329226 08/27/18 4�r_.riAF�r!
CITY OF CARMEL, INDIANA VENDOR: 029100
ONE CIVIC SQUARE BREHOB CORPORATION CHECK AMOUNT: $*****8,718.43*
CARMEL, INDIANA 46032 1334 S MERIDIAN ST CHECK NUMBER: 329226
,,,ETON PO BOX 2023 CHECK DATE: 08/27/18
INDIANAPOLIS IN 46206-2023
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 723816 8,718.43 OTHER EXPENSES
VOUCHER NO. 182458 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 29100 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
BREHOB CORPORATION CITY OF CARMEL
PO BOX 2023 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46206-2023 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$8,718.43 29100 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR BREHOB CORPORATION Terms
Carmel Water Utility PO BOX 2023 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS,IN 46206-2023
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
723816 01-6200-04 $6,915.43 and received except 8/15/2018 723816
$6,915.43
723816 01-6360-04 $1,803.00 8/15/2018 723816
$1,803.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
INDIANAPOLIS
WWW
� .■ 0rahod -ORIGINAL INVOICE- CINCINNATI
DETROIT
FORT WAYNE
Electric •Air Compressor• Crane& Hoist LOUISVILLE
COLUMBUS
PO Box 2023 ELKHART
Indianapolis, IN 46206-2023 (317)231-8080 www.brehob.com
Sold CITY OF CARMEL WATER Ship CITY OF CARMEL WATER
to ATTN: A/P to 4915 E 106TH ST
3450 W. 131ST ST. CARMEL, IN
CARMEL, IN 46074-0000
46074-0000
WILL/694-8395
JOB NO. SO# INVOICE DATE INVOICE NO.
W165171 03 78011100 7/26/18 CITCA 723816
DATE ENTERED ICUSTORDER NO. SALESMAN SHIPMENTREQUESTED SHIP VIA JDATE SHIPPED TERMS:F.O.B.Inca n para
4/24/18 JM041218 310 5/24/18 OUR SERVICE 7/02/18 NET 30
QUANTITY DESCRIPTION UNIT PRICE EXTENDED PRICE
HOIST INSPECTION REPAIR
SEND SERVICE TECH TO PERFORM HOIST
REPAIRS FORM FEBRUARY 18 INSPECTIONS
PER QUOTE # 77380700 FEB18
LABOR I U 174
MATERIALS j 6776.00
TRANSPORTATION
THANK YOU FOR YOUR ORDER
KEVIN D. ENGLAND
FREIGHT CHARGE 139.43
INVOICE TOTAL 8718.43
'Past Due Invoices are subject to a service charge of 1%%per month.Our permission must be obtained before returning merchandise to us. Thank You r
Acceptance of Brehob's product or services shall be deemed to constitute an agreement on the part of the Buyer to the terms and conditions set forth on the reverse side of this document which
supersede all previous agreements.The terms and conditions stated herein shall take precedence over any other conditions and no contrary,additional or different conditions shall be binding on Brehob
umlpRa arr_qntAd by Rrnhnh in writinn
Repair Addendum �.
City of Carmel Utilities Inspection Number 77380700
ATTN: Will Inspection Date 2/8/18
4915 E 106th ST Repair VVO#r _rW165171
-----------
Indianapolis; IN 46280 Completed Date 6/28/2018
Service Technicians _ • Lewis Grafi+/Jesse Oakes
___r_ _-
TAG# ITEM# DESCRIPTION OF SERVICE Notes Completed Date
By Completed
-- ------------------____- 102-_;Hoist Brake worn-&noisy/Replace motor&r.rrr..-r.r_-.-- ------------------ rr.____ ...__-..- i -»
Brake Assembly Ad Usted $rake LG/JO ' X6/1212018
....-- •. --- ----- ---- - r---- ----------------------
4 101 Wire box broken off motor/use one off of tag 1 Repatret3;motor J Box LG/JO 6/28/2018
_ -LG/JO - -
9 210 Beam not rated/Label beam Labeled BeamLG/JO 6/14/2018
r-- ----- -----• --------- --_
--
--------------------------------------------- ---------- -- ----- - --,.
9 212 Missing end stops on 2 Monorails/Install End stops on 2 monorails installed End Stops: _ LG/JO _6/14/2018
replace with new _-- _•_• Replaced Hoist LG/JO _6/1412018
GS-1 107 Load Chain p3tt�± and rusted/Hoist is obsolete r
--GS-1 210 ,Beam not rated/Label beam_._--_--- - - - -• -- Labeled - _-LG%JO 6/14%2018
.........».....:.... ...:.....a- --------------- - ----------------•---•• ----------_.....- __....__.-__.-_.__ -- --
GS-1 212 No End Slops on North End/install End Stops - Installed LG/JO _6/14/2018
- • ------------------ ...... ---------......_...---- -----._..----- ----------------------
OF-1 �--- -- -..
_. .. .. - - -
105 ;Latch bent/Replace Latch _ _ _rRepai[ed Latch __ ___ __ _ _LG/JO _ _6/15/2018
OF 1 404 Wires taped into Trolley Boxllnstall a Shrink Boot _ -_ Repaired_ --a-_ + _ a a wl - LG/JO __� _6/15/2018
OF 1 - : 411 :Pendant C Track Benton north•end/Repair
________________ _____ --. Repaired _ -------------
LG/JO _ 6/15/201$ t
OF-2 : 101 Hoist Frozen up/troubleshoot Hoist Replaced-Capac�tors and Simpair� LG/JO 6126/201$
P11 210_,'Beam not.rated/Label beam ___r _____ _____________ _____ -____ Labeled -»»»»-+� + ____ _�_•y_ LG/JO _-- 6/15/2018
............................ - -- -- ---------------------
c'12 210 Beam not rated/Label beam __ ____ Labeled _ _LG/JO 6/14/2018
P12 s 401 sinTrolleLegends/Replace leg--------------------
-----------
---------
nds-------------------------------------------------
--------
- - Installed LG/JO 6!14/2018 ;
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1_______.____,r.. - ------------------------------------------------------------------------ w..-r.-_r.--...r.r._r...._--__-______.._____rr__.._ _trr_-_r---r_-r--.::! -.-._r...r •..r.�:.
i
•1 `/ 1
7/2/2018
r/%� SERVICE REPORT
��Indianapolis
Broliob (317)C 231-8080--FAX317 231-8072
CRANE & HOIST ❑ Cincinnati �r
CORPORATION _> 513 755-1300•FAX 513 755-5392
❑ Louisville
Electric •Air Compressor • Crane & Hoists . 502 499-8080•FAX 502 499-8045
r1�, ❑ Fort Wayne
260 490-5237•FAX 260 490-8059
❑ Columbus,Ohio
(614)228-2647•FAX(614)228-2766
DATE: 41-4 TIME: P.O. #: JOB #: ��1/5111
COMPANY: r t, (5 �' (, 6 J4-4(- CONTACT:
ADDRESS: l PHONE #:
CITY/ST./ZIP: FAX #:
BLDG. LOCATION: TAG #:
CRANE CAPACITY: HOIST CAPACITY:
CRANE SERIAL#: HOIST SERIAL#:
VOLTAGE: HOIST MODEL#:
TASK/ REPORTED PROBLEM: a
4^
ACTION TAKEN:
Ln
ALL REQUESTED ❑YES
WORK IS COMPLETED ❑NO
�> OPERATION&LIMIT ❑YES
\ C_ CHECK PERFORMED ❑NO
..r
MATERIAL USED:
MATERIAL TO BE ORDERED:
° ADDITIONAL WORK/ REPAIRS REQUIRED: ❑YES EQUIPMENT HOIST CABLE
EINO REPLACEMENT
° ADDITIONAL WORK/ REPAIRS APPROVED: El YES PERSONNELLIFT:
r f\ ""^"�, ❑ NO SEMI/FLAT BED TRUCK: CABLE LENGTH:
° CUSTOMER SIGNATURE 1 TEST WEIGHTS: TONS CABLE DIAMETER:
DYNAMOMETER: CABLE TYPE:
° TECHNICIAN: ' �� \v OTHER: REEVING: