HomeMy WebLinkAbout325672 05/23/18 .+u•.C4gMf.
CITY OF CARMEL, INDIANA VENDOR: 00350650
® 3; ONE CIVIC SQUAREWILLIAMS COMFORT AIR INC CHECK AMOUNT: $******"627.00"
s o. CARMEL, INDIANA 46032 ` 107a 3RD AVE.S.W. CHECK NUMBER: 325672
CARMEL IN 46032 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 842308 627.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350650 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WILLIAMS COMFORT AIR INC IN SUM OF$ 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
$627.00
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
842308 43-501.00 $627.00 1 hereby certify that the attached invoice(s),or 5/10/18 842308 $627.00
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, May 15,2018
Ag�C �o
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 #
gigMr Plumber _ ,�-�OM f O rAu R 1077 3rd Ave.SW•Carmel,IN 46032
�7� 33317-564-7069•Fax:317-848-8744 DATE / / ❑ATTN SUPERVISOR
service@WilliamsComfortA!r.comnheQf-w*- by METZLER A HALLAM HVAC Lic.#: H0002400 TECH NAME I(:Y, it 1 r K%,zf
Plumbing Lic.#:C050800249 INVOICE NUMBER 842308 n 2 3 n Q
Customer Name: , Al f i -c \-\rr\ � Payee: v°-W �! �
Job Location: 1 / i v i / <ro i.;n 1 Address:
City: rt { vh -e 1 State'—r Zip:L4 f9 n Q City: State:_Zip:
H/W/C#: Z t '5-7 1- H/W/C#: 3 I -3 R. i ci r H/W/C#: H/W/C#:
Email: \1 Cn� me 1 . "! N. ��nri Email:
EQUIPMENT IDENTIFICATION CONDITION 1-5 (5=BEST) ❑ See Checklist For Equipment INTERNAL USE ONLY
Call Note:
F/AH gullClj TRBL Paged f k j TRBL Changed P 1Q
AC/HP ® count#- - ' ce
Evap Source Qty. Materials Used
1
Therm
2
Hum
Filter x x_
CAIRfree Savings Agreement:
❑Med ❑Elect❑Pur
W'" Make Model •'- � � � This program has been explained. ,
H LlCurrent Exp. / ❑Declined i
Soft I. have discussed the CAIRfree Savings
P f ct ,1 P 1' 1 h a \ Agreement with the customer. 1 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 WCA/MP standards
I
Water Hardness: Chlorine: of excellence in workmanship and in compliance
with applicable building codes.
Filter Customeanitials y. Tech Initials
1
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Submitted TIL UI have received a detailed proposal via the
SUMMARY OFF GS. initials
PAYMENT/A CEPTANCE OF WORK PERFORMED $ �p
❑ CREDIT CARD I A/R ❑ CASH ❑ CHECK ❑ GIFT CARD
$ l- - $ $ TODAY'S PAYi ENT
Authorization Code \ Check Number 1 REMAINING BALANCE $ t
Si nature \ Date t
gn Your CAIRfree SAVINGS Today
My�gnature-jb-o-ve-acknowledges that a\11�uor as been satisfactorily completed.I agree to the
totaharges 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 UP!on.all the parties and equivalent to the original for all purposes.
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