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302201 08/22/16
(9, CITY OF CARMEL, INDIANA VENDOR: 364570 ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE§HECK AMOUNT: $*****1,155.68* CARMEL, INDIANA 46032 15371 STONEY CREEK WAY CHECK NUMBER: 302201 NOBLESVILLE IN 46060 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 9833 1,155.68 OTHER EXPENSES VOUCHER # 162353 WARRANT# ALLOWED 364570 IN SUM OF $ MECHANICAL CONTRACTING SERVIC 15371 STONY CREEK WAY NOBLESVILLE, IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9833 01-6200-06 150.68 9833 01-6360-06 1,005.00 1 Voucher Total 1,155.68 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 8/8/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8/2016 9833 1,155.68 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 Date Officer s MCS, INC. 15371 STONY CREEK WAY INVOICE NOBLESVILLE, IN 46060 Invoice Number: 9833 Invoice Date: Jun 30,2016 Page: 1 Voice: 317-773-7370 Fax: 317-773-7340 CARMEL WATER COMPANY JOB 16300 004641 3450W. 131ST ST CARMEL WATER COMPANY WESTFIELD, IN 46074 SERVICE CALL Y kGus#amer'I© CustomerPQ ' j ,y�,� CARM Net 30 Days 7/30/16 A'3.k e•. ,M y.. ,sa £�I e �'S` Mak '�c' A � d 19''.: �'' Milt Prlrr, , vlkj AtTtQlt�11I a4 Sales-Service µ 1,155.68 Subtotal 1,155.68 Sales Tax Total Invoice Amount 1,155.68 Check/Credit Memo No: Payment/Credit Applied C� EMMechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT 15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 004641 Name: (' Qty- Description Purchase Order Number Amount Address: $ City: State: Zip: $ Contact: }( . $ Phone No.: $ Date: A $ Equip: $ Model No.: $ Serial No.: $ Year: Total Material= $ WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed: I Service Call Preventive Maintenance .12 Warranty No Heating Call No Cooling Call Equipment Check List R Code Environmental Check List Q� Com ressor:Voltage Ph. E Refrigerant Type: 7 Condensor Coil: Clean: Di F 1 Recovered: Yes_No Q . (:i Refrigerant:erant: T e Leek Char e_ R 2 Recycled: Yes_No_Qty. Fan&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. 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 13 HRS $ /HR REGULAR A Time Departed From Job C HRS @ /HR REGULAR V 2nd Arrival HRS @ /HR OVERTIME E 2nd Departure R HRS @ $ /HR OVERTIME L Truck Char e 1. Material $ Q C All parts noted above an;warranted as per H 2.Truck Charge $ &-) manufacturers specifications. A 3. Labor $ 00 All labor noted above relative to the R 4.Sales Tax $ equipment serviced as noted,is guaranteed G E fora period of 30 days. 4 Total Amount Due. Terms: Net- Due Upon Receipt Serve Man: _ ` �• �� Customer: Date: Signature: Printed: Oil 1 IAIr-%fN1nV f t '..