319230 11/30/17 ,.i off.&QAC
CITY OF CARMEL, INDIANA VENDOR: 3627.79
ONE CIVIC SQUARE LEACH & RUSSELL CHECK AMOUNT: 5*******235.00*
CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 319230
9�'irtiN> :a FISHERS IN 46038 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 42667 235.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 362779 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
LEACH & RUSSELL IN SUM OF$ CITY OF CARMEL
9151 FORD CIRCLE An invoice or 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.
FISHERS, IN 46038
Payee
$235.00
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
42667 43-501.00 $235.00 1 hereby certify that the attached invoice(s),or 11/22/17 42667 $235.00
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
Tuesday, November 28,2017
v4wo'zt
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
TLeach & Russell
a Mechanical Contractors, Inc.
n9151 Ford Circle Invoice
Fishers, Indiana 46038
R U. S S E L L Phone:(317)841-7877
M E c HAN I CA L Fax:(3 17)841-7460
Invoice Number: 42667
o City of Carmel Invoice Date: 11/09/2017
One Civic Square Our Job Number 179295
m Carmel, IN 46032
Job Name: Carmel Fire.Department
Your Purchase Order Number: = -
Labor needed for HVAC service in above location.
Inspected no heat call. Control issue caused building
water temperature to drop. Reset controls.
(See copy of work order attached)
TOTAL AMOUNT DUE $235.00
-Terms: Due Upon Receipt
'a
SERVICE WORK ORDER ®®8,
TO: ( LEACH & RUSSELL
a
L ....... ., ......................
MECHANICAL CONTRACTORS, INC.
...............................................................................................................
9151 Ford Circle
JOB LOCATION: Fishers, Indiana 46038-3000
WORK PERFORMED:
....................:..:,.`........... ...v��-� ti.�,....p......1 s..........�o�-�............
Phone (317) 841-7877 Fax (317) 841-7460
// .,,V./ .. .. ....c....�.L7c.A! ./.11�...G....................... Date: Ocontf 0 1 ` QExtraract
Q.. .{.............* tI.k..............l..?.�r�.. ,?.±{...........Q.t ................. Order Taken Time&Material
/J Y: O Warranty
�r......,,,/4 .......07_ [fJA _ Customer ��obComplete
............. ......
Order No.: QJob Incomplete
Tk.*- ........fAUAJ ........... A.l► ..........,N..o...r.......P Phone Model Number:
Number:
I••I�'r✓�u�aTr �� rt.(•• L..�r�l'd.n.......................................:...." Our Job MSeriatNumbar: - -
..................
Number:
..............................................................................................................................
THER:CHARGES AMOUNT
QUOTES/FOLLOW-UP: . SS
Truck Charge
................................................................................................................................ . ....................................................................................................................................................
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. .......................................................................................................................................................
QTY MATERIALS AMOUNT
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TOTAL OTHER CHARGES T3S
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DATE LABOR ST 1.5 DT AMOUNT
......................................................................................................... Ao."3.!......�1. .X3 1. .Q.... ...2...................................................:.................
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TOTAL MATERIAL TOTAL LABOR 0
TOTAL MATERIAL, OTHER& LABOR
Work Ordered By:
TAX
Signature:
TOTAL LAM
hereby ac now a ge a sa is ac ory comp a ion o e a ove described wor an
agree to render payment upon receipt of invoice.
LR-06-0615