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181511 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 360134 Page 1 of 1 II ONE CIVIC SQUARE BEN FRANKLIN PLUMBING )0 CARMEL, INDIANA 46032 1551 S FRANKLIN ROAD CHECK AMOUNT: $328.00 INDIANAPOLIS IN 46239 CHECK NUMBER: 181511 CHECK DATE: 1/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 343413 328.00 BUILDING REPAIRS MA l Indian en p 1 (317) 846 8995 (317) 921: -1800: INVOICE 3 4, 3 413 (317 375 -2175 (800) DIAL 111 4 f r (317) 881 -5961 (866).867 -5309 DATE 4 Anderson Muncie: PLUMBER A[z THEPUNCPUAL PLumB> R (765) -7008 (765).289 -8026 If there's any delay, (sod) s62 -8559 (800) 679-8046 JOB# a3 f‘)..., f C olumbus It you W @�7ay.�TN' (812) 372 -7129 (800).841 -7275 BEN SOCIETY MEMBER DYES. LINO NAME Ci t. 'k= i l i 1 .ADDRESS >ti \VIC_ Cc)V R- Of CITY iz•. -v. STATE ZIP to3 ;.-3 LOCATI N AD DRESS j J HOME PHONE 41 t WORK PHONE L e LL PH OTHER CONTACT r r l' rnn STANDARD BEN SO!ET,Y T OTAL �L�r►el 1 i --•;4 �5 IgF �01°W C g A, ,.'.r t k' a ;RATER:, COST 44 (L500) faucet rebuild vintage rt(L507) closet flange replacelresett©ilet 4 'F {1f 2)�(o let rebu id vintage (L510) thaw frozen pipe's 4 j x t (11. O3) up to 2 valve f (L511 ma`or�water/ asleak research k a 9 r (L50 han dig (p yard) w (L515) PV wlh control module f r, s° 74, (l concrete remove patch 2x2 w/h FVR assembly ii »'max 06) water heaterAmajor rebuild& flush's (L eate 519) shower drain cr access Qty f 00) faucet rebuild .press bal '(L410) up to 4" CI i galv drain leak It 02) toilet major rebuild (L412) mechanical vent install �3?�� $�i x (L 04) water heater elements (L417) w/h hot surface ignitor e�3 �S (L405) nat. gas key shut -off (L419) kit trim package wI strainers (L�?107) tub waste Overflow (L421) wlli gas thermostat control Qty n t ,(L-4O9) up to 1.5" gas or water leak (L424) pump water out of crawl `(L300) faucet rebuild 2/3 haindle;•�'` (L314) RP,D test (L303) toilet minor rebuild L316 ressure assist carrtr e w O4) tank to bowf gasket kit (L31 9) will dip tube 9 $21 $:i 7 °`.Ly 06 wlh upper element L324) w/h ftue,pipe &.fiftings up to 6 L up to 1 ball valve d(L326) spanner flange toilet reset- 1 t (1:310) Sloan repair kit- complete ([328) faucet pop,up assembly (L311) up to Iwo 75 boiler drain va (L330) expansion tank Qt Y 4� u water leak,: ',.11:: L312 P to 1 i (L340 ss );tanklewlh#lush� A Air- ,(L313) up to 4 PVC drain leakti (L344)_minor water or gas leak research 9 Y .l (L200) faucet rebuild 1 handle (L215) saddle valve (L202) hose faucet rebuild (L216) fct spray hose head (L2041 basket strainer (L218) cut access install panel 1 69 $144 (L205) hot cold shut -off valves (1=220) w/h thermocouple (L206) valve nipple (L221) f.d. backwater device (L207) supply tube (L225) w/h electric thermostat O (L209) sink trap or tailpiece (L229) wet pressure switch gauge Qty (L210) disp or cont waste (L231) s/s appliance connector ,ws (L213) universal,tub spout (L234) T P valve (L214) 1.5" or 2" PVC check valve (L236) complete lav trim incl stops k" (L100) faucet aerator e (L111) 44pt toilet up i (LiOl) nut ferrule (L113) vacuum breaker for silcock 4„. (L102) tub/tile moor caulking (L115) disp Conn only/spray head only p P supply Jlt 4. p 9 i e (L103 toilet sto plate s I L117 clean #sum lsewa e pit a (L104) cleanout lu Itest plug x p g p 9 w/h T P drip leg,_ (L105) tip toe cartridge /face plate ([012) crawlspace access ($99) Qty •(L106) toilet handle only/flapper only ([014)1imited access ($99) ,1• (L107) floordrain strainer lid,- ([016) cut access opening ($99 (L108) pipe hangerlsupport�: (L018) special order ($99) "a1 r (L109) minor adjustment a ,4 I ,4 e i 00 AUTHORIZATIONn .'PROPOSAL S ub Total Above 0 c2 I PAYMENT OF THIS INVOICE /CONTRACT DUE UPON COMPLETION OF WORK Less Discount AUTHORIZATION TO PROCEED WITH ABOVE SOLUTION I, the undersigned, am owner /authorized represenlativedenant of the premises at which the work mentioned above is to be done. I hereby authorize you to perform solution, and to use such labor and materials as you deem advisable. A monthly service charge of 1 1/2% will he added after 10 days. f agree to pay reasonable attorney's fees and court costs in the event Sub Total Above of legal action. If the check that i issue for payment of this claim is returned as a result of not sufficient funds in the account against which it is written. then I understand pursuant to I- C.34.4 -30 I am subject to civil damages including a penally not to exceed three times the amount of the check, the court costs, and reasonable attorneys fees incurred by Ben Franklin Plumbing in this matter. I have read this Contract including the terms and conditions on the reverse side hereof and agree to be bound by all of the terms contained herein. Al l part will be removed and discarded Service Call Fee (E 00 unless otherwisespecdiedherein. I hereby authorize you to proceed for. the Straight Forward Price of Ben Society 17 CHECK DRIVER'S LICENSE NO. .1 EXP DATE A F Y AUTHORIZED SIGNATUREx 0 CAS" TOTAL DUE TODAY U CREDIT CARD CHECK AUTH. CODE NUMBER 1 1�1, r,' CREDITCARDNUMBER 4 EXP. DATE YIIAA 'CITY M/C CODE 1 Disc CODE ...3 CM LT VISA CODE. OAm Exp CODE j �1 l. Description of work performed C- P k 3 &-c19z) 1141--- 'S t-d■. Q t P. P. 4,—..,.....i.- --P6 or Guarantee rw d 2 yr. Unless Otheise Stated Work performed to my satisfaction r 7 'rCZI II i07 Ben Franklin Plumbing Lic.# CP10100018 See back for Terms and Conditions 7‘40.4 le'- Office Yellow Custo +a/ Pink Accounting VOUCHER NO. WARRANT NO. ALLOWED 20 Ben Franklin Indianapolis, IN #32 IN SUM OF$ 1551 South Franklin Road Indianapolis, IN 46239 $328.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 343413 43- 501.00 $328.00 I hereby certify that the attached invoice(s), or 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 JAN 1 9 2010 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 343413 $328.00 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 20 Clerk- Treasurer