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Home My WebLink About185876 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 354036 Page 1 of 1 ONE CIVIC SQUARE MITE E DUCTS 1200 PARKWAY DR CHECK AMOUNT: $527.00 CARMEL, INDIANA 46032 ZIONSVILLE IN 46077 CHECK NUMBER: 185876 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 12781 16303 527.00 1200 PARKWAY DRIVE r c Residential ZIONSVILLE, IN 46077 OICA AIR G�JCT CLEANIN h, DATE OF ORDER PH: (317) 733 -1012 �Q -10 FAX: (317) 873 -5834 Commercial START DATE CUSTOMER# PHONE CELL PHONE LEAD TECH ASSISTANT TECH V7 SLR )r7 -Z"7- I ZJ3 usr,N BILL TO JOB NAME AND LOCATION STREET A 5 0 SZ c m rr STREET ADDRESS JIT CITY ✓C S G STATE ZIP CITY STATE ZIP y o3 E -MAIL JOB PHONE FAX WORK ORDER AUTHORIZATION I authorize the services below and agree to pay the amount indicated, i have read and agree to the terms on the reverse side, including the limits on Mite -E -Ducts responsibility specified in those terms. Signature Print Name AIR IIUCT CLlANING RYE VENT' GLEi4 N11y1G AIR DUCTtI"REAtMENT !s ycled furnance /air han�d� �upon arrival" El Cycled on dryer upon arrival. Is dryer unit El Applied Fungistat to system(s) of ductwork system functioning? e; No kZ functioning? Yes No at job location listed above. Air duct "Power Vac" cleaned _K stems of Customer is aware of the two hour evacuation y O Inspected pipe run and hood condition. of the remises and that the must wipe down all uctwork at job location listed above. Is dryer vent up to code? Yes No counts tops and perishable items. p Cleaned all supply and return branch ducts, main Air duct cleaned dryer vent(s) at job location unkiines, Pen and registers. El Haul away all debris from premises and dispose P 9 listed above. of per E.P.A. mandatory compliance Clean Z- blower compartment(s) El Cycled on dryer upon completion and checked air Installed p panel(s) v DEQp!DR�ZER' flow. Is dryer unit still functioning. Yes No b C Cycled on furnance /air handler upon completion. Haul away all debris from premises and dispose K system still functioning Ye No E] Applied Deodorizerto system(s) of ductwork aul away all debris fromes and of per E.P.A. mandatory compliance. at job location listed above. ispose of per E.P.A. mandatory cc.mpliance. E] Customer understands if the odor(s) is not located specifically If you circled NO to any of the above questions, in the ductwork, the deodorizer may not control the odor(s). !f you circled NO to any of the above questions, please explain in comments section below. ❑Haul away all debris from premises and dispose please explain in comments section below. of per E.PA. mandatory compliance. _3 �UL"1` tAV1OLET L SYST Description of work Regular Price Discount Price JIL Air Duct Cleaning InstalledUltraviolet Light System(s). Make Dryer Vent Cleaning Model# Air Duct Treatment Serial# Deodorizer (circle one) 24v 120v other Ultraviolet Light System Bulb is to be replaced every: Other (circle one) 1 -year 2 -year other Other Other OUR TRAINED SERVICE PERSONNEL RECOMMENDS If other is chosen above, please describe the work to be performed below in the comments section.* __Air Duct Cleaning _See Re, Repairs (right) COMMENTS ,�,r _Air Duct Treatment _Ultraviolet Light System E�N YEN'S' -490—i� �►L ALb- s,tq# 4.gC' 5_f �N 4& QW•ant &b _Deodorizer _Dryer Vent Cleaning Coil Cleaning _Dryer Vent Repairs _Indoor Air Quality Test _Dryer Vent Re -route AIR DUCT CLEANING AL' THIS WORK TO BE PAIDC ATTIC/CRAWLACCESS CK# CASH Air Duct Cleaning is recommended P every 3 to 5 years. Even in new homes! Aux. OPTIONS AMEX. VISA l Dryer Vent Cleaning is recommended annually. SUB -TOTAL DISCOVER MC COUPON /DISCOUNT r �Y. Reference DATE COMPLETED PURCHASE ORDER l Approval ,T l� �D TOTAL AMOUNT Z 7 COMPLETION: I hereby acknowledge the satisfactory completion of the above described work. I hereby agree that will be heitl liable Ear cotlection costs, including but notlimitedto: collection agency( ass, rvaaenable anorneyfees( which yon expressly agree thatthereasanabre attorney fees shall be the greats ref:11) percent I50 %]ofthe unpaid balance; or(215400 -W1, court eases and interest aE a .ate a} 18.00% per year, calculated daily, beginning tram the last date of service ar the last pay—, date. Unpaid bn lances shall also be .object le a data trnnsler of derogatory information about any unpaid balance m one. or all, of tha three maJor credit bureau reporting agencies(Exper'ian, Equifax er Trans Unlonl. ey signing belaw.lexpressly authwim any mlleclivn agenry or attorney involved[onv[ only transmit this' mtermallen, but also to regnesta copy of your personal aedit reporc from ena er more ofthe above eeferenced credit reporting agencies. SIGNATURE PRINT NAME VV. M ke- :D'uctsTerms and Candittbns 1) General, In this Agreement, "MED" mean.s. Mite -E -Ducts Inc, and its officers; agtntsand, employees: "Client" means the individual or entity signing this dczu�; i.ent N"acceptance of MED's offer to pmvide i Vices ci °cscribed on the side of this format the price set forth orr.the reverse side of this form. Any acceptance of MEIsLoffef tgoi ovice seyie is. also an 'acceptance of the Terms and Conditions set forth in this Agreement. a) Term of Offer. MED's offer to provide the services described on the reverse side of this forrri at tlle;gaoted price will be valid and open for acceptance for a period of thirty (30) days from th. date set fortVn, the reverse side of this form:. MED may revoke this offer at any time prior to the expiration of this J� fm 3). Payment Terms. Payment for MED's services will be due immediately;�upon corrb'fetion of MED's services on the Client's premises. 4) Limitation of Services. MED provides duct cleaning, duct treatment, and dryer vent cleaning services. While MED offers application /treatment services using certain fungistat and deodorizer agents that have been demonstrated to control an`d /ornetitral.izefungai spores; bacterial Mildew a.. odors; MED "does n'ot manufacture such agents and d not guarantee that their use will res in complete eradicatir n:of fungal spares, bacterial spores, mold, mildew, and- odors on the Client's premises or within the Client's.air handling system in any case. MED does not provide mold or mildew.remediation services, and MED's services are not designed to remove or neutralize any mold or mildew sources within the Client's premises.The Client acknowledges that cleaned and /or treated air ducts may be re- contaminated by..- airborne mold or mildew and other contaminants that are reintroduced in the air handling system, and that MED is not responsible ftf such're- coritamination.The Client acknowledges that a two (2) hour evacuation of the home may be required for people and pets for the fungistat acid /or deodorizer treatments, and that all countertops, perishable items, and anything that could be inserted into Client's mouth be cleaned thoroughly. MED does not provide filters or cleaning of filters. Filters may be removed during service for replacement or cleaning by the Client or the Client's representative. Time length estimates for services may be provided to the client as a courtesy buy are not guarantees. 5) Precautionary Measures. When performing services on the Client's premises, MED will take reasonable measures to protect people and property, avoid interference with the passage df`people and property amd avoid unnecessary disturbance. Nonetheless, MED will not be liable to the Client or Client's family members, licenses, invitees and /or employees except to the extent described in this Agreement. 6) Warranty. MED warrants that immediately after completion of any cleaning services it provides,:the Client's air ducts will be demonstra0y free of significant dust and debris as discernible through the use of MED's handheld digital cameras or other visual means. Upon the completion of cleaning services, MED will offer the Client the opportunity to visually inspect the Client's air ducts using MED's handheld digital camera or other visual nieans.The Client acknowl- edges that some circumstances beyond MED's control, such as limited access to work.areas or�Client.requests, may limit MED's ability to provide services or visual verification for portions.of a system or work area 7) ;1,¢s p l +ora o gis:lry%io•:eva vw�ill ME beitaFaIe-- tatlae.Client o+';anyofthe Client's family member, licensees, invitees and /or er iplc yees h:etheK:s tr ;rn t irtr r n�cgrfy of qr Iriasis of liability,for any special, personal, inciden- tal or consequential damages, including but not limited to lost business, lost profits, or personal or "property damage. Any liability of MED for any reason will be limited to the amount of money the Client paid to MED in exchange for MED's' services. €3) Entire Agreernent. This agreement, along With any related invoices, constitutes the entire agreement of the parties with respect to its subject matte-.The terms and conditions of this Agreement Supersede and replace a6yprevious agreements or representations by either party, whether oral or in writing. MED hereby disclaims any express or implied warranties, whether under the Uniform Commercial Code or otherwise,that are, not specifically included in this Agree- ment. g) Modification and Waiver. N16difie?tions -to this Agreement must be in writing and sighed by all parties. No waiver of any of these terms and conditions will be effective unless in writing and signed by an authorized representative of MED. 10) Questions Inquiries. If there are any questions or inquires regarding Mite -E -Ducts work that has been performed or that is do be performed; Please:,contact Clay Winters at 317 -733 -1014 or you may email to clay(Pairduct_info.You may also send information to Mite -E -Ducts Inc., Attention: Clay Winters, 1200 Parkway Dr, Zionsville IN 40077. VOUCHER NO. WARRANT NO. ALLOWED 20 Mite E Ducts c IN SUM OF 1200 Parkway Drive r Zionsville, IN 46077 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 12781 16303 43- 501.00 $&7-M 1 hereby certify that the attached invoice(s), or 11 2 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 MAY 2 4 9nlp s Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed 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, ba 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)) 16303 $577.00 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