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Home My WebLink About307106 01/20/17 (9) CITY OF CARMEL, INDIANA VENDOR: 00350714 ONE CIVIC SQUARE AIRWORX CORP CHECKAMOUNT: $*******401.68* CARMEL, INDIANA 46032 501 W RAYMOND ST CHECK NUMBER: 307106 INDIANAPOLIS IN 46225 CHECK DATE: 01/20/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 3118500001 401.68 OTHER EXPENSES z � g M E E "2 1 m 1 ISL 0: u, 0 Z J Q 8 8 m CM .� Z O '~ O Q c Cf) LL O 0 U D o � W y� O > O Q O a v Page 1 construction equipment Remit To: airworxcorp.com 501 W. RAYMOND STREET Indianapolis Cincinnati Warsaw Fort Wayne INDIANAPOLIS, IN 46225 317-471-1272 513-407-9902 574-268-9664 260-247-2816 501 W. RAYMOND ST. INDIANAPOLIS, IN 46225 317-471-127 Bill To: CARMEL UTILITIES - WASTERATER WORK ORDER INVOICE 9609 HAZEL _DELL PARKWAY INDIANAPOLIS, , IN 46280 Invoice#. . . . 311850-0001 Date. . . . . . . . 12/28/16 Customer #. . 4545 Job Loc 9609 HAZEL DELL PARKWAY, Job Site:; 9609 HAZEL DELL >P KWAY, IINDIA Job No. . . . . . 1 - CARMEL UTILITIES CARMEL UTILITIES -'' WASTWATER P.O. #. . . . . . S16672 9609 HAZEL DELL PARKWAY Authorized. . DUANE JARVIS 'INDIANAPOLIS IN 4.6280 Received ;on. 11•/-17/16 �r Finished on. 12/,28/16 317-650-4127 Last ''con/cus Equip # Make Model Serial # Description X51598039 CONDOR V2648 X51598039 CUSTOMER OWNED EQUI ork Order Description: kNNUAL INSPECTION ORK PERFORMED: raveled to customer unit location to perform annual inspection. Replaced hydra lic filter. Checked hydraulic pressures . Lubricated scissor stack and slides . C cked battery voltages . Cleared and lubricated extension deck rollers . Tested a 1 functions . Completed inspection paperwork and stamped unit with date. ARTS: Qty Part Number Description U/M Price Extended ANNUAL INSPECTION 2 UTF UNIV TRACTOR FLUID GL 15 . 840 31 . 68 SHOP 1 1551 HYDRAULIC FILTER EA AN. 2 Section Total : 31 . 68 MILEAGE CHARGE 1 . 00 Miles at 85 . 000 85 . 00 Outside Labor ANNUAL INSPECTION 285 . 00 CONTINUED. . . ATTN:CUSTOMER IS TO CALL EQUIPMENT OFF REP T AND ACQUIRE A TERMINATION NUMBER. Dealer agrees to waive certain damages and loss claims against Cus omer,which are provided for on the reverse side of this contract,in consideration of the following:A.Customer shall pay a fee of 10%of gross rental charges.B.A valid certificate of insurance is pr ided Dealer prior to the hire of equipment,whereby Dealer is named an additional insured on an insurance policy,covering the risk of loss by damage,death or otherwise,of the subject equipment,anc said insurance being primary coverage as against any other insurance which may be provided by Dealer. DAMAGE WAIVER DECLINED I HAVE READ AND I AGREE TO THE CONTRACT TERMS ON THI BACK OF THIS DOCUMENT.THOSE TERMS CONSIST OF OUR ENTIRE AGREEMENT. NO ONE HAS ANY ORAL OR OTHER WRITTEN REPRESENTATIONS OR PROMISES NOT INCLUDED IN TF IS CONTRACT. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT. CSJSTOMF.RF"SIGRAT1'PE DATr u G . 1 '1F -'�^By %8 TE y01 ARC:'HARGE. FOR i liP �IML EOUIPME' 1 ". U' i r =i1'13 V..ED,ANL)C lh'r l i...- :-U; .1ENT L-Sr'!715ED AB;VE IS.N GOOD WORKi NG U'..DLR. Page 2 consrrmctfon equipment Remit To- airwomorp.com 501 W. RAYMOND STREET.> Indianapolis Cincinnati Warsaw Fort Wayne INDIANAPOLIS, IN 46225 317-471-1272 513-497-9902 574-268-9664 260-247-2816 501 W. RAYMOND ST. INDIANAPOLIS, IN 46225 317-471-127 Bill To: CARMEL UTILITIES WASTEWATER WORK ORDER INVOICE 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 Invoice#• . - • 311850-0001 Date,'. . . . . . . . 12/28/16 Customer #. . 4545 Job Loc. . . . . 9609 HAZEL DELL PARKWAY, Job Site: 9609 HAZEL DELL PPPKWAY, INDIA Job No. . . . . - 1 CARMEL UTILITIES CARMEL UTILITIES WASTEWATER P.O #. . . . S16672 9609 'HAZEL DELL PARKWAY Authorized. . DUANE JARVIS INDIANAPOLIS', IN 46280 Received on. 11/17/16 Finished on. 12/28/16 317-650-4127 Last eon/cus Equip # Make Model Serial # Description X51598039 CONDOR V2648 X51598039 CUSTOMER OWNED EQUI LABOR: Mechanic Hours W 'rk Rate Extended 0049 2 . 50 UAL INSPECTION . 00 . 00 *** #### Important Address Change #### *** *** *** *** Effective Immediately, New Remittance Address *** *** *** *** 'irworx Construction Equipment *** *** 501 W. Raymond St . *** *** Indianapolis, IN 46225 *** ****************** ********************************************* Total Parts & Materials 116 . 68 Total Labor 285 . 00 Total Amount 401 . 68 CUSTOMER • Dealer agrees to waive certain damages and loss claims against Cus o mer,which are provided for on the reverse side of this contract,in consideration of the following:A.Customer shall pay a fee of 10%of gross rental charges.B.A valid certificate of insurance is pr ided Dealer prior to the hire of equipment,whereby Dealer is named an additional insured on an insurance policy,covering the risk of loss by damage,death or otherwise,of the subject equipment,anc said insurance being primary coverage as against any other insurance which may be provided by Dealer. DAMAGE WAIVER DECLINED I HAVE READ AND I AGREE TO THE CONTRACT TERMS ON THI BACK OF THIS DOCUMENT.THOSE TERMS CONSIST OF OUR ENTIRE AGREEMENT. NO ONE HAS ANY ORAL OR OTHER WRITTEN REPRESENTATIONS OR PROMISES NOT INCLUDED INT IS CONTRACT. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT. ,CUSTOMER SIGNATURE DATE NA E PRINTED :" " DFUVERED BY HATE' SIGN._.____��_ —w_ _ YOU'ARE CHARGED FOR THE TIME`MUIPMENT-;T.YOU POSSESSION,NrT) TiN'E"IT IS USLJ; +'f!D'CDNDII'IOfv'OF E(RISPMEN"1"DESCRIBED ABOV H'15 iN GOOD WORKING ORDER. '