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192132 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00351618 Page 1 of 1 ONE CIVIC SQUARE J.M.I. MECHANICAL SERVICES, INC CHECK AMOUNT: $249.36 y o CARMEL, INDIANA 46032 5610 DIVIDEND ROAD INDIANAPOLIS IN 46241 CHECK NUMBER: 192132 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 J14627 249.36 BUILDING REPAIRS MA J.M.I. Mechanical Services, Inc. d M I 5610 Dividend Road Indianapolis, Indiana 46241 P: 317.243.7180 F: 317.243.7181 YOU CAN RELY ON J M I www.jmimechanical.com Invoice No.: J14627 Invoice Date: 11/05/2010 Client: CITYOFCARM Site: 12120BROOKSHI Page. 1 of 1 CITY OF CARMEL ATTN: JEFF BARNES Service Location ONE CIVIC SQUARE Brookshire Golf Course CARMEL IN 46032 -0000 12120 Brookshire Parkway CARMEL IN 46033 -0000 C6npletionDate Q. 11 /O5 /201. 9b 12120BR.OKSHI Work Requested: No heat in Maintenance shop Equipment: Unknown Equipment Equipment: MAINT.GARAGE 4778C28664 Work Performed: Pilot was out on furnace. Lit pilot and furnace came on. Shut it off and blew out burners etc. with nitrogen to remove rust dirt. Changed filter with one they had in stock. Re -lit pilot and brought unit on with thermostat. it lit off and brought on blower as it should. The burner compartment cover is missing and there is no rain cap on exhaust vent. Maint. supervisor said they will get a rain cap and install it. Labor Charges Ext'd Price Technician 11/05/2010 HRS. 2.00 $79.5000 $159.00 Mat /Oth /Sub Charges Ext'd Price Nitrogen 40 tank Qty. 1.00 $41.3600 $41.36 Truck Charge Qty. 1.00 $49.0000 $49.00 Mat /Oth /Sub Subtotal $90.36 I >OICE'.TOTAL'`!.'. DUE UPON RECEIPT A Service charge of 1 112% per month will be charged on any balance not paid within 30 days of the date of this invoice. Thank You for Your Business! h VOUCHER NO. WARRANT NO. ALLOWED 20 J.M.I. Mechanical Services, Inc. IN SUM OF 5610 Dividend Road Indianapolis, IN 46241 $249.36 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 1207 J14627 43- 501.00 $249.36 1 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 Monday, November 15, 2010 1 t Director, BrooAkire Golf Club 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)) 11/05/10 J14627 Furance Repairs $249.36 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 20 Clerk- Treasurer