HomeMy WebLinkAbout303212 09/22/16 r Coq
i/"""F. - CITY OF CARMEL, INDIANA VENDOR: 369349
d ONE CIVIC SQUARE ELLIS MECHANICAL&ELECTRICAL CHECK AMOUNT:
x, ?4 CARMEL, INDIANA 46032 2929 BLUFF ROAD CHECK NUMBER: 303212
,,,_�oN INDIANAPOLIS IN 46225 CHECK DATE: 09/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 161058 3,068.54 BUILDING REPAIRS & MA
110 4350100 16202 350.00 BUILDING REPAIRS & MA
1125 R4350100 38962 16203 500.00 HVAC
1093 4350900 16204 3,925.00 OTHER CONT SERVICES
Voucher No. Warrant No.
369349 Ellis Mechanical & Electrical Allowed 20
2929 Bluff Road
Indianapolis, IN 46225
In Sum of$
$ 7,843.54
ON ACCOUNT OF APPROPRIATION FOR
101 General/109 MCC/110 Park Facilities
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 161058 4350100 $ 3,068.54 1 hereby certify that the attached invoice(s), or
49M 16203 4350100 $ 500.00 bill(s)is(are)true and correct and that the
110 16202 4350100 $ 350.00 materials or services itemized thereon for
1093 16204 4350900 $ 3,925.00 which charge is made were ordered and
received except
September 15, 2016
` &, p.b�a
Signature
$ 7,843.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
9/1/16 161058 Service Cali Bollard Lighting 40546 $ 3,068.54
9/12/16 16203 AO/MO HVAC PM Fall 2016 39520 $ 500.00
9/12/16 16202 Wilfong HVAC PM 3rd Quarter 2016 39562 $ 350.00
9/12/16 16204 MCC HVAC PM Fall 2016 39520 $ 3,925.00
Total $ 7,843.54
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
, 20_
Clerk-Treasurer
Service Invoice
MEC-HA-N�I=CAL'�`& ELECTRICAL q
�� SSP n Z016 Invoice#:..x610581
2929 Bluff Road Indianapolis;IN"46225 X317=786=2957
Date .Q9/01/2016>
�_�,Y'
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#: 161058
Due Date: 10/01/2016 Client PO#: Req. No. 10069
08/18/16-Received service call for outside lighting repairs. Checked with Mike on outside lights that needed to be repaired. Picked
up parts from Monon. Picked up miscellaneous materials for mounting bollard and walk lights. Will return as soon as possible to
complete.
08/22/16-Replaced ballast in bollard. Removed and replaced with new LED lamp/fixtures in wall in front of building under Monon
sign. Installed new MC cable and 4 square box for LED light fixture.
08/23/16-Troubleshoot tripping circuit for outside lighting. Lifted concrete caps and traced wiring running to LED lights. Removed
old wiring and installed new wiring. Test checked lighting operation. Pulled wire for existing override switches for(2)outside
lighting contactors to allow for lights to be turned on locally. Troubleshoot wiring for Monon sign outlet. Traced circuit and restored
power. Installed GFI receptacle and in-use cover. Will return to install LED sign light.
08/25/16- Installed LED fixtures on front sign. Installed wiring for outside lighting override control. Pulled wire,tested,and checked
lighting. Lights provided by customer.
Description Unit Quantity Price Total
Labor: 8/18/16 Hrs 3.00 77.00 231.00
Labor: 8/22/16 Hrs 8.00 77.00 616.00
Labor: 8/23/16 Hrs 12.00 77.00 924.00
Labor: 8/25/16 Hrs 10.00 77.00 770.00
Material:
4"Square Box&Cover Ea 1.00 18.78 18.78
12-2 MC Cable Ft 10.00 0.75 7.50
Concrete Sealant Ea 2.00 6.72 13.44
3/8 x 1-1/4" Round Stove Bolt Ea 4.00 0.89 3.54
Hex Bolt Set-4PC Ea 1.00 7.49 7.49
12-2 OF Cable Ft 20.00 0.53 10.67
3/4"PVC Adapter Ea 2.00 1.31 2.61
#12 THHN Copper Wire Ft 120.00 0.12 14.18
1-Gange Deep Covered Box Ea 1.00 19.46 19.46
Invoice#: 161058 Date: 09/01/2016
Page 2
Description Unit Quantity Price Total
3/4" 1-Gange Box Ea 1.00 10.23 10.23
20A GFCI Ea 1.00 23.97 23.97
1/2" Seal Tight Ft 10.00 1.69 16.90
1/2"Seat Tight Connectors Ea 4.00 3.71 14.82
Metal Round Weather-Resistance Box Ea 2.00 7.01 14.01
Bronze LED Dusk to Dawn Flood Light Ea 2.00 104.97 209.94
Truck Charge Ea 4.00 35.00 140.00
There will be a 2%service.charge per month on all past due invoices over 30 days. Non-Taxable Amount: 3,068.54
Taxable Amount: 0.00
Thank you for your prompt payment! Sales Tax: 0.00
Amn t Dae � 3,068 54 y
E L- L I- S
MECHANICAL & ELECTRICAL Choose One:
2929 Bluff Road - Indianapolis, Indiana 46225 0 C
I WO# Telephone: 317-786-2'957 omplete:
0 U1 0�% P- Not Comlileb
n tug 0 q-- FAX: 317-786-2958 F--jl Partial Bill
m1::: ._.al o NzA C c)tv%t-r-,u iv t:'-r� C-f^S-TCZgi -?1201je-
DATE
F.)D 13S
P
FFY Aa,1.1 TYPE INSPECTION
4
troll.) O.-J, El AIR CONDITIONING
J..
0 HEATING
El7RIGERATION .
CT
SERVICE PERFORMED ELE RICAL
C s
,est—zs�
ryl i cee
IDA-z-rS M Oj AJ.
v -sc
A-r o
------------
SERVICE CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1
F�-Pilot cr Electrodes 0 Suction Pressure D Suction Pressure
0 Head Pressure 0 Head Pressure 2
vent Mpe 0 Refrigerant Charge' 0 Refrigerant Charge
Baal txChanger 0 CompressorValves 0 CompressorValves 3
�a.- -: Limit 0 Oil Level&Pressure 0 Oil Level&Pressure
0 Cond.Coil 0 Cond.Coll 4
0i 0 Evap.Coll 0 Wap.Coil
0 Contractors 0 C.C.Heater 5
3:ric.Damper 0 C.C.Heater 0 Moisture Indictor
l.ani r;vi:;tat 0 Moisture Indictor 0 Condensate PardDrain 6
t,Bearings 0 Condensate PaNDrain 0 Thermostat
Ail 7;-1-rs 0 Thermostat 0 Motor&Bearings 7
c,,,delis,Blower 0 Motor&Bearings D Defrost Controls
F'i'Afirr-j . 0 Air filter El Safety controls 8
7 1 contro Is 0 Pulley,Belts,Blower 0❑AMPS
L Arl.:mr-ige&Volts 0 Wiring 0 Door&Panels 9
LJ Cori:&Panels 0 Safety controls
0 Amperage&Volts 10
0 Door&Panels
TOTAL
LABOR HRS. 4MATERIALS
SALES
TAX
14A c) le-o^1,6 SERVICE
CHARGE
PAY
THIS
AMOUNT
TERMS NET
JnnnPr'-q Sininntimp
E L L S
�nt MECHANICAL & ELECTRICAL
2929 Bluff Road • Indianapolis, Indiana 46225 Choose One:
JOB#/WO# ono�n ❑ Complete
1"�t�1 Telephone: 317-786-2957 � Not Complete
�V.��, b FAX: 317-786-2958 ❑ Partial Bill
NAME—MiQ10Wn DATE T �
ADDRESS
CITY
TYPE INSPECTION
BILLTO: -❑ AIR CONDITIONING
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ELECTRICAL
1 laces ba � i✓1 b (ar-
2 QeV-A oV2d anj V'{,)IAC-td WN'In YleU) wo / fitww�/-o"y4i4 s I'rt
3 wnff in ' -� e4 '1,(A,, ivt dhd-lyr a,,akv.
4 (t I» [�l n�c and -1"ane h" &r- LE,D
5 MaAl .Q X r-2.
7
8 f
9
10
SERVICE CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1 I - L{ 5-9fA&T.( boY C
❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure
❑Burners ❑Head Pressure ❑Head Pressure 2 Tf �2�2 VhG GGtIDI�
❑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 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
LABOR HRS. TOTAL
MATERIALS
16 SALES
TAX
SERVICE
CHARGE
THIS
AMOUNT
TERMS NET
Technician Customer's Signature
E L L I S
MECHANICAL & ELECTRICAL
l •�/f✓ r 2929 Bluff Road • Indianapolis, Indiana 46225 Choose One:
plee
JOB#/1W 1 Telephone: 317-786-2957 U--'Not Complete
�� FAX: 317-786-2958 ❑ Partial Bill
NAME aNFJ� C'.oih l-1 DATE fV4f-* q ?Z3 20/c
ADDRESS ZZ3S C&XZ41L 6 DQ
CITY Cdzm�-�� Y�eV 3Z TYPE INSPECTION
BILL TO: I�oaro�.1 ❑ AIR CONDITIONING
A,�/: /n-I [I HEATING
-T-*M Ou7s)ai, ❑ REFRIGERATION
SERVICE PERFORMED CYElECTRICAL
1 %/Lat1�/� S�oo� DU�r.�� 1. tGff7r�ll G'i�ey�`7 TeL. ApicJ�
I
2 L p/G'f �p>t/G'+t�7lt CA�S °�/Lsl L� w c 2i..I G Ie4jQjW/-rJ 6 -p L t60 L- 4.4-77S
3 . w i2,;•.1 6 ,4,.f.0i�s�r�-�l o��iLtd w%R...,►6
4
5
6 ''o Bt
7
8 "Zr�s��,r4••Io
10 Ngo mo s?� / LSD �Aj 1-16ef7
SERVICE CHECKLIST jBILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1 /_ ViS'A [A,&jASLos
❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure /Z.
Head Pressure ❑Head Pressure 2 -,2D t— /Z-Z-
•
Z
❑Burners —
❑Vent Pipe ❑Ref rigerant Charge ❑Refrigerant Charge x - 3/y It PyC -r A IS
❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3 /
C1 Fan&Limit ❑Oil Level&Pressure ❑Oil Level&Pressure (!(� ,. I Z —TN OP if 0&UL W
❑Pilot Safety ❑Cond.Coil ❑Cond.Coil 4 P
❑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 DHRS. (MATERIALS
SS�lOD� CoA SERVICE
CHARGE
THIS I
AMOUT
�', TERMS NET
Technician Customer's Signature
E L L I S
MECHANICAL & ELECTRICAL
�� ( p n Cb_oose One:
2929 Bluff Road • Indianapolis, Indiana 46225
JOB#/WO# "� "� Telephone: 317-786-2957 ®' Complete
C1 Not Complete
FAX: 317-786-2958
C1PartriallBill
NAME m /L)ON L�I r 0 l fn V N1 C DATE �v� sl�g5 ` lo
ADDRESS C &J7'rea-L fIkZ bet- .
CITY--
e44410— �� y���Z TYPE INSPECTION
BILLTO: R-17At ❑ AIR CONDITIONING
��7Si�!r (a,e< �.•/� ��pA,Q, ❑ HEATING
�❑ REFRIGERATION
"
SERVICE PERFORMED ' ELECTRICAL
2
3 Pot C 4LCfZ L.' c:r(,N c
4
5
7 �P1*7
8
9 AV
10
SERVICE CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1 */Z T2NOLi,g t a
❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure - k- - -
❑Burners ❑Head Pressure ❑Head Pressure 2 Z sof
❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge
❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3
❑Fan&Limit ❑Oil Level&Pressure ❑Oil Level&Pressure I t/
El Pilot Safety ❑Cond.Coil ❑Cond.Coil 4 V
❑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 PaNDrain ❑Thermostat
❑Air Filters ❑Thermostat ❑Motor&Bearings 7
❑Pulley,Belts,Blower ❑Motor&Bearings ❑Defrost Controls
❑Wiring ❑Air filter ❑Safetycontrols 8
O 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
i64-4.v&A/ 4vl j; ', 4,Ld S .0j SERVICE
CHARGE
PAY
THIS
AMOUNT
r �ERMS NET
Technician Customer's Signature C f l �
E11isLLec�anica Inc. - _INVOICE
r 929 Bluff
A--
Indianapolis IN 46225 11 oV id 603
s y317-786-2957
SE 4 Z016
Date-,09/12/2016 ,
F"
Billed To:. Carmel Clay Parks & Recreation ( 101 ) Project: CCP&R Admin/Maint 2016 PMs
Attention: Paula Schlemmer 1411 E. 116th Street
1411 E. 116th Street Carmel IN 46032
Carmel IN 46032
Due Date: 10/12/2016 Contract#: 2016033 PO# 38962
Quote#: 2016033
8/29/16-Completed preventative maintenance. Changed filters, cleaned condensing coils, and checked charges. Found two units
low on refrigerant. Topped off charges and verified proper operation of A/C.
Description Amount
2nd Bi-Annual HVAC Preventative Maintenance 500.00
There will be a 2%Service Charge per month on all invoices over 30 days past due. Amount Due y� u50Qs005,
Thank you for your prompt payment!
E L L I S
MECHANICAL & ELECTRICAL
i 2929 Bluff Road • Indianapolis, Indiana 46225 ComOlete
JOB#/WO# Telephone: 317-786-2957 ❑ Not Complete
FAX: 317-786-2958 ❑ Partial Bill
NAME / I /viar DATE �,Lj—1
ADDRESS
CITY TYPE INSPECTION
❑ AIR CONDITIONING
BILLTO:
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
aW
� 7e-
, ,
3
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
11Vent 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 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
pOf SALES
P—m
TAX
SERVICE
CHARGE
THIS
AMOUNT
TERMS NET
Technician .--V/�?,=&, Customer's Signature
Ellis:_Mechanical, Inc. INVOICE
` _I" 14p.apolis IN 46225 - Invol e#::_16202..
317=786=2957 '- SEP 14 2016
r-Date,.;:09/12/2016
Billed To: Carmel Clay Parks & Recreation ( 101 ) Project: Wilfong Pavilion 2016 PMs
Attention: Paula Schlemmer 11675 Hazel Dell Parkway
1411 E. 116th Street Carmel IN 46032
Carmel IN 46032
Due Date: 10/12/2016 Contract#: 2016034 PO# 39562
Quote#: 2016034
8/29/16-Completed HVAC preventative maintenance. Changed filters, cleaned washable filters, checked belts, and cleaned
condensing coils. Verified proper operation of A/C.
Description Amount
2016 3rd Qtr HVAC Preventative Maintenance. 350.00
There wi//be a 2%Service Charge per month on a//invoices over 30 days past due. Amount Due 350,00
Thank you for your prompt payment!
s r
E LLIS
MECHANICAL & ELECTRICAL
2929 Bluff Road • Indianapolis, Indiana 46225 h e One:
JOB#/WO#gv 1 00 Telephone: 317-786-2957P'Complete
❑ Not Complete
FAX: 317-786-2958 ❑ Partial Bill
r /
NAME ,`2r7 �/ /011 DATE ( G
ADDRESS
CITY
TYPE INSPECTION
BILL TO:
❑ AIR CONDITIONING
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
Q r a
1 SGf
r
16
3
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.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 ❑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
L STAXS
vj
SERVICE
CHARGE
THIS
AMOUNT
TERMS NET
Technician Customer's Signature �r
EllslVhchanical, Inc. INVOICE
2929 Bluff Road` `:-J
00i0000'-"X'46225 SEP 1 4 2016 I vn oice# 16204 ,
'--317-786:2957-=- S t - -- �-
r-Date 09/12/20,1.67
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: 10/12/2016 Contract#: 2015036 PO# 38230
Quote#: 2015036
8/25/16-Started preventative maintenance. Greased all pumps and bearings. Checked belts in boiler room exhaust fans.
Inspected boiler and serviced. Changed filters in the north Dectron unit. Inspected belts then greased motors and bearing in the
north Dectron unit. Cleared condensation drains in both Dectron units. Changed filter in fan coil unit between Dectron units then
cleared condensation drains and placed pan tablets in all three units.
8/26/16-Continued preventative maintenance on Dectron units, VAV boxes and AHU#7. Changed filters, checked belts, then
greased motors and bearings. Cleaned condensing coils and checked operation of units.
8/29/16-Completed monthly preventative maintenance. Inspected operation of exhaust fans then checked belts and greased
motors and bearings.
Description Amount
Fall HVAC Preventative Maintenance 3,925.00
There wi//be a 2%Service Charge permonth on a//invoices over30 days pastdue. Amount Due r-}'3 925--00-,
•_ 7
Thank you for your prompt payment!
L LL I S
MECHANICAL & ELECTRICAL
1 1/y 2929 Bluff Road • Indianapolis, Indiana 46225 oose One:
❑h Complete
JOB#/WO# _0`50 � Telephone: 317-786-2957 WNot Complete
FAX: 317-786-2958 J ❑ Partial Bill
NAME M o&,1d,12 ` �'�/ DATE ✓�G
ADDRESS
TYPE INSPECTION
CITY
❑ AIR CONDITIONING
BILLTO:
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
1 5 ,42 • �fY1'c l�i2r�,�s�� l ,�P�. --s�za CA6�j
2 �p�( ra 6oI1elL ROOK EXA414-4 rA l�.s.Pb'G�E9 16or162 .4—r/ SE2VIP GgA
3 aAS &eEdCD 6h,*y2 g2 M6' Aly2� ,0C Azo.J
4� sEPWAoas 9-1364fzl�; 4a u�,,� G/►�G���
6 A002-K. (1��:�' Gl6�s-2E,
5 L�ni��rvS /oaf `�A`I� !-v Ro�� 17E i�o�l1 u,vrl's. �-�& -o"1
6 r.4./ efvl✓t�nJ �a � ((nvli-4S . c-j Gf/��2
�. ?.A1 da41elS WA / ti
8
9
10
SERVICE-CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1 17 7��... s�,t;•fiA!5A.
❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure
❑Burners ❑Head Pressure ❑Head Pressure 2
❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge
❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3-
El
.❑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 PaNDrain ❑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
` J SALES
�.(J l✓!i TAX
J� SERVICE
_ CHARGE
THIS I
AMOUNT
TERMS NET
Technician Customer's Signature
ELL
I S
MECHANICAL & ELECTRICAL
`L f, 2929 Bluff Road • Indiana olis, Indiana 46225
ppose One:
JOB#/WO# �I "�''xl(/ Telephone: 317 786-2957 Complete
❑ Not Complete
FAX: 317-786-2958F-1PartialBill
NAME f DATE<J)z-Lc—J(g
ADDRESS
CITY TYPE INSPECTION
BILL TO: 11AIR CONDITIONING
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
fVAY.A � .
1 < < '
2 nLoi
3
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.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 Pai/Draln ❑Thermostat
❑Air Filters ❑Thermostat ❑Motor&Bearings 7
❑Pulley,Belts,Blower ❑Motor&Bearings ❑Defrost Controls
11 Wiring ❑Air filter ❑Safetycontrols 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
r 1 SERVICE
UZ
CHARGE
1 1917THIS
AMOUNT
TERMS NET
Technician Customer's Signature
E L L I S
MECHANICAL & ELECTRICAL
se One:
2929 Bluff Road • Indianapolis, Indiana 46225 complete
JOB#/WO# 6 �. Telephone: 317-786-2957 ❑ Not Complete
FAX: 317-786-2958 ❑ Partial Bill
NAME ,.,, O o DAT
ADDRESS
CITY TYPE INSPECTION
❑ AIR CONDITIONING
BILLTO:
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
2
3
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 ❑011 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 PaNDrain ❑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
LABOR HRS. TOTAL
aIATERIALS
SALES
TAX
P ' SERVICE
i
CHARGE
PAY i
THIS
AMOUNT
of TERMS NET
i
Technician Customer's Signature