HomeMy WebLinkAbout331273 10/17/18 CITY OF CARMEL, INDIANA VENDOR: 366092
ONE CIVIC SQUARE INDIANA DESIGN CENTER, LLC CHECK AMOUNT: $*****2,458.46*
CARMEL, INDIANA 46032 ATTN:LAUIE SILER CHECK NUMBER: 331273
v;ETON 770 3RD AVE SW CHECK DATE: 10/17/18
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 AUGUST2018 2,458.46 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 366092
INDIANA DESIGN CENTER, LLC IN SUM OF$ CITY OF CARMEL
ATTN: LAU I E SI LER An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
770 3RD AVE SW rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$2,458.46
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
August 2018 43-509.00 $2,458.46 1 hereby certify that the attached invoice(s),or 9/15/18 August 2018 Garage Maintenance $2,458.46
1206 101 1206 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, October 16,2018
Huffman, Dave
Director
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INDIANA DESIGN CENTER,LLC
One Pedcor Square
770 3rd Ave.SW
Cannel,Indiana 46032
September 15,2018
City of Carmel: Street Dept.
Attn: Dave Huffman
3400 West 131st Street
Carmel,IN 46074
RE: Billing in accordance with the Parking Administration Agreement between Indiana Design Center and The City of
Carmel dated December 1,2011.
INVOICE-August 2018
Due: Upon Receipt
Invoice City%
Date Vendor For Amount Amount
8/21/2018 AT&T Telephone Contract $269.10 $89.73
8/21/2018 Duke Energy Garage/Stairwell Electric $1,174.53 $1,174.53
8/28/2018 Carmel Utilities Water $777.51 $259.25
8/13/2018 Eagle Security August 2018 Patrols $250.00 $125.00
8/13/2018 Republic Services Trash Management Services $646.86 $50.00
8/21/2018 ThyssenKrupp Elevator Service Agreement $1,485.00 $495.16
2/9/2018 Koorsen Fire&Security Annual Fire Extinguisher Inspection $697.92 $232.72
7/24/2018 Duke Energy Garage Stairwell Electric-June $32.07
Remaining Balance
Total Amount Due: $2,458.46
*Overpayment by IDC to,Duke for June charges resulted in credit on July billing.July Electric charges were underbilled to
The City of Carmel by$32.07.
If you have any questions please contact Kara Drath at 317.705.7908
Please make checks payable and mail to:
Indiana Design Center,LLC
Attn: Laurie Siler
770 3rd Ave SW
Carmel,IN 46032
211,
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AT&T � 1103 DAVESW AttaB11f 9umataber 31777,2018
06-0052677
CARMEL.114 12.2036
� Web Site aLt.Com
Invoice Numhar 311710611305112
Monthly Statement
Jul B-Aug 7,2018
Previous sill 289.39 •Total AT&T Savings 1,214.05
Payment Received 7.26-Thank You[ 269.39CR
Adjustments 00
Balance ,00 Monthly Sarvlea•Auo 7tlrra 6
Charpas lar 317 7*030
Current Charges 269.10 Mumbly Charges 13.72
Bus Local Cotllag Unllatitod A 34.00
Total Amount Due 5269.90 Individual Message Business
Unlimited Local Usage
Calling Name Display
Amount Due in Full by Aug 27,2018 Caller Identification
Three Way Calling
Call Forwarding
By choosing Bus Local Calling Unlimited A,
you are saving 5242.91 oval the costal the some
Online:atteom7myAK seroieespt6c�sedlaparatefy. "' __.. _ ...
Plans and Services 269.10 Charges for317706.0332
1.800.480-6088 Monthly Charges 622
Repair Service Bus Local calling Unlimited A 34.00
1.800.480.8088 Individual Message Business
Unlimited Local Usage
Total of Current Charges 269,10 Calling Name Display
Caller Identification
Three Way Calling
Call Faiwarding
By choosing Bus Local Calling Unlimited A,
t you ate-saving S242.BI over the cost o1 the same
T services purchased separately.
V! J J Monthly Charges 8.22
Bus Local Calling Unlimited A 34.00
Individual Message Business
Unlimited Local Usage
Calling Name Display
Caller Identification
ThreeWay Calling
Call Forwarding
By choosinp Bus Local Calling Unlimited A,
you are saving 5242.81 over the cost of the same
services purchased separately.
•PREVENT DISCONNECT •LONG DISTANCE INFO Clmygesfar31770ti•00
•RELAY SERVICE •DO NOT CALL Monthly Charges 0.22
•OPEBATORASSISTANCE
See'Nevrs You Can Use'lar additional Information.
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ATATetdo or AT&T 6ytsmadn hard uponsho suww ad&r Iouuan.
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DUE BY' Aug 27,2018 $269.10 LATE:After Aug 27,2018$275.08 L
PEDCDB IT DBA INDIANA DESIGN C
BdlfngDate Aup1,2018 Account Number 317 706-0305 867 7 ENTER" -
0� AT&T CARMEL,
VESW
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` Please 72D38DINJt,�dt•2D36
Make Cheeks Payable to,
AT&T
PO Box 5080
CAROL STREAM IL 60197-5080
III(�r���I�pdry�ll�hrl�r�(igdptl�dud111111I1111111111ell
7317070600305867712390020000000000000000D00269100000027508
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7,20305BW7
Tt03RDAYBSW BfI11ng0ato Aug 7,2018
CARMEL,IN 460117•I036
Iwoice Number 311706D30508
Monthly sesvfea-Continued PREVENT DISCONNECT
BusLaealCalling llellmltedA 34.00 Thankyoufor being avalued custemer.ItisimportenttoInform you
individual Message Business that ell charges mustbe paid each month to keep your beeount current
Unlimited Local Usaga and preventcallection activities.In addition,please be aware that
Calling Name Display we are required to inform you of certain charges that MUST be paid In
Caller Identification orderto ptevent intorrupdan of basic local sarviee.Theca charges
Three Way Calling are already included in the Tont Amount Dun and are S269.10.
Call Faiwarding If you don'tagree wdfl the amount due,you should dispute the portion
Van disagree with before the payment due date.
By choosing Bus Local Caging Unlimited A,
you are saving S242.31 over the coat of the some LONG 01STAN CE INFO
services purchased separately. Our records indicetathatyou have chosen nottohave a
loeultoll or a long distance company.
Chorgss(or317 7C6 00
Monthly Charges 022 RELAY SERVICE
Bus Local Calling Unlimited 34.03 Dial 711 is a TafecommunleatoasRelay Service for customers with
Individual Message Business hearing and speech disabTtas,AT&T offers products and services for
Unlimited Local Usage customers with visual,hearing,speech or physical disabilities.For
Calling Name Display more information,please go to attcom or refer to the customer guide
Caller identification section In your local VP telephone directory.
Three Way Calling 00 NOT CALL
CaI1 Forwarding
If your badness makes outbound telephoto®sallchagens,you must
By eboastng Bus Local Calling Unlimited A. comply with National Do•Not-Calf laws rindro0ulodona(47 CFO.
you are saving 5742.81 aver the cost of the same 64.1200 and 16 CAR.310)and any applicable state laws,
services purchased separately.
OPERATOR ASSISTANCE
Total Monthly Service 210.60 AT&T will discantinua Spanish and Cantonese Operator Assistance an or
after 101112018.Operator Assistance in English will still be provided,
Locos Calls For more information,please call the tall free number shown on your
Whit Chargad to 317706.0365 bill.
Unlimited Local Usage Plan Summary
57 Collis)billed at no charge par call .00
Total Callisl Charged to 317708.0365 .lig
Cohrs)Charged to 317706-DB32
WIWIad Local Usage Plan Summary
20 Call(s)billed at no charge per call 03
Total Ce6Is)Cha rgod to 317 70&0632 .CD
Total Local Calls .90
Surehataaeaed Dlberfees
9.14fortEmergency StaSystem E C IE 91 n /f a
Billed ema Universal
State SericeF Indiana AS Hj slams U V iS
Federal Unlaersel Servieo Poe I1,B5
IN Universal So Mea Sutehoran 1.62
INUblity RoceiptSurcharge 2.26
TelecanmunieadonsRaloy Service .15
Coat AssessmantCharge 9.25 AUG 1 3 2018 .
Tatal Sufaharges dad Other Rea 29.43
Taxes
Federalat2% 655
State at7% 16.52
Total Taxes 23.07
Total Pians and 5aroleae 254.10
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Account Number 6340-3678-02-6 CM 01 Aug 23,2018 $1,205.86
For more detailed billing information on $ $
your monthly bill,check box on right HelpingHand Contribution Amount Enclosed
(for Customer Assistance)
001908 000000113
INDIANA DESIGN CENTER,LLC
ty ATTN:L4URIE SILER PO Box 1326
770 3RD AVE SW Charlotte NC 28201-1326
z CARMEL IN 46032-2036
900 00001205862 63403678025 082320180 00001238795
PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 1
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200 Range Line Rd S
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Carmel IN 460322
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Charlotte NC 28201-1326 Last payment received Jul 30 Next meter reading u'r`�g 29.201
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Usage- 12,000 kWh 25.00JkWAmt Due-Previous Bill $1,085,21
4.10Payment(s)Received 1,085.21cr
Duke Energy-Rate HSNO $11Late Payment Charges) 31.33
Current Electric Charges 1Balance Forward 3T.73
Current Electric Charges 1,097.69
Taxes 76.84
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Current Amount Due 1,205.86
Taxes $76.84
The minimum demand was substituted for one or more of your meters.
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Average Cost: $0.0915 per kWh Aug 23,2018 $1,205.8 $1,238.79
DUKE
ENERGY. www.duke-energy.com
eM_BW.oEMW.DUKE.INREG,20180801010101 J.CSv-38150000113 E Printed on recyclable paper.
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City of
burmel Utilities Account Number 0662496401
P.O.Box 109 Carmel; IN 46082-0109
Amount Due $777,61
Customer Service Due Date
www.carmelutilities.com (317)571-2442 11
Mon-Fri Sam-5pm Amount Due $832.44
After Due Date
INDIANA DESIGN CENTER
770 3RD AVE SW
CARMEL, IN 46032 CONSOLIDATED BILLING
q°ao - +S L4
Service .. Reading
-Number
PAYMENT RECEIVED, THANK YOU (750.38)
07/06/18 08/02/18 63083248 1262 1275
WATER 13000 $99.29
SEWER $124.13
STATE TAX $6.95
STORM WATER $39.55
Total Location Charges For:200 S RANGE LINE RD#A $269.92
07/06/18 08/02/18 63083245 1990 2042
WATER 52000 $199.82
SEWER $293.78
STATE TAX $13.99
Total Location Charges For:200 S RANGE LINE RD#B $507.59
PREVIOUS BALANCE FOR ALL LOCATIONS $0.00 _
CURRENT BILLING FOR ALL LOCATIONS $777.51
TOTAL.AMOUNT DUE $777.51 D
AMOUNT DUE AFTER 09/02118 $832.44 AUG 15 2019
0
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v Retain this portion for your records.
Detach here and return with your payment
Service Locafion Account Number
0662496401
aof
rmel Utilities
�I F 1 n n 7
To avoid late penalties,allow postal $777.51
delivery time before the due date
when mailing your payment.
Due Date 09/02/18 I
Big, ' $832.44
•M.
CARMEL UTILITIES Amount Encl®sed
PO BOX 109
CARMEL, IN 46082 Please use return envelope provided when paying by mail.
Make sure address shows in window.
Eagle/Trident Security Invoice
PO Box 3969
CalYnel,Indiana 46082 DATE [NvolcE#
8/1/2018 20182579
BILL TO
P.O.NO.
Indiana Design Center
c/o Pedcor homes Corp.
355 City Center Drive
Carmel,Indiana 46032
TERMS
PROJECT
Indiana Design Center
DESCRIPTION OF SERVICES AMOUNT
Three morning security patrols per week at IDC 250.00
',4 - D
AUG 2 201a
ID
This invoice is for services for the month beginning with the invoice date. Total
$250.00
Phone# Fax# Web Site Payments/Credits $0.00
317-573-6799 317-573-6795 eagletrident.com Balance Due $250.00
CD2(DR) Billing E-mail
We greatly appreciate your business!
iREPU5&JC 832 Langsdale Ave Account Number 3-0761-1169651
SERVICES Indianapolis IN 46202-115050 Invoice Number 0761-0040
Customer Service (317)917-7300 Invoice Date jw 2F_2018
RepublieServices.com/Support Previous Balance $1,293.72
Payments/Adjustments - 6
Important Information Current Invoice Charges $646.86
Thanks for being a loyal customer and for trusting us to
handle your recycling and waste needs responsibly Total Amount Due Payment Due Date
while protecting our Blue Planet.
$1,293.72 Past Due .
PAYMENTS/ADJUSTMENTS
Description Reference Amount
Payment-Thank You 06129 728131 -$646.86
CURRENT INVOICE CHARGES
Description Reference Quantliy Unit Price Amount
Indiana Design Center 200 S Rangeline Rd CSA CF3-022789
Carmel,IN Contract:081rf(C1)
1 Waste Container 3 Cu Yd,6 Lifts Per Week
Pickup Service 08/01-08/31 $141.86 $141.86
1 Waste Container 3 Cu Yd,6 Lifts Per Week
Pickup Service OB/01-08/31 $141.86 $141.86 9
1 Front Load 10 Yd,4 Lifts Per Week
Pickup Service 06/01-08/31 $315.22 $315.22 co
Total Fuel Recovery Fee $47.92 Z
CURRENT INVOICE CHARGES, Due by August 14,2018 $646.86 0
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for our planet.To learn more,visit RepublicServices.com/Electronics
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Past Due 30 Days 60 Days 90+Days N4
$646,86 $0.00 I $0.00 N
REPUBLIC Total Amount Due $1,293.72
senvrces Payment Due Date Past Due
Portion With Payment 632 Langsdale Ave Please Realm Account Number 3-0761-1169651
Indianapolis IN 46202-118060 Invoice Number 0761-004012433
Total Enclosed L:J
Return Service Requested For Billing Address Changes,
Chteck Box and Cornplete Rcveisie
049920 1 AV 0.378 608977 Make Checks,Payable To:
l�llllllillilluylllelul'�111111��1�'IIIi11i1'11°1'111"1`11'1
v PEDCOR/INDIANA DESIGN CENTER
LAURIE SILER ILII'11111In,1111111'ililsllll'11'11'111-1111,1111111-111111111
770 3RD AVE SW REPUBLIC SERVICES 9761
CARMEL IN 46032-2036 PO BOX 9001099
LOUISVILLE KY 40290-1099
30763,1169651000000401243300006468600D1293725
Page 1 of 1
thyssenkrupp
MAINTENANCE INVOICE
INVOICE DATE: 08101/2018
thyssenkrupp Elevator Corporation CUSTOMER M 24060
Attn:Accounts Receivable Dept.
2801 Network Blvd.,STE 700 JOB#: US5679
Frisco,TX 75034 �+ \� INVOICE#: 30044050810,
PO M.
SERVICE DATE: OB101/2018 TO 10/3112018
TERMS: IMMEDIATE
TOTAL DUE: $1,485.00
— LM�vua�
BI LL TO:
11691 AB 0.408 E0019X 1001 03BOB303194 S2 P5575730 0001:0003 ITO VIEW AND PAY ONLINE GO TO; I https;llthyssankruppelevator.billtrust.com
Illi'IIIIIIIIIII"IIIII1111iI1t"II IIIIIIIIIIItItIIIIIIIetttlll11 USE-THIS ENROLLMENT TOKEN, GTMLPTSRQ
ATTN:ACCOUNTS PAYABLE SHIP TO:
PEDCOR HOMES CORPORATION INDIANA DESIGN CTR
355 W CITY CENTER DR 200 S RANGE LINE RD
CARMEL IN 46032-3806 CARMEL IN 46032-2135
ITEM QUANTITY DESCRIPTION EXTENDED AMOUNT
INDIANAPOLIS BRANCH
This is a billing for the service period referenced above. n n =
C211US 3 Platinum-Full Maintenance,Overtime portion not covered- (, v $1,485.00
Elevator-With Phone Monitoring
INDIANA DESIGN CTR AUG — 2oII
ATTENTION:We are pleased to announce the addition of our Extra and Repair invoices to
our online portal.
Visit our Online portal to view,search,print and pay your bills online.
thyssenkrupp Look for your enrollment token on this bill and visit https://thyssenkruppelevator.bilitrust.com
AMOUNT DISCOUNT .SUBTOTAL SALES TAX.� P
$1,485.00 $0.00 1 $1,485.00 $0.00 $1,485.00
For Service Related or General Questions,please call 317.595-1125.For Billing or Payment questions,please call(972)'968-525T.—
Goods
972 .Goods orservlces covered by this Invoice,were produced In compliance with the requirements of
the Fair Labor Standards Act of 1938,as amended.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RETURN THIS PORTION WITH YOUR PAYMENT IN THE ENVELOPE PROVIDED WITH THE REMITTANCE ADDRESS VISIBLE
INVOICE DATE: 08/01/2018
thyssenkrupp CUSTOMER#: 24060
JOB#: US5679
thyssenkrupp Elevator Corporation INVOICE#: 3004050810
Attn:Accounts Receivable Dept. PO#:
2801 Network Blvd.,STE 700 SERVICE DATE: 08/01/2018 TO 10131/2018
Frisco,TX 75034
TERMS: fMMEDIATE
TOTAL DUE: 1,485.00
PEDCOR HOMES CORPORATION
Amount Enclosed:$ REMIT PAYMENT TO:
Payment Method IIIIIIIII]tllll1rllttllllll111111ltlllllllllllllllllllltllrllillt
CI Personal Check Enclosed OMonoyOrder Enclosed OCashiersCheck Enclosed THYSSEENKRUPPELEVATOR CORPORATION
Please Make Check Payment To: PO BOX 939004
thyssenkrupp Elevator Corporation ATLANTA,GA 31193-3004
0001:0003
93300430040508100000000000000000000000001485006
7 rI N V ® 10E
FIRE & SECUAITY 4338029 Dateof 02/07/2018 c--t'
01/19
Order
REMIT 70:Koorsen l=ire&Security NO.: �- - work. #;
2719 N Arlington Avenue
Indianapolis,IN 46218-3322 Invoice Date: 02/09/2018 SO#: 3019375 Date 03/06/2018
1-888-KOORSEN Include invoice#on check. Due:
Cust ID 01PED0335 JOB# SERVICE01 / 9
Sold To: Location:
PEDCOR DEVELOPEMENT CO IDC BUILDING
355 CITY CENTER DR 200 S RANGELINE RD
CARMEL, IN 46032 CARMEL, IN 46032
01-SUITERS / 01-001190 / tk01-68
FEBRUARY FIRE EXTINGUISHER SERV Annual Exp 01/2019
1.00 KAP-FE-TI-A ADVANTAGE PLAN,TEST&INSP FIRE EXTNG ANNUAL 145.00 145.00
38.00 INSP-FE-A INSPECTION OF FIRE EXTINGUISHER ANNUAL NIC .00
38.00 CIKT000 TAG,INSPECTION-KOORSEN YELLOW P50 NIC .00
38.00 CIKT003 TAG,OSHA-KOORSEN PAPER MONTHLY INSPECT-BUFF P50 N/C .00
3.00 AM14776 STRAP,CLIP ASSEMBLY,PLSTC 2-10# CYLINDERS 8.75 26.25
27.00 BRKSY SEAL,TAMPER KOORSEN LOGO YR 2018 P1000 ## NIC .00
2.00 EE10A-H EXCHANGE EXTINGUISHER 104 ABC HYDRO TESTED 46.20 92.40
9.00 EE10A-S EXCHANGE EXTINGUISHER 10# ABC SIX YEAR/RECHARGE 42.90 386.10
1.00 99MATLGPC SERVICE MATERIALS GEN PROD C 12.00 12.00
TOTAL SALES/SERVICES 661.75
7.001 INDIANA SALES TAX an 516.75 36.17
TOTAL 697.92
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FEB 1 5 2048 bgl.g2
Pay online @ www.koorsen.com. To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number-___-_----_-..-.------
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total b
697.92
661.75 516.75 36.17
FIRE EXTINGUISHER WORK ORDER 2719 N ARLINGTON AVE ����®
' INDIANAPOLIS, IN 46?_18- ,
317/542-1800 FIRE & SECURITY
N25 Tech Tr - - 1 g0
OIPED0335 Sales Tax = 7 . 00 S- n-� 503019375 9
INVOICE TO SERVICE LOCATION
PEDCOR DEVELOPENENT CO IDC BUILDING
355 CITY CENTER DP. 200 S RANGELINE RD
CARMEL, IN 46032CARMEL , IN 46032
EXP
CUSTOMER CASH CHECK-#_ ❑VISA MC AMEX .CARD# DATE
PAYMENT
KAP, INSPECT (38) MIKE POLSTON 690-0325 "BTS"
0102 PO- 01/19 Renewal 01/31/2019 31711690-01325-
yEPPITARV PTRR EXTIWGUISHER SERV Annua.-I,. Exp 01/2019 .
QTY SIZE(TYPE QTY QTY QTY 6 YM/RE HYDRO TOTAL ITEM DESCRIPTION QTY UNIT TOTAL
PRICE
6 YEAR RECH HYDRO PRICE PRICE PRICE
2.59 ABC VALVE STEMS
5/6#ABC - BR6092A BR6093A_
10#ABC BRASVS4 BRASVSS
20#ABC BR19010 BR103215.W
10#PURPLE K O-RING
20#PURPLE K BROR27 BROR29
HALON 1211 BROR37 BROR39
HALOTRON BRQR40 BRQR41
FE-36 SIGNS
5 CO2 BRBL105_BRBL109_BRBL108_
10 CO2 LABELS
15 CO2 CIKL040 CIKLO11
20 CO2 CIKL053
H2O MIST 6L/2.5 GAL TAGS/COLLARS
K CLASS 6L/2.5 GAL Climc)" ' CIKT077 j
TOTAL UNI7•PRICE CIKT003�S BRPTAG_CIKT002_ y
' INSPECTIONS AZ M S C1 ry CIKT023 CIKT024
QTY QTY QTY 6 YM/RE HYD8,0 TOTAL GAUGE
QTY SIZE/TYPE 6 YEAR RECH HYDRO PRICE PRICE PRICE BRG196
WHLD# MISCELLANEOUS/ADD'L PARTS
CART OP# PULL PIN-BRNPP
FIRE50FT 75FT_100FT_ AM14776 STRAP/CLIP SM
Hole w
UNIT PRICE1 AM14778tSTRAP/CLIP LG
#S RECAPTURE BRKS In Y ❑R ❑W
#S NEW CLEAN AGENT CONDO IVITY TEST
EXIT/EMERGENCY LIGHTS DISPOSAL PER UNIT
QUICK CHECK/ANNUAL BATTERY TEST/90 MIN EE25A H /S
CIKL008 LABEL EE5A H/S/ R
BULBS/BATTERIES EE10Af / 51/ R a
BRBT6 EE20A H 15 f
BRBT65S EEK-H
6V 12 AMP FE 12345678910
6V7AMP
6V4AMP
TOTAL LEFT TOTAL RIGHT
Please read carefully. we are not an Insurer. Our maximum liability is limited to$250.00. Vendor shall TOTAL LEFT L�
not be responsible for the improper operation on any inspected equipment that,after serviceman has left r
premises,has been discharged,vandalized,tampered with or damaged. User acklowiedges receipt of TOTAL RIGHT f "�
copy and that he has read and understands reverse side of agreement.
SUB TOTAL
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M GLEAM
CUSTO R��(� S A i PRINT COSTO ER IME ff.
TAXA OUNT
TAX
TRUCK# SPECIALIST , '``- DATE rte¢ o