191741 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 354602 Page 1 of 1
ONE CIVIC SQUARE MARK IV ENVIRNMENTAL SYSTEMS INC tHECK AMOUNT: $305.13
CARMEL, INDIANA 46032 1012 N BLUFF ROAD
SUITE A
'4tONLO� CHECK NUMBER: 191741
GREENWOOD IN 46142
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 37596 305.13 REPAIR PARTS
Mark Iv HVAC
Environmental Systems, Inc. E RV 1 C E O ER*
1012 N. BLUFF ROAD, 7) 889 -3744 ENWOOD, IN 46142. INVOICE
(317) 882 -8022 Fax 3 7596
www.markiv- env.com
BILL TO THE WORK IS TO BE
C.O.D. CHARGE NO CHARGE
MAK MAKE
M DEL MODEL
SE AL NUMBER SERIAL NUMBER
NAM
STREET dv DATE a' DESCRIP7�ON OF WORK P,ERFORNIED 7
CI PROMISED
PHt�E e P.O. N
TECHNICIAN AUTH IZED BY 11
E -MAIL ADDRESS
WQ�L�TO BE PERFORMED
QTY. MATERIALS SERVICES UNIT AMOUNT'
REF R- LBS. OZ.
TOTAL MATERIALS
Jr
RECOMMENDATIONS
HRS. LABOR RATE AMOUNT
LIMITED WARRANTY: All materials, parts and equip ent are warranted by the manufacturer's or suppliers'
written warranty only. All labor performed by the above named company is warranted for 30 days or as other
ARRIVAL TIME DEPARTURE TIME wise indicated in writing. The above named company makes no other warranties, express or implied, and its
1415 TOTAL LABOR 3� agents or technicians are not authorized to make any such warranties on behalf of above named company.
TERMS BALANCE DUE ON COMPLETION OF WORK. BUYER AGREES TO PAY 1 -1/2% PER MONTH ON O REGULAR r WARRANTY TOTAL SUMMARY
UNPAID BALANCES OVER 10 DAYS. BUYER ALSO AGREES TO PAY COST, INCLUDING ATTORNEY SERVICE CONTRACT
FEES, FOR THE ENFORCEMENT OF THE TERMS AND CONDITIONS OF THIS AGREEMENT. TOTAL
INVOICES LEFT UNDISPUTED AFTER 7 DAYS ARE NON- NEGOTIABLE. O V® MATERIALS
TOTAL
I'have authority to order the work outlined above which has been satisfactorily completed. I LABOR
agree that Seller retains title to equipment/materials furnished until final payment is made.
If payment is not made as agreed, Seller can remove said equipment/materials at Seller's
expense. Any damage resulting from said removal shall not be the responsibility of Seller. EXPIRES TRAVEL
C oq lq h" CHARGE
PRI T N E SIGNATURE TAX
I O I Z
CUSTOMER SIGNATURE DATE /lr /�nlG eU TOTAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark IV Environmental Systems, Inc.
IN SUM OF
1012 N. Bluff Road, Suite A
Greenwood, IN 46142
$305.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Membei
2201 37596 42- 370.00 $305.13 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
r:
/Thursday', No� 04, 201 C
Vrr-';� 1.
Sreet�Commissioner
S� r er or";n sslone,
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, 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))
10/26/10 37596 $305.13
1 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