315570 8/30/2017 +`U`ceA,,* CITY OF CARMEL, INDIANA VENDOR: 368518 CHECK AMOUNT: $*...***278.00*
e � CULLIGAN WATER OF BOONE COUNTYCHECK NUMBER: 315570
ONE CIVIC SQUARE PO Box 797
s' _� CARMEL, INDIANA 46032 ATTN: ACCTS RECEIVABLE CHECK DATE: 08/30/17
� LEBANON IN 46052
MATO"� AMOUNT DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER INVOICE4652 NUMBER 278 00 BUILDING REPAIRS & MA
1120 4350100
r > T 0 < «
. / m O q / 7 O
§ + 2 � k 0/ 0
c ^ 0 z / / k m
2 - $ $ z
® --q6 O
/ / 0 / $ m =
C)
q / k
co -
Ri 0 0 r co k
, - m m
/ / \ � / q \
3 � iD m O
°
\ >_ k 2
2 0 2
E > O
< V)
\ 2
O |
j
7 0 ¥
y
) E a - z r-
\ \ \ /\ / / \ m
/ , • 2 G c
CL
CD
\ k CD !
E E w / 0 (
3 i 6 m _ &
>
\ \ 6 / 2 k
\ @ , k 0 k k =
c - _ m i =
2 a I & - o
§ t / \
w E § - k §
3 |
m § [� y ƒ
co
CL� C) \ j m \ \ cr
§
k i � > \
.«
§ k -n < a / 0 j
}} \ m ƒ \ C
� 0 ^ D / \
/ ik § a \
C 2
e_° = f 0 D
}_ƒ (D \ { 0 >
�\ ) o
§g ° [
� 2 / \
0 \ j E CD \ \ r O
E k 2Z m ) 0 CD
C
ƒ
c /
% m % 0)$ / I n
OL � CD M \
}
§ k §
k _ > } {
A 0 ?
CD / / ° \
Company Address Directions
Culligan of Boone County 124652 146TH TO CLAY TERRACE TO
PO Box 797 RANGELINE RD PAST 8 STORY
Lebanon,IN 46052 BLDG.1 ST STOP LIGHT/TURN RT
765-482-2570 317-873-8772 ON GRADLE DR. BY FOUNTAIN
Billing Address Serviced By
CARMEL FIRE DEPT STATION#41 Schd:08:OOA-08:OOA Service Address
JIM SPELBRING Tax Ex CARMEL FIRE DEPT STATION#41
2 CIVIC SQUARE JIM SPELBRING
CARMEL IN 46032 2 CIVIC SCUARE
CARMEL IN 46032
Key- #Fann/Loc- -.9 y .
Account CELL CELL WORK Order Date Type Call Sched Dt Sery Dt
113738 317-557-3241 07/'3/2017 Charge No 07tt3fz l7
Water Test 16/ Service Call Reason
Salt Set Cont Info Installer MB RO-CHANGE 3 FILTERS
Test Date Warr Date Prev Owner FILTER CHANGE
Addn Equip Addn Equip
Addn Equip Addn Equip AQUACLEER AND EVERPURE FILTERS ARE
DUE TO BE CHANGED
Cd Equipment Description Own Wty Dt Inst Dt Serial Number
AC5 AQUACLEER 50 C 06/18/2014 RP14032184
EPI EVERPURE INSUR-ICE 2000 C 06/18/2014 zz061920142
Parts and Materials
Qtly Part Nbr Description Price Total Service History
I 07/21/2016 RO-CHANGE 3 FILTERS
RM RO-ALL FILTERS REPLACED
07/14/2015 RO-CHANGE 3 FILTERS
RM RO-ALL FILTERS REPLACED
Start Finish
Labor#Hrs @$ A per hr
Trip Charge
Mileage @ /Mi
Parts Total 1 Labor Charge cz,�
Checklist Parts Total v
1. CHECK FOR LEAKS 8. CHECKED CYCLES
2. WATER TESTS 9. CLEAN UP Others Total
3. LEFT IN REGEN 10. NEED SALT _
4. DRAIN FLOW 11. UNIT PLUGGED IN Sales Tax Exempt
5. TIMER SETTINGS 12. BYPASS CHECKED _
6. WATER PRESSURE 13. THANK CUSTOMER
7. CHECK FILTERS 14. LOCK DOOR 6ZWD
Amount Due
Corrective Measures Taken
Service Received By/Date Service By/Date
L43 l