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Home My WebLink About320480 01/11/18 V Cqq ICITY OF CARMEL, INDIANA VENDOR: 362779 ONE CIVIC SQUARE LEACH &RUSSELL CHECK AMOUNT: $*******523.12* CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 320480 FISHERS IN 46038 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 43258 523.12 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by State Board.of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 362779 LEACH & RUSSELL IN SUM OF$ 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 $523.12 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR. Terms Carmel Fire Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 43258 43-501.00 $523.12 1 hereby certify that the attached invoice(s),or 12/26/17 43258 Sta.41 Bay Heater $523.12 1120 101 Prior Year 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 Friday,January 05,2018 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer T Leach & Russell Mechanical Contractors, Inc. n 9151 Ford Circle Invoice Fishers, Indiana 46038 = Phone:(317)841-7877 R U S S E L L F M E C H A N I C A L ax:(317)841-7460 Invoice Number: 43258 o City of Carmel Invoice Date: 12/26/2017 One Civic Square Our Job Number 179537 m Carmel, IN 46032 Job Name: Carmel Fire Department _ Your Purchase Order Number: Labor and materials needed for HVAC service in above location. Replaced thermostats for Bay Heater. (See copy of work order attached) TOTAL AMOUNT DUE $523.12 .Terms: Due Upon Receipt SERVICE WORK ORDER 00 64 s t TO: LEACH & RUSSELL t .e- .................................................................. ............ X.q�:t.cry........41...................................................... MECHANICAL CONTRACTORS, INC. 9151 Ford Circle JOB LOCATION: Fishers, Indiana 46038-3000 WORK PERFORMED: Phone (317) 841-7877 Fax (317) 841-7460 ................................ �x.q 1 �:......cs.n....... s ......... 1.�)c .............(J 1..............••:r( .e..........W.Q.�1.�. ................... Date: `l Contract c/ S Extra 1...........A.IAN...........O�7.....+..........5..+4:::.........t1.1,�.P4....... Order Taken [me 8 Material vin (C `/ �t By: ; warranty !..:..\.l.f .i./.� .......�{1.�.n..........Y1�.a�J.......YU......4.�.` Customer ( Job Complete ff 11 C' Order No.: [:nJob Incomplete 1. ............ .e ........p-di 4............Re ` cc......)JC+.. Phone Madel Number: -- - ..L.1.?- h.... . . ie.kL ..�t. ..:...V.:Q..� ;5:e.:....... Ou�ob' - --.- --SerialNu�er: - - Number ....C ;.n ..........5� - ..:......Lib.5 o.�..�... ....... 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TOTAL MATERIAL TOTAL LABOR 00 TOTAL MATERIAL,OTHER& LABOR Work Ordered By: TAX Signature: TOTAL i ere y ac no g ee s c ry cop e o o e a a eae a workan agree to render paym nt upon receipt oflmnvoice LR-06-0615