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HomeMy WebLinkAbout309474 3/27/17 „i.w CAA*e! CITY OF CARMEL, INDIANA VENDOR: 371585 CHECK AMOUNT: 5***"*”*250.00" ONE CIVIC SQUARE CRANE 1 SERVICES, INC. PO BOX 1207 CHECK NUMBER: 309474 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46206-1207 CHECK DATE: 03/27/17 Mf10N G0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT BUILDING DESCRIPTION & MA 2201 4350100 0804330 250.00 -0 0 f « 0 Ilaq � O ;a :3 O \ R 2 2 > 3 / 0 > I * # cr / \ M - /;a2 00 CL 6 \ R z / Cil § m CD O ( o # R -n q G 7 C -0 p 0 o § -/ 3- D 1) $ & \ 2 / ƒ 7 � k ° z § z 2 / # 9 / O | / $ m f S ¥ # / ® 2 LT § D \ _ ¥ « c o { i \ / / / § m m , / ? G o A § ; 3 a - E $ - m # 2 \ E ) { * / ] s J + - _ § o m \ / CD 0 > ) N O a 3 0CD\ g o § i k03 CD - / ; CL ® 8 [ E E § - k ƒ E » 2 g / [ k i \ ? _ , \ § / _ CL/ ' w # m \ \ CD k ( / L7 > \ f« o q -n / @ / 0 / }§ 2 k k k CD a k » , - \ _ \ _ [ � 0 n / § �C ~ Cl) / C) ? _� / 2 6/ % a D \ \ f CD / 90 K � - �� \ 3 r C) o \ / / j E \ 0 \ r- O CD E ¥ m Z 7 ) \ C _ _ / % m ƒ E E / } q a \ 2 CD M \ \ § CD aL/ a) } §\ § � \ f & _ > k Q \ CD / to ° / § C:) ¥ \ Crane 1 Services, Inc (08) INVOICE Indianapolis Division 2650 Roosevelt Avenue Invoice Number: 08-04330 Indianapolis, IN 46218 Invoice Date: Mar 23, 2017 Page: 1 Voice: (317)899-2000 Fax: (317) 899-2004 P £ City of Carmel-Street Dept City of Carmel-Street Dept 3400 W 131 ST 3400 W 131 ST Carmel, IN 46074 Carmel, IN 46074 cityofcarme146074 Jim Bentley Net 30 Days 8-2 4/22/17 J08-04449 IN Performed crane inspections for March, 2017 Labor 250.00 Subtotal 250.00 Sales Tax Total Invoice Amount 250.00 Check/Credit Memo No: Payment/Credit Applied Foryourtconvenience"we nowsaccept VISA;MASTERCARD,and_AMER ICAN,,EXPRESS Please note that all credit card . payments will be subiefito a 30/6 convenience feed .; '' lease make#checks payable to Crane 1 Services,Inc.,PO Box1`207,1nd19'napol1 IN 46206-1207 t; ..u ?HANK YOU FOFV OUR'BUSINESS" � ` ' SERVICE. REPORT 13807-5C ����� ������� Phone: 888.658.1212 Cincinnati,OHToledo,OH Charleston,WV Merrillville,IN Richmond,VA Detroit,MI ❑ 937.704.9908 }❑ 419.867.8712 ❑ 304.949.1201 ❑ 219.942.2221 ❑ 804.526.3200 ❑ 734.369.6705 ❑ 601umbus,4.444.5556 J�-t l 31f7.89p9..2000 El 8112.542.11800 ❑ 4110olis,IN Louisville,KY !more38.7680 ❑ 865 394.9296 ❑,MD Knoxville,TN Mill Services 937.704.9900 Date: 3 - -a m 27 PO#: �- Job#: i an - ST2c ctq- Building: Com - p Y: gory of� At&"EL Site Address: 3� w 3 srsr Phone: 3 City/St/Zip: 0i44mel 4(a07� Fax: Contact: j �H gVVTLE-Mail: - Equip.Location:�l�{ ,w Equip.ID/''� % f Equip Type: ❑ CRANE/HOIST ❑JIB/HOIST ❑ MONORAIL/HOIST ❑ HOIST OTHER li Capacity: Power Supply: Hoist Lift: Crane Mfg: Crane Type: Crane Seri al . Hoist Mfg: Mist Model Hoist Serial# Operation Check Performed: YeNo Safety Limits Checked: PrYes ❑ NO Reported Problem or Work/Task: i I Actions Taken&Work Performed: /.'=RFo/Im[ = Uric iNS/1-,Yno&/S �U ,ff m Z 9y 9lp T t A N= !�'G'(z i (t 9 Z 8 [L AJor 1101-01 U4 iiu i Materials Used: Summary Jobsite Safety Task Assessment PPE—Do you have all safety items to perform your job safety? 10/ Are all items in good working condition? Work Area—Have you created a"Safe Work Zone"for your work area? LOTO—Do you know how to safely energy isolate the piece of uipment you are getting ready to work on? House Keeping—Is your work area clean before and after job Additional Materials Required: I completion. Have you collected all tools? scope—Do you understand the scope of work and know how to to/ complete the tasks safety? Do you have all required permits? Evacuation—Are you aware of your evacuation route in case of emergency? Do you have a gathering point? oe Qualifications—Are you qualified to perform the work safely operate the equipment? 2 minutes—If you left the work area did you give yourself two minutes to check the area and make sure nothing has changed? .I All requested work is completed: !4�Yes ❑ No Equipment Used Hoisting Cable D a Length: R ing: Additional work is required: ❑ Yes ® No Lift: Authorized BY: - Trucking: Diameter: i Technician Name:` } Test Weights: Type: Customer Signature: Other: Fittings: ©2015 AN 1 SERVICES INC. www.cranelservices.com 'i