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1 Phone Model Number:
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OTHER CHARGES AMOUNT
QUOTESIFOLLOW-UP: Truck Charge SSoD
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DATE LABOR ST 1.5 DT AMOUNT
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TOTAL MATERIAL TOTAL LABOR /07 S® o0
TOTAL MATERIAL, OTHER&LABOR 1.3,06, 6j
Work Ordered By: I TAX ® ^�
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Signature:
I TOTAL ® �
he-by acknowledge a satisfactory comp a ono e abovedescribedworkan
agree to render payment upon receipt of invoice.
LR-06-0615
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Kyle Wiltshire
From: Kyle Wiltshire
Sent: Wednesday, June 08, 2016 10:12 AM
To: Ed Penman
Cc: Clint Rempe
Subject: Re: Palladium Shows
Ok we will have someone watching it thanks. How has everything been so far this year?
Sent from my iPhone
On Jun 8,2016, at 10:10 AM, Ed Penman<epenmanCa@thecenterpresents.org>wrote:
I
Hi Guys, --
FYI-We have shows Saturday night and Sunday!afternoon. Both have pretty big crowds.
Thanks, Ed
i
<image001.png>
Ed Penman I Facility Manager
The Center For The Performing Arts
0 317.819.3509 1 C 317.370.20911 F 317.574.1862
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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
FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$3,227.14 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
37084 43-501.00 $2,707.14 1 hereby certify that the attached invoice(s),or 7/14/16 37078 $285.00
1205 101 1205 101
37078 43-501.00 $285.00 bill(s)is(are)true and correct and that the 7/14/16 37084 $2,707.14
1205 101 materials or services itemized thereon for 1205 1 101
- ----3707-7-- 43-501.00_j___$235.00__— 7/14/16 37077 $235.00
1205 101 whch charge is made were ordered and--—— _ 1205 101 --- —_—
received except
Monday,July 25,2016
t-k r_�"
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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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
r
T Leach & Russell j
a Mechanical Contractors, Inc.
n 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: 37078
o City of Carmel Invoice Date: 07/14/2016
One Civic Square Our Job Number 168758
m Carmel, IN 40632
Job Name: Carmel Fire Department
Your Purchase Order Number:
Labor needed for HVAC service in above location.
Duct wrapped to preven condensation leak.
(See copy of work order attached)
TOTAL AMOUNT DUE $285.00
Submitted To
JUL 2 5 2016
Clerk Treasurer
Ouilding Maintenance
ACCount # D/
DePertment #
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Terms: Due Upon Receipt
SERVICE WORK ORDER 002 k
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TO: .G. hAC.�....�.�-....�P�ar��►.c.h.�........................ LEACH & RUSSELL
MECHANICAL CONTRACTORS, INC.
...............................................................................................................
9151 Ford Circle
JOB LOCATION:
Fishers, Indiana 46038-3000
WORI(PERFORM °` Phone (317) 841-7877 Fax (317) 841-7460
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Order No.: Job Incomplete
................................................................................................................................... PhoneG/ 7 Model Number:
Number:
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Number:
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OTHER CHARGES AMOUNT
QUOTESIFOLLOW-UP: Truck Charge 0®
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DATE LABOR ST 1.5 , DT AMOUNT
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TOTAL MATERIAL TOTAL LABOR 1 30 0e
TOTAL MATERIAL, OTHER& LABOR p�
Work Ord �By-
TAX
�.--.
Sign TOTAL
ere Y ac no e g e sa is ac orycomp a ono e a ova Osco a wo an
.g res
to rende p Ont upon receipt of invoice.
LR-06-0615
P
m `Leach & Russell
Mechanical Contractors, Inc.
n 9151 Ford Circle Invoice
Fishers, Indiana 46038
R U S E E L L Phone:(317)841-7877
M E C H A N I C A L Fax:(317)841-7460
Invoice Number: 37084
o City of Carmel Invoice Date: 07/14/2016
One Civic Square Our Job Number 168576
m Carmel, IN 40632
Job Name: Carmel City Hall
Your Purchase Order Number:
Labor and materials needed for HVAC service in above
location. Responded to court room water leak. Replaced
water heater.
(See copy of work orders attached)
TOTAL AMOUNT DUE $2,707.14
Submitted To
JUL 2 5 2016
Clerk `treasurer
Building Maintenance
Account
Departl'nant -2 s
I
Terms: Due Upon Receipt
Y'
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SERVICE WORK ORDER 004093
TO: .� � L...c.. 1... .Gl.................................................. LEACH & RUSSELL
clk
:.................................................................................................
MECHANICAL CONTRACTORS, INC.
9151 Ford Circle
JOB`DCATID : Fishers, Indiana 46038-3000
2►u
WORK PERFORMED:' Phone (317) 841-7877 Fax (317) 841-7460
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Number. 6
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OTHER CHARGES AMOUNT
QUOTESfrOLLOW-UP:
Truck Charge �5 a�
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TOTAL MATERIALTOTAL LABOR
00 Do
TOTAL MATERIAL, OTHER& LABOR 210-J ISI
Work Ordered By:
TAX ^
Signature: � TOTAL 1710"1 �
hereby acknowledge the satisfactory comp a ono e above escria workan
agree to render payment upon receipt of invoice.
I
LR-06-0615
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SERVICE WORK ORDER 003949
TO: ....&,.1.(.................................................. .LEACH & RUSSELL
MECHANICAL CONTRACTORS, INC.
....................................................................................I.............I............
9151 Ford Circle
JOB LOCATION,
�_ c� Fishers, Indiana 46038-3000
WORK PERFORMED: phone (317) 841-7877 Fax (317) 841-7460
................................................................................................................................
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Number: F�( 70 T
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Number: 9 rJZ 7 _
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OTHER CHARGES' AMOUNT
QUOTESIFOLLOW-UP: Truck Charge
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QTY MATERIALS AMOUNT
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TOTAL OTHER CHARGES
DATE LABOR ST 1.5 DT AMOUNT
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TOTAL MATERIAL TOTAL LABOR
TOTAL MATERIAL, OTHER& LABOR
Work Ordered By: TAX
Signature: TOTAL
Th—ere5y acic 1-4 ')Jjhtf� '2
nowleage me satisfactory coa n o e above escn a wor an
agree to render payment upon receipt of invoice.
I
LR-06-0615
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..iT Leach & Russell
a Mechanical Contractors, Inc.
n 9151 Ford Circle Invoice
Fishers, Indiana 46038
R U S S E L L Phone: (317)841-7877
H E C H A N I C A L Fax:(317)841-7460
Invoice Number: 37077
o City of Carmel Invoice Date: 07/14/2016
One Civic Square j Our Job Number 168737
m Carmel, IN 40632
Job Name: Carmel City Hall
Your Purchase Order Number:
Labor needed for plumbing service in above
location. Responded to clogged sink. Found blender
lid blocking drain within garbage disposal.
(See copy of work order attached)
TOTAL AMOUNT DUE $235.00
Submitted To
JUL 2 5 2016
i
Clerk Treasurer
Building Maintenance
Account# 5 O�
department # i 2-
Terms:
Terms: Due Upon Receipt
SERVICE WORK ORDER 00A04
TO: .` ..G /......................... LEACH & RUSSELL
MECHANICAL CONTRACTORS, INC.
...............................................................................................................
9151 Ford Circle
JOB LOCATION, Fishers, Indiana 46038-3000
W K PERFORMED: Phone 317 841-7877 Fax 317 841-7460
Qi..... .: ........................................................................... ( ) ( )
................................................................................................................................... Date: QContract
]Extra
Order Takgq &Material
A� By: Ej
Warranty
,��,�� .. us Job complete
G............ .... ........... ........... ........G............. ..... :.......... P
� �}t� Order No.: QJob Incomplete
�..', �....... I Phone Model Number:
x5lGY �r�r wtfQ.�r...... ,5 ..............................
S7'� Our Job:` ��/ Serial Number:
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_ Number
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OTHER CHARGES AMOUNT
QUOTESIFOLLOW-UP:
Truck Charge . 00................................................................................................................................ .............................................................................................................. ......... ......
............................................................................................................................... . .............................................................................................................. ..................... ......
.......................................................................................................................................................
QTY MATERIALS AMOUNT
...............................................................................................................................
TOTAL OTHER CHARGES :55 00
..............................................................................................................................
DATE LABOR ST 1.5 DT AMOUNT
:
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TOTAL MATERIAL j TOTAL LABOR w
TOTAL MATERIAL, OTHER&LABOR 623S -00
Work Ordered By TAX
Signature:
� TOTALap
hereby acknowledge the sa is ac orycomp a ion o e a ove escn a wor an
agree to render payment upon receipt of invoice.
I
LR-06-0615
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
FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$914.06 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
37075 43-501.00 $914.06 1 hereby certify that the attached invoice(s),or 7/25/16 37075 $914.06
1120 101 1120 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
Monday,July 25,2016
David Haboush
Fire Chief
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
T Leach & Russell
Mechanical Contractors, Inc.
n 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: 37075
o City of Carmel Invoice Date: 07/14/2016
One Civic Square Our Job Number 168698
m Carmel, IN 40632
Job Name: Carmel Fire Department
Your Purchase Order Number:
Labor and materials needed for HVAC service in above
location. Changed filters in fain coil units. Pulled sock
filters for loop water and cleaned them. Greased pumps.
Cleaned flame sensor rods.
(See copy of work order attached)
TOTAL AMOUNT DUE $914.06
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Terms: Due Upon Receipt
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SERVICE WORK ORDER 003752
TO: C. i . ..1..... .... . .. ".�........................�I LEACH & RUSSELL
clk
..........................................................................................................
MECHANICAL CONTRACTORS, INC.
9151 Ford Circle
JOB LOCATION: Fishers, Indiana 46038-3000
WORK PERFORMED:
....................,1�.(.... (... ,'.�. ...5.....h.....( I1 Phone (317) 841-7877 Fax (317) 841-7460
.. .Y.,..41.e...ti..tJJ.........CI.7(�'.�.....C.....:.....8.../..`.�................/...I......................... Date: �v v\-el 2 b I tf ®contract
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er Take Time&Material
"Warranty
tomer "Job Complete
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..vt. ^'W.....p4 ./ .7.................................................................. Phone Model Number.
J I Number:
....RG'z 10 .....wlfa+..rs.........Q.�,�..WJ....r1a i OurJob /� Serial Number:
Number: `l9
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OTHER CHARGES AMOUNT
QUOTESIFOLLOW-UP: Truck Charge
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QTY . MATERIALS AMOUNT
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L. ..........4P.' . . . ..... . ..- "..................... ..�1... 7. DATE LABOR ST 1.5 DT AMOUNT
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TOTAL MATERIAL 1341 061 TOTAL LABOR 71 -7ol ®p
TOTAL MATERIAL, OTHER&LABOR Ilt 06
Work Ordered By:
TAX —
Signature: �, ^ ^ TOTAL q .
ere y r o e ewe saUS ae ory comp a on o e a ove scribed wo an
agree to render payment upon receipt of Invoice.
LR-06-0615