HomeMy WebLinkAbout321807 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 00350650
�b it ONE CIVIC SQUARE WILLIAMS COMFORT AIR INC CHECK AMOUNT: $"""*'*226.00'
CARMEL, INDIANA 46032 1077 3RD AVE.S.W. CHECK NUMBER: 321807
9yiroN'c� CARMEL IN 46032 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 824010 226.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350650 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WILLIAMS COMFORT AIR INC IN SUM OF$ CITY OF CARMEL
1077 3RD AVE. S.W. 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.
CARMEL, IN 46032
Payee
$226.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
824010 43-501.00 $226.00 1 hereby certify that the attached invoice(s),or 1/29/18 824010 $226.00
1205 101 1205 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, February 06,2018
Ac- cmc Q
Crider,James
Administration
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
0 Williams Comfort Air YOUR SERVICE ORDER #
_ Mr Plumber
O Mf O R T I R =- 1077 3rd Ave.SW•Carmel,IN 46032
317-564-7069•Fax:317-848-8744 DATE l 2% t ❑ATTN SUPERVISOR
. service@WilliamsComfortAir.com
head#-wohg-pbn*&more byMETZLER&HALLAM HVAC Lic.#: H0002400 TECHNAME
Plumbing Lic.#:C050800249 INVOICE NUMBER 824010
Customer Name: 61/,v,W PPayee:
Job Location: Address:
City: ���..f e l State'—I,,/ Zip: `leo 3 Z City: State:._Zip:
HM/C#: 3i 7-II HM/C#: HM/C#: HNWC#:
Email: l II-,P ( jam<0(.tit P f. i r,r .c, r,,/ Email:
EQUIPMENT IDENTIFICATION CONDMON1-5 (5 BEST) ❑ See Checklist For Equipment INTERNAL USE ONLY
Model
F/AH - --- -- ----- --- -- -- -— --- ' ' i
Call Note:
AC/HP TRBL Paged TRBL Changed
EvapSource Qty. Materials Used
Account # 0\
1'
Therm epartment #_a._1�5
2
Hum
Filter ❑.Med ❑Elect❑Pur
_x—x_� CAIRfree Savings Agreement:
_ —_ —_ __ ' ' I This program has been explained.
WH ❑Current Exp. / ❑Declined
Son I have discussed the CAIRfree Savings
Agreement with the customer. I have given a
Sump copy of this invoice to the customer. I have ,
satisfactorily done all work detailed in the
BU proposal in compliance with WCAIMP standards
Water Hardness: Chlorine: of excellence in workmanship and in compliance
with applicable building codes.
Filter Customer Initials Tech Initials
Code Qty Status Description
D ltc('fr) 1A (UL1,1t'—� rr,, (IC F?E A.-r 1AA
"� '
/ytto.4 t," 5 �� L 't IV[A 0; IA I
9P C
I have received a detailed proposal via the
SUMMARY OF FINDINGS. initials
PAYMENT/ACCEPTANCE OF WORK PERFORMED —
❑ CREDIT CARD c1.A/R ❑,CASH ❑ CHECK ❑ GIFT CARD Is
$ $' �(�—.6($1 $ $ TODAY'S PAYMENT
Authorization Code V Check Number' REMAINING BALANCE
nn /� a
SignaturevGf fJ d.All �+ ,°,� � Date /r :t / 14{
Uv� r --!1 Your CAIRfree SAVINGS Today Is F-1
My signature above ackno#dges that all work has been satisfactorily completed.I agree to the
total charges that are now due and the payment method.Williams Comfort Air(WCA)retains ownership of all material listed until payment is made in full.Terms include 1.5%monthly service charge
if not paid in 30 days.If this invoice is not paid within 30 days,a lien against my property may be pursued and I will be responsible for practical attorney fees,collection costs and interest.WCA is
not responsible for insured losses.Customer agrees that WCA may scan,fax,email,image or otherwise convert this document into an electronic format of any type or form,now known or developed
in the future,and any unaltered or unadulterated copy of this document produced from such electronic format will be legally binding upon all the parties and equivalent to the original for all purposes.