No preview available
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. 2 c 84 3 4ovie 4,r p.94 & fl 5 P.. 6 7 ij A6.s 4 8 k)).kle anfilk A4 �eww ex f,. 9 . "::;Ler-en. nAC#14e Au I Sm5a,- _�4 A 11 A 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 e� JCU394. --02 ole,- !f--,qk4s 16"5 41�k aoen As��s ond dhsz,,p,%-Nac,/ I —T-s 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 2 (�l sE� �•�l'*kms 4lid A / f ( U- F1241 -10 66W J0, : 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