317842 10/26/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 364398
ONE CIVIC SQUARE JOHNSON CONTROLS CHECK AMOUNT: $***220,875.00*
CARMEL, INDIANA 46032 PO BOX 730068 CHECK NUMBER: 317842
DALLAS TX 75373 CHECK DATE: 10/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 100595 CB10020179 220,875.00 ICE RINK CHILLER
\ CD
«
k\ �
� § / o§ z
> X ® # ?
w q
o CL - q 2
ƒ 0 1 2
/ \ k_ 0 / O
§ ) k /
£ ) ^ 3 > § CD cn
R
CD co
n vtN"
0
/ § \ \ \ o 3 k
io 3 § ^ ƒ D
& R� 2
2 _ k Q z
\ \ > -n 0
01 c
z |
= o w
=r
7 a » a F - 2 >
I / O y CD ? 3
¥ i $ E 7 § m
= m o ? ; -n v
c2 ) 7 A -
E § ®
ƒ ® 2 CD
{ k
# o + ± & a
/ / CD \ § }
I o E R °
CD / ƒ CD» § k
CL @\ ± o w % 7 k
� 7D ƒ §
C 3
o [
k m c / q o \ 7
CL G \ ) -0.
# k
,
}
&D \
°/ Cu � < o /
S =a CDc 8 z Q (Aa Q
§ m CDCD
C: °
#
f\ co CD / \-j \
0 7E 3 [ (n §
CCDr
0
$$ D
}ƒ \ ( \ ( � �
�R / / 0 a E
°& CD $ G
2 t E n7=
« . \
n / \ j E a ■ r- 0
t §n k R % ] / \ ( C
® c CA
/ / E ° CD o \ \ /
§ 0 ° / \ CD
CL M
-
]
� k \ \ {
\ �l > -
EE �
'
& @ k
Ul® co
chip To: 3 CENTER GREEN /01( ORIGINAL
CARMEL,IN 460322584 INVOICE
USA JohnsonR„� �� Direct Inquires To: Johnson Controls Inc.
Controls � 1255 N.SENATE AVE.
BY JOHNSON CONTW S INDIANAPOLIS,IN 46202-2219
FederalID#: 39-0380010
Bill To: CITY OF CARMEL Phone: 317-638-7611
1 CIVIC SQUARE Fax: 317-638-6146
CARMEL,IN 46032
Mail Check To: Johnson Controls
PO Box 730068
Dallas,TX 75373
Project Name/Project Site/Tax Loc Purchase Order/Date/Authorized By JCI Project!_CO JCI Project Manager
Carmel Energy Center Air cooled chiller Signed Proposal MC7N200266 MEYER,BILL M
06/30/17 000
IN4603200 City of Carmel
Period Covered Application# Invoice Number Invoice Date Terms
09/01/17-09/30/17 1� CB10020179 09/28/17 NET 30
Original Contract Amount: $238,500.00 The Project Manager named above submits this application
Approved Change Orders: $0.00 with knowledge,information,and belief that the work covered
New Contract Amount: $238,500.00 by this application for payment has been completed in accordance
with the Contract Documents,that all amounts have been paid by the
Work Completed To Date: $220,875.00 Contractor for Work for which previous applications for payment were
Less Retention: $0.00 issued and for which payments were received from the Owner
Total Less Retention: $220,875.00 and that current payment shown herein is now due.
Less Invoiced To Date: $0.00
Net Billed This Invoice: $220,875.00
Tax at: $0.00
Total Amount Due This Invoice: $220,875.00
Work Scheduled Previous Work In Stored Total Complete Balance
Item Description Value Application Place Material and Stored Percent To Finish Retention
A B C D E F G(D+E+F) H(G/C) I(C-G) J
Base Contract
1 001-DX Air Cooled Screw Chille $232,500.00 $0.00 $220,875.00 $0.00 $220,875.00 95% $11,625.00 $0.00
2 PSA $6,000.00 $0.00 $0.00 $0.00 $0.00 0% $6,000.00 $0.00
Totals $238,500.00 $0.00 $220,875.00 $0.00 $220,875.00 93% $17,625.00 $0.00
Please reference our invoice number and amount with your payment. Send only to the address on this invoice. Page 1 of 1