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HomeMy WebLinkAbout304362 10/26/16 CITY OF CARMEL, INDIANA VENDOR: 369349
ONE CIVIC SQUARE ELLIS MECHANICAL& ELECTRICAL CHECK AMOUNT: $*****7,885.80*
CARMEL, INDIANA 46032 2929 BLUFF ROAD CHECK NUMBER: 304362
INDIANAPOLIS IN 46225 CHECK DATE: 10/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 161206 958.92 BUILDING REPAIRS & MA
1094 4350100 161206 651.00 BUILDING REPAIRS & MA
1093 4235000 161208 718.38 BUILDING MATERIAL
1125 4350100 40692 161260 783.00 AO THERMOSTAT REPLACE
1125 4350400 40690 161273 304.50 DRAIN CLEANING FLOW W
1093 4350100 161277 1,290.00 BUILDING REPAIRS & MA
1093 4350100 16232 3,180.00 BUILDING REPAIRS & MA
Voucher No. Warrant No.
369349 Ellis Mechanical & Electrical Allowed 20
2929 Bluff Road
Indianapolis, IN 46225
In Sum of$
$ 7,885.80
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 109 Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1094 161206 4350100 $ 651.00 1 hereby certify that the attached invoice(s), or
1093 161206 4350100 $ 958.92 bill(s) is(are)true and correct and that the
1093 161208 4235000 $ 718.38 materials or services itemized thereon for
1093 16232 4350100 $ 3,180.00 which charge is made were ordered and
40692 F 161260 4350100 $ 783.00 received except
40690 F 161273 4350400 . $ 304.50
1093 161277 4350100 $ 1,290.00
October 18, 2016
Signature
$ 7,885.80 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
10/14/16 161206 Emergency Service Indoor Activity Fill Line 40694 $ 651.00
10/14/16 161206 Lower Pool Deck Light/Walk In Cooler East Bldg 40694 $ 958.92
10/12/16 161208 Booster Pump Repair Concessions Building 40689 $ 718.38
10/12/16 16232 Main Pump House Sump Pump Replacement 40659 $ 3,180.00
10/14/16 161260 AO Thermostat Replacement 40692 $ 783.00
10/12/16 161273 Drain Cleaning at Flowing Well 40690 $ 304.50
10/12/16 161277 Concessions Booster Pump Repair 40640 $ 1,290.00
Total $ 7,885.80
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
` MrIp-fir c�, LIEC
'MECIi:A I; AsL T�LE'LE:GrtTRICAL Service Invoice
OCT 17 2016 ,u ;
'Invoice#: 161206,D_
2929 Bluff'Roadn�Indianapolis;IN 46225 317-786-2957 _
BY:-
Billed
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 46032 Carmel IN
Payment Terms: Net 30 Days Work Order#: 161206
Due Date: 11/13/2016 Client PO#: Req*No. 10332
09/16/16-Received service call for 400 watt light in pool area. Checked wiring and replaced mogul base lamp socket. Checked all
connections and replaced ballast. Light fixture working correctly. Looked at leaking valve for pool fill by-pass. Picked up valves,
unions,fitting, and pipe to replace by-pass piping. Cut in and replaced; restored piping. While onsite,was asked to inspect walk-in
cooler temperature alarm. Determined alarm sensor had failed. Ordered new sensor and will return as soon as possible to install.
09/19/16-Returned and installed new temperature sensor on alarm controller for east building walk-in cooler. Verified proper
operation of new sensor.
Description Unit Quantily Price Total
Labor: 9/16/16 Hrs 13.50 77.00 1,039.50
Labor: 9/19/16 Hrs 1.00 77.00 77.00
Material:
T' Propress Ball Valve Ea 2.00 59.99 119.97
1"Propress Union Ea 2.00 48.44 96.87
1"Propress 90 Pkg 1.00 105.59 105.59
1"Propress Male Adapter Ea 2.00 11.99 23.97
1"x 5'Copper Ea 1.00 28.49 28.49
Temperature Sensor Ea 1.00 48.53 48.53
Truck Charge Ea 2.00 35.00 70.00
Non-Taxable Amount: 1,609.92
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 a 7 609 92
ELLIS
MECHANICAL & ELECTRICAL se One:
2929 Bluff Road - Indianapolis, Indiana 46225
JOB# WO#. ZO(.4 Telephone: 317-786-2957 omplete
XI
Not
If Complete
FAX: 317-786-2958 C1 Partial Bill
q
NAME %0219610'r0 DATE
ADDRESS IZ-9-5 EAS-7
Cl TYhII6,L-
TYPE INSPECTION
c-m,,CM
BILL TO: /77J
AIR CONDITIONING
A-r7AI: lyiia 0 HEATING
El REFRIGERATION
SERVICE PERFORMED 0 ELECTRICAL
S-CAVI sk. C,4-ft r-,z- 410 v wA—,--r Cc -7
1 Aze44 wik,;,j,6 it13,isC CAme soa&e-r.
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10
SERVICE CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION I ViSA rAJW&*_&_5
0 Pilot or Electrodes 0 Suction Pressure 0 Suction Pressure
0 Burners 0 Head Pressure 0 Head Pressure 2
0 Vent Pipe 0 Refrigerant Charge 0 Refrigerant Charge
11 Heat Exchanger 0 CompressorValves 0 CompressorValves 3
0 Fan&Limit 0 Oil Level&Pressure Doil Level&Pressure
0 Pilot Safety 0 Cond.Coll 0 Cond.Coll 4
0 Oil Filter 0 Evap.Call 0 Evap.Coil
0 ail Nozzle 0 Contractors 0 C.C.Heater 5
1:1 Barometric Damper 0 C.C.Heater 0 Moisture Indictor
0 Thermostat 0 Moisture Indictor 0 Condensate PantDrain 6
0 Motor&Bearings 0 Condensate PaidDrain 0 Thermostat
Cl Air Filters 0 Thermostat 0 Motor&Bearings 7
0 Pulley,Belts,Blower 0 Motor&Bearings 0 Defrost controls
13 Wiring 0 Air filter 0 Safety controls 8
0 Safety controls 0 Pulley,Belts,Blower 0 AMPS
0 Amperage&Volts 0 Wiring 0 Door&Panels 9
0 Door&Panels 0 Safety controls
0 Amperage&Volts 10
0 Door&Panels
TOL
LABOR HRS. TAA
Y/SALES
5:0
VC 1Z6_r7_ �%_i_ / TAX
IQ - 0
13APPovo h4ulo-olh 1 -5. SERVICE
*
CHARGE
IT PAY i
it&E THIS
AMOUNT
-A TERMS NET
Technician Signature Z —
V
. � E L L I S
�p MECHANICAL & ELECTRICAL
I 2929 Bluff Road • Indianapolis, Indiana 46225 Choose One:
JOB#/WO# I Cot Co
Telephone: 317-786-2957 ❑ Not Complete
901
W 0 I, FAX: 317-786-2958 ❑ Partial Bill
NAME )''J`Ylr�o, C ��n.
QMrq
DATES yp
ADDRESS
TYPE INSPECTION
CITY
❑ AIR CONDITIONING
BILLTO:
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
r r
2ALL
�e� ` r
3
4
5
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 El 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
11 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 r HRS. ATERIALS
SALES
TAX
SERVICE
CHARGE
PAY
THIS
AMOUNT
TERMS NET
Technician Customer's Signature
S
i
E : *L =La-
IbIECHAN�IGA1 &$ZEtLE:CTR`ICsA"L; Service Invoice
PP2�29 Bluff;Roa��Indian polis,IN 46225�"'3fT7$6-2g 97�' �°,(�����{ � ' IILVOICe# ,_161.2Q8-
L�w.. •4.,..k., =>"" _-_'_�"`�...Yrv�.;•o1-sst,..�="f3k ..`•J
OCT 14 2016 Date: 10/12/201.6° i
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 -
p
n•f
Payment Terms: Net 30 Days Work Order#: 161208
Due Date: 11/11/2016 Client PO s, p5Seq. NoI'0331 �y)
Vis."�.T !,�' ca'
09/19/16-Received call regarding Outdoor Concession booster pump leaking. Removed leaking pump#2 and will;sepd o�sbe�
rebuilt. Also found broken shut off to pump water supply. Removed shut off valve manifold for repairs. Will return to re-install
repaired pump as soon as possible.
10/03/16-Completed re-installation of rebuilt pump for outdoor concession domestic booster#2. Replaced failed valve and union,
mounted,and wired pump. Cycled and verified operation.
Re-built pump will be billed on another invoice using PO#40640.
Descrintion Unit Quantily Price Total
Labor: 9/19/16 Hrs 3.00 77.00 -231.00
Labor: 10/3/16 Hrs 4.00 77.00 308.00
Material:
1" Ball Valve Ea 1.00 16.01 16.01
1-1/4" Union Ea 1.00 82.49 82.49
Bernzomatic Map/Pro Tank Ea 1.00 10.88 10.88
Truck Charge Ea 2.00 35.00 70.00
Non-Taxable Amount: 718.38
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! Qun `��.� X7_18:38:,,
t Due ,� ,-.,.�, :��.;,�-,
E L L I S
MECHANICAL & ELECTRICAL
�l 2929 Bluff Road • Indianapolis, Indiana 46225 Choose One:
JOB#/WO# D Telephone: 317-786-2957 ® Not Complete
—fuComplete
v i f1� FAX: 317-786-2958 ❑ Partial Bill
NAME ���n ��s kv DATE 1� �/�
ADDRESS
TYPE INSPECTION
CITY
❑ AIR CONDITIONING
BILLTO:
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
2 u be-
3 LA. .41V� titer ��
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 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. !)ATERIALS
[y
SALES
TAX
SERVICE
CHARGE
THIS
AMOUNT
q TERMS NET
Tprhnician r.iiQtnmpr'S.Rinnnturp il/ApA A A/C
E L L S
MECHANICAL & ELECTRICAL
2929 Bluff Road • Indianapolis, Indiana 46225 Choose One:Al Complete
JOIN/WO# I Telephone: 317-786-2957 ❑ Not Complete
°7:0' W 04 FAX: 317-786-2958 ❑ Partial Bill
NAME Monon Qrnft7ijM,41j lf4Abef DATE 10 IS
ADDRESS
CITY TYPE INSPECTION
BILLTO: ❑ AIR CONDITIONING
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
20 0 3 /•,g
? LJle-
1✓Y D�t�4� S►'1(,�= C
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
U SALES
SERVICE
CHARGE
PAY
THIS
AMOUNT
1/ TERMS NET
Tec nician Customer's Signature 1 ' Itr
E11isecanal ;In INVOICE
, _ k �,
Indianapolis IN 46225 Igy01C@#: 1.6232
317-786-2957' OCT 14 2016Date:.__1,0%12/2016=
V.
Billed To: Carmel Clay Parks & Recreation ( 101 ) Project: Monon Waste Pumps
Attention: Paula Schlemmer 1235 Central Park Drive East
1411 E. 116th Street Carmel IN 46032
Carmel IN 46032
Due Date: 11/11/2016 Contract#: 20163491CPO#
PO# 10460
Quote#: 2016349
Description Amount
Replaced (2)Zoeller Waste Pumps as per quote. 3,180.00
There wi//be a 2%Service Charge permonth on a//invoices over30 days past due. Amo_unt.Due-� %,<-- :- r=:r .:3 80 00r
Thank you for your prompt payment!
E L L S
MECHANICAL & ELECTRICAL
(n 2929 Bluff Road • Indianapolis, Indiana 46225 Chooz� One:
JOB#/WO# �`�
T--Complete
Telephone: 317-786-2957 ❑ Not Complete
FAX: 317-786-2958 ❑ Partial Bill
NAME Ino"01U C0+''^M0fjc'7c> DATE ZO 0V Z.%1.
ADDRESSA X
,�7C1l P,��► 4612• t'AS7
CITY- eA' L A je6,?Z TYPE INSPECTION
(hodU ON; eo,n M gJ.,�? El AIR CONDITIONING
BILL TO: �> ���'��/l-
/Q-Z�lny ❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED El ELECTRICAL
2 j�/Lo j i a f_ :mss-7.a-i! ,y'dg f,j 2 u e;R,;r 4. , Ai u F-9 , 19A c& Flows
4 o,aTS
5 T�s7 , Che'aK
6
8
9
10
SERVICE CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1 — 17'1 rWa�.QS
❑Pilot or Electrodes ❑Suction Pressure ❑Suction Pressure 2 a i 5 k yv �e
11 Burners ❑Head Pressure ❑Head Pressure 2 1
❑Vent Pipe ❑Refrigerant Charge ❑Refrigerant Charge 2 _ (�; F.? V
❑Heat Exchanger ❑CompressorValves ❑CompressorValves 3 fin'►�S�S
❑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 B
❑Safety controls ❑Pulley,Belts,Blower ❑AMPS
❑Amperage&Volts ❑Wiring ❑Door&Panels 9
❑Door&Panels ❑Safety controls
❑Amperage&Volts 10
❑Door&Panels
LABOR HRS. TOTALTERIALS
fits"-7-7- SALES
TAX
SERVICE
CHARGE
PAY
Al THIS
OUNT
TERMS NET
Technician Cuctnmar'c Rinnatura ITAI& /;M��
Litt
5 it 3
Wfcfl TIC?ALHL;�ELE�CT�RIC13`L' �EIVED Service Invoice
OCT 17 2016 nvoice 6 260
929 Bluff Roa�,;;;,In�c ianapolis;�IN46225k?�3;17�786�2957 4 -
Date:,r 10/9;4/201:6„�.,, y,_,
��: _ .
Billed To: Carmel Clay Parks & Recreation Location:Administation/Maintenance
Attention: Paula Schlemmer
1411 E. 116th Street 1411 E. 116th Streert
Carmel IN 46032
Carmel IN 46032
Payment Terms: Net 30 Days Work Order#: 16126014;4- --
Due Date: 11/13/2016 Client PO7' Req. No. 10461
10/03/16-Received request from Mike to install new programmable thermostat in main office area. Upon disabling of furnace to
replace thermostat,found existing zone control. Inspected and found control wired to existing dampers and thermostat; secondary
zone thermostats abandoned. Notified Mike Kilpatrick of findings and was requested to lock open dampers and disconnect
controller to install new thermostat. Prior to beginning installation,was told that new thermostat was not the correct one. The
staff/director had requested a specific thermostat and had also requested that a second thermostat be installed. Gained approved
to proceed. Ordered specified thermostats and will return to complete as soon as possible. Left existing thermostats/controls as is
until new thermostats are received and installed.
10/10/16-Installed (2) new thermostats. Installed thermostat for conference zone and office/lobby zone. Abandoned existing zone
control for office/lobby. Verified dampers failed open and locked position. Cycled and verified heat/cool on new thermostats.
Descrintion Unit Quantity Price Total
Labor: 10/3/16 Hrs 1.50 77.00 115.50
Labor: 10/10/16 Hrs 2.50 77.00 192.50
Material:
FocusPro 6000 Thermostat Ea 2.00 202.50 405.00
Truck Charge Ea 2.00 35.00 70.00
Non-Taxable Amount: 783.00
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! AmountDie "$ 83:00..
:y � ELLI S
MECHANICAL & ELECTRICAL
Choose One:
t I Woo 2929 Bluff Road - Indianapolis, Indiana 46225 1-] Complete
J
ON Telephone: 317-786-2957 V Not Complete,
FAX: 317-786-2958 0 Partial Bill
NAME ReAS AJv%-!a DATE
ADDRESS
CITY
ry TYPE INSPECTION
BILLTO: El AIR CONDITIONING
0 HEATING
171 REFRIGERATION
SERVICE PERFORMED 0 ELECTRICAL
CCOL wA re.&Le.6k -If
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16"5 41�k aoen As��s ond dhsz,,p,%-Nac,/
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7
9 lee
10
SERVICE CHECKLIST BILL OF MATERIALS
HEATING AIR CONDITIONING REFRIGERATION 1
0 Pilot or Electrodes 0 Suction Pressure 0 Suction Pressure
11 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
11 Fan&Limit (I Oil Level&Pressure 0 Oil Level&Pressure
0 Pilot Safety 0 Cord.Coil 0 Cord.Coil 4
0 Oil Filter G Evap.Coll 0 Evap.Coil
0 Oil Nozzle 0 Contractors 13 C.C.Heater 5
0 Barometric Damper D C.C.Heater 0 Moisture Indictor
11 Thermostat 0 Moisture Indictor 0 Condensate Pan/Drain 6
C1 Motor&Bearings 11 Condensate PaiVDrain 0 Thermostat
0 Air Filters D Thermostat 0 Motor&Bearings 7
11 Pulley,Belts,Blower [I Motor&Bearings 0 Defrost Controls
0 Wiring D Air filter 0 Safety controls 8
0 Safety controls 0 Pulley,Belts,Blower 0 AMPS
11 Amperage&Volts D Wiring 0 Door&Panels 9
0 Door&Panels 0 Safety controls
13 Amperage&Volts 10
0 Door&Panels
IL
LABOR HRS MATERIALS
-4 OSALES
l TAX
SERVICE
CHARGE
PAY
THIS
AMOUNT
TERMS NET
Technician Customer's Signature 06)
. . ra
ELLI S
ii MECHANICAL & ELECTRICAL
2929 Bluff Road - Indianapolis, Indiana 46225 Choose One:
JO]3#/W()# Telephone: 317-786-2957 j;?7 Complete
'5- Not Complete
FAX: 317-786-2958 0 Partial Bill
NAME fMxVj DATE 16ht2j&
ADDRESS Q
CITY TYPE INSPECTION
BILLTO: 0 AIR CONDITIONING
0 HEATING
0 REFRIGERATION
SERVICE PERFORMED 0 ELECTRICAL
lm4vill 1'2�
2
V .
3 X/p
pl-
4 c)n V V
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
11 Burners 11 Head Pressure 0 Head Pressure 2
0 Vent Pipe 13 Refrigerant Charge 0 Refrigerant Charge
0 Heat Exchanger 0 Compressorvalves 0 CompressorValves 3
11 Fan&Limit 13 Oil Level&Pressure 0 Oil Level&Pressure
0 Pilot Safety 0 Cord.Coll 0 Cond.Coll 4
0 Oil Filter 0 Evap.Coil 0 Evap.Coll
El Oil Nozzle 0 Contractors 0 C.C.Heater 5
0 Barometric Damper 0 C.C.Heater 0 Moisture Indictor
0 Thermostat 13 Moisture Indictor 0 Condensate Pan/Drain 6
0 Motor&Bearings 0 Condensate Pai0mln 0 Thermostat
11 Air Filters [I Thermostat 0 Motor&Bearings 7
0 Pulley,Belts,Blower El Motor&Bearings 0 Defrost Controls
0 wiring 1:3 Air filter E3 Safetycontrols 8
0 Safety controls 0 Pulley,Belts,Blower 0 AMPS
0 Amperage&Volts 0 Wiring 0 Door&Panels 9
0 Door&Panels 0 Safety controls
0 Amperage&Valts 10
D Door&Panels
TTAL
LABOR HRS. MATERIALS
A I(i SALES
TAX
SERVICE
CHARGE
PAY
THIS
Ate AMOUNT TERMS NET
Technician Customer's Signatures
7'g �ws
MECI3.ANI AL ,SLEI.E'CTR<I.CAL CEIVED Service Invoice
OCT 1 4 20�6 �_Invoice#: 16'1'273
922 9 Bluff;Roadr Indianapol�s,_IN 46225 317 786.2957
�Dafe 1Q�12(2016
BY:
Billed To: Carmel Clay Parks & Recreation Location:Flowing Well Park
Attention: Paula Schlemmer 5100 E. 116th Street
1411 E. 116th Street
Carmel IN 46032 Carmel IN 46033
Payment Terms: Net 30 Days Work Order#: 161273
Due Date: 11/11/2016 Client POM Req No. 10479
r.
10/05/16-Received call from Neil Whitehead regarding clogged drain line for the spring. Used snake and 1-1/2 cuttinga d"toc� lear
the drain. Drain is now flowing.
Descriration Unit Quantily Price Total
Labor: 10/5/16 Hrs 3.50 77.00 269.50
Truck Charge Ea 1.00 35.00 35.00
Non-Taxable Amount: 304.50
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! mount Due
E L L I S
I i MECHANICAL & ELECTRICAL
t I i
2929 Bluff Road • Indianapolis, Indiana 46225 hg.,,Complete
Choose One:
JOB#/WO# II2 � Telephone: 317-786-2957 p Not Complete
A FAX: 317-786-2958 // Partial Bill
xn//(0
NAME C �� `� DATE
ADDRESS Pick)Z n W91 PK
TYPE INSPECTION
CITY
❑ AIR CONDITIONING
BILLTO:
❑ HEATING
❑ REFRIGERATION
SERVICE PERFORMED ❑ ELECTRICAL
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3 Z)A41 aJ �j a.,dc.J cJ" [s'oo cl
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
SALES
SERVICE
CHARGE
PAY
THIS
MOUNT
TERMS NET
Technician N Customer's Signature �{'
J A
VIECHANICt1�L 5gL;rELE<.CfTR>'x,CA •''�' C VEE Service Invoice
i Invoice#:16:1277
2929 B zff Road Indianapolis,IN 46225: 317786 2957r< ` '^
� .� OCT~'14 2016 �__,� �
BY:
Billed To: Carmel Clay Parks & Recreation Location:
Attention: Paula Schlemmer 1411 E. 116th Street
1411 E. 116th Street
Carmel IN 46032 Carmel IN 46032
.�r�ry
Payment Terms: Net 30 Days Work Order#:_161277
Due Date: 11/11/2016 Client PO 40640
40640i?'
Description Unit Quantily Price Total
Re-built Pump Repair Ea 1.00 1,290.00 1,290.00
Non-Taxable Amount: 1,290.00
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,Duey{a-.s:>-r��. ���$1;290,_0_0
(9CITY OF CARMEL, INDIANA VENDOR: 079900
ONE CIVIC SQUARE GARY DUFEK CHECK AMOUNT: $*******328.90*
CARMEL, INDIANA 46032 12610 OVERTURE DRIVE CHECK NUMBER: 304361
, CARMEL IN 46033 CHECK DATE: 10/26116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 101916 175.00 EXTERNAL TRAINING TRA
1120 4343004 102516 153.90 TRAVEL PER DIEMS
Claim No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
Gary Dufek That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
153.90 That it is apparently correct
$ incorrect
On Account of Appropriation No9120-430-0jor
Disbursing Officer
(CD
Allowed 20 o
tr"
in the sum of$ Q o '
" (D
�Q
X
(D ¢ 4
ID
0o �na
alomd or Conrnission) QAO
/ j
FILED o a
R ((D
as
Q
-n m
_N C'
Q
(official Title) f+Q
O �
Prescribed by Stale Board of Accounts General Form No.101(1955)
MILEAGE CLAIM
Fire Department TO Gary Dufek DR.
(Governments Unit)
On Account of Appropriation No. 430-04 for TRAVEL PER DIEMS
(Office,Board,Department or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @
20 Point Point Start Finish TRAVELED PER MILE
Carmel,IN South Bend.IN 7159
South Bend, IN Carmel,IN 7444 C_ _�� 285 153.90
Auto License No. TOTALS 153.90
*SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after
allowing all just credits,and that no part of the same has been paid.
Date
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
GARY DUFEK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
12610 OVERTURE DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$175.00 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
0 43-430.02 $175.00 1 hereby certify that the attached invoice(s),or 10/24/16 0 $175.00
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, October 24,2016
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
�Q0.1NP.� C
CITY OF CARMEL Expense Report (required for all travel expenses)
N
/NDIANp
EMPLOYEE NAME: Gary Dufek DEPARTURE DATE: TIME: AM/
DEPARTMENT: FIRE RETURN DATE: TIME: Nvz AM/
REASON FOR TRAVEL: Accreditation Class DESTINATION CITY: South Bend, Indiana
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Meals
Date Gas/Tolls/ Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/16/16 $25.00 $25.00
10/17/16 50.00 $50.00
10/18/16 50.00 '$50.00
10/19/16 50.00 450.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
`$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total
$0.001 $0.00 . $0.00 $0.00 $0.00 $0.001 $0.00 $0:00 $0:00 s $175.00 $0.00
DIRECTOR'S STATEMENT: I he eb a Irm that all expe se listed nform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 10/24/2016 Page 1
123 North Saint Joseph St.•South Bend,IN 46601
Phone(574)234-2000 Fax(574)234-2252
DOUBLETREE For reservations across the nation
Name&Address
8Y HILTON' www.doubletree.com or 1-800-222-TREE
SOUTHBEND
DUFEK,GARY Room 531/NK1
Arrival Date 10/16/2016 8:19:00 PM
2 CIVIC SQUARE Departure Date 10/19/2016
CARMEL IN 46032 Adult/Child 2/0
UNITED STATES OF AMERICA Room Rate 96.
96.00
Rate Plan: GVS •
L:# G Z G
AL:
Car:
Confirmation Number:87344994
10/19/_2016 "_ HHONORS
IBLTON WORLDWIDE
DATE REFERENCE DESCRIPTION AMOUNT
9/27/2016 961384 Advance Deposit CHECK-(number 302568) ($305.28)
10/19/2016 973406 GUEST ROOM $96.00
10/19/2016 973407 GUEST ROOM $96.00 ^ " '
10/19/2016 973408 GUEST ROOM $96.00 n
**BALANCE** ($17.28)
CC'NRAD
gets t.c.'::-Yf•
Hilton
49
Gmnn��r
G'U IT.KS
H!Tkm
1G::2,kRl f3111
ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO.
280217 B
CARD MEMBER NAME AUTHORIZATION INITIAL
tiL1iTE5
ESTABLISHMENT NO.&LOCATION FSTABDSHMENTAOREESTOTRNSAIRTOCARDHOLDER FOR PAYMENT PURCHASES&SERVICES
THANK YOU FOR CHOOSING DOUBLETREE SOUTH BEND.
TAXES
TIPS&MISC.
CARD MEMBER'S SIGNATURE
TOTAL AMOUNT
X •'rtZ
YiSeDn
ijrtnS1 T.y�tL':ar2.;t55
NCERCIIANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEEPT
Center for Public Safety Excellence,Inc.
Center for 4501'Singer Court,Suite 180
Public Safety Chantilly,VA 20151
1 (703)691-4620
Excellence, info@cpse.org
www.cpse.org
INVOICE
BILL TO INVOICE# 05-11342
Carmel Fire Department DATE 08/10/2016
Attn:Denise Snyder DUE DATE 09/09/2016
2 Civic Square TERMS Net 30 Days
Carmel,IN 46038
ACTIVITY OTY RATE AMOUNT
Quality Improvement Through Accreditation,South Bend,IN 1 625.00 625.00
for Gary Dutek
Quality Improvement Through Accreditation,South Bend,IN 1 625.00 625.00
for Denise Snyder
To make your payment by credit card,please call our main office at BALANCE DUE $1,250.00
703.691-020 and ask for Katie Jones.. Thank you.
https://connect.intuit.com/portal/module/PdfDoc/template/printframe.html 8/10/2016
Snyder, Denise W
From: Katie Jones <kjones@cpse.org>
Sent: Wednesday, October 12, 2016 09:19
Cc: tskwarca@southbendin.gov; gmetzger@southbendin.gov
Subject: CPSE Important Workshop Information, South Bend IN
Good morning,
You have registered for the Quality Improvement Through Accreditation workshop in South Bend, IN,
October 17-19. During this workshop,you will participate and have the opportunity to provide comments
to help further improve the workshop.
This three day workshop is designed to introduce you to the Center for Public Safety Excellence (CPSE)
agency accreditation process and familiarize you with procedures,requirements, and documents
necessary to achieve accredited status.
During this workshop you will work on activities to assist you in actually beginning the accreditation
process using actual data. You will need to bring a computer or tablet to complete these activities. Also,
to ensure that you get the most out of the workshop activities,you need to bring the following
information and documentation from your agency with you.
If you do not bring this information,you will not be prepared to fully participate in the workshop.
• Community demographic information- at a minimum total population.
• Total square miles agency is responsible to provide emergency services to.
• Planning zones/fire demand zones -these in some agencies could be station first due districts,
census tracks, etc.
• Number of stations,types of apparatus per station, and minimum staffing (career,volunteer, paid-
on-call, etc.)
• Agency Mission Statement.
• Agency Vision Statement- if agency has.
• Agency Values -if agency has.
• Information to write to two of these performance indicators one in each category:
o Category II: Assessment and Planning
■ Performance Indicator (one of these two)
■ CC2A.3 The agency has a documented and adopted methodology for
organizing the response area(s) into geographic planning zones.
■ CC2A.4 The agency assesses the community by planning zone and
considers the population density within planning zones and population
areas,as applicable,for the purpose of developing total response time
and standards.
• Category V: Programs
o Criterion SE: Fire Suppression
■ Performance Indicators (one of these two)
■ CC SE.2 The agency uses a standardized incident
command/management system,which is supported by agency policy
and training programs.
1
■ CC 5E.3 The agency conducts a formal and documented appraisal,at
least annually,to determine the effectiveness of the fire suppresion
program and its impact on meeting the agency's goals and objectives.
• Please bring a data set which includes at least 30 days of data for one or more response,type (e.g. -
fire suppression, EMS),which includes actual times for dispatch,turnout,travel and aggregate
response times.
WORKSHOP INFORMATION:
Time: 8:00am-5:00pm - Daily
WORKSHOP LOCATION:
South Bend Dept. Central Fire Station
1222 S. Michigan St.
South Bend, IN 46601
AIRPORT LOCATION:
South Bend International Airport
HOST RECOMMENDED HOTEL INFORMATION:
Double Tree
123 N. St.Joseph
HOST AGENCY CONTACT INFORMATION:
South Bend Fire Department
1222 S. Michigan St.
South Bend, IN 46601
Primary Contact:
Captain Greg Metzger
(0) 574-235-9255
(C) 574-532-4708
gmetzger@southbendin.gov
Secondary Contact:
Assistant Chief Todd Skwarcan
(0) 574-235-9255
(C) 574-532-6548
tskwarcaftsouthbendin.gov
Please contact Katie Jones at kjones cpse.org or Cynde Singer at csing-er0cpse.org or 703-691-4620 if
you need assistance.
Thank you,
Katie
Katie Jones
2
Finance and IT Systems Administrator
Center for Public Safety Excellence,Inc.
4501 Singer Court,Suite 180
Chantilly,VA 20151
703-691-4620 x.207(Office)
562-587-1707(Cell)
703-961-0113(Fax)
www.cpse.org
Wones@cpse.org
PROPRIETARY PROTECTION STATEMENT: All information and attachments contained in this message constitute the intellectual property of the
CPSE.Any unauthorized use,reproduction,or dissemination of this message is strictly prohibited.If you are not a designated addressee,you have
received this message in error,and any further use by you is strictly prohibited.
3