HomeMy WebLinkAbout327751 07/20/18 a°'4Qgy
! F CITY OF CARMEL, INDIANA VENDOR: 372617
® j• ONE CIVIC SQUARE EFFICIENT SYSTEMS, INC. CHECK AMOUNT: $*****9,250.00*
r, ?� CARMEL, INDIANA 46032 284 N.BELMONT AVE. CHECK NUMBER: 327751
9�'�ioe�°'` INDIANAPOLIS IN 46222 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4462000 25430 9,250.00 OTHER STRUCTURE IMPRO
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372617 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
EFFICIENT SYSTEMS, INC. IN SUM OF$ CITY OF CARMEL
284 N. BELMONT AVE. 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.
INDIANAPOLIS, IN 46222
Payee
$9,250.00
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
25430 44-620.00 $9,250.00 1 hereby certify that the attached invoice(s),or 7/13/18 25430 $9,250.00
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
Wednesday,July 18,2018
A-01 cl-CIQ
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
CIL-
Efficient Systems,Inc. Invoice 25430
Efficient Systems 284 N.Belmont Ave. Invoice Date 7/13/2018
Indianapolis,IN 46222 Completed Date
HEATING■COOLING■ELECTRICAL■PLUMBING (317)293-6510 Customer PO
Energy Minded,Quality Focused www.efficientsystems.net
Billing Address Job Address
City of Carmel City of Carmel
1 Civic Square 1 Civic Square
Carmel,IN 46032 USA Carmel,IN 46032 USA
Description of Work
Replace three(3)drinking fountains with Halsey Taylor hydroboost bottle filling station &single ADA cooler with filter
Reconnect domestic cold water supply and drain
Install one(1)20 amp 120 volt circuit from electrical panel to each of three (3) new drinking fountains
Task# Description Quantity Your Price Your Total
1 Replace three(3)drinking fountains with Halsey Taylor hydroboost bottle filling 1.00 $9,250.00 $9,250.00
station&single ADA cooler with filter
Reconnect domestic cold water supply and drain
Install one(1)20 amp 120 volt circuit from electrical panel to each of three(3)new
drinking fountains
a � o � ' ' °s Sub-Total $9,250.00
Tax $0.00
Total Due $9,250.00
JUL82018
Balance Due$9,250.00
�gg Thank you for your business!
� �rereas
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aP M—Wbowner orauthorized representative resentative of the premises at which the work above is being done.I hereby authorize you to perform
the recommended work for$9,250.00 using necessary labor and material.I understand the work that is recommended including the
Terms and Conditions for completing this work and agree to be bound by all the terms contained herein.
I
i Building Mgptenance
7/13/2018 Account #
You hereby acknowledge that the total amount due is$9,250.00. Department #
7/13/2018
Credit Card Payment Authorization Please pay total due amount.Thank you.
Print Name below as it appears on credit card
Payment Type Credit Card# FRCP CVC
Name on card Signature
Remit to: Amount Due:$9,250.00
Efficient Systems,Inc.
284 N.Belmont Ave.
Indianapolis,IN 46222