181974 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00351618 Page 1 of 1
1. 1 ONE CIVIC SQUARE J.M.I. MECHANICAL SERVICES, INC
CARMEL, INDIANA 46032 5610 DIVIDEND ROAD CHECK AMOUNT: $717.26
INDIANAPOLIS IN 46241
CHECK NUMBER: 181974
CHECK DATE: 2/3!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 J12192 717.26 BUILDING REPAIRS MA
f p J.M.I. Mechanical Services, Inc.
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0:4114.3t A Indianapolis, Indiana 46241
P- 317.243.7180
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You CAN RELY ON J M t www.jmimechanical.com
Invoice No.: J12192
Invoice Date: 01/19/2010
Client: CARMELPOLICEDI
site: 3CIVICSQUARE
Page: 1 of 1
City of Carmel Police
3 Civic Square service Location
Carmel IN 46032 City of Carmel Police Department
3 Civic Square
Carmel IN 46032
Work Order Id 102531 k P.O 'I
Completion Date:. 0 N 11. Id., S- 3CIVICS DARE
Work Requested:
Backflow in Mechanical room leaking Contact Robert Robertson
Equipment: Unknown Equipment 667198900
WorkPerformed: Complaint of backflow preventer leaking. Found bfp discharging from relief. Turn
water off and disassemble to inspect. found rubber seat seals wearing. Try to
find repair kit but had to order. Will return when repair kit is in. P.U. repair
kit and return to install. Disassemble BFP and install rubber repair kit for
check #1, #2 and relief. Reassemble and test device. Test O.K. at this time. See
test form for test results. Watts 3/4" RP M /N: 919QT S /N: 18747
Labor Charges Ext'd Price
Technician 01/05/2010 HRS. 3.00 $79.0000 $237.00
Technician 01/15/2010 HRS. 3.00 $79.0000 $237.00
Labor Subtotal $474.00
Mat /Oth /Sub Charges Ext'd Price
Watts Complete Rubber Parts F3/4" Qty. 1.00 $108.0100 $108.01
Backflow Test Kit Qty. 1.00 $25.0000 $25.00
Freight Qty. 1.00 $12.2500 $12.25
Truck Charge Qty. 2.00 $49.0000 $98.00
Mat /Oth /Sub Subtotal $243.26
INVOICE TOTAL $717
DUE UPON RECEIPT
A Service charge of 1 1/2% per month will be charged on any balance not paid within 30 days of the date of this invoice.
Thank You for Your Business!
scribed by State 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
JMI Mechanical Services, Inc. Purchase Order No.
5610 Dividend Road Terms
Indianapolis, IN 46241 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/19/10 J12192 payment for repairs to backflow leak 717.26
Total
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
VOUZHER NO. ;WARRANT NO.
ALLOWED 20
JMI Mechanical Services, Inc. IN SUM OF
5610 Dividend Road
Indianapolis, IN 46241
717.26
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# r INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoices
DEPT. b Y Y invoice( s), or
1110 J12192 beiA 501 717 .26 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
January 27 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund