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165004 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00350650 Page 1 of 1 10J� ONE CIVIC SQUARE WILLIAMS COMFORT AIR INC CHECK AMOUNT: $238.93 CARMEL, INDIANA 46032 1077 THIRD AVE SW CARMEL IN 46082 CHECK NUMBER: 165004 CHECK DATE: 10/16/2008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 137901 238.93 OTHER EXPENSES Williams Comfort Air SERVICE ORDER NO 137901 1077 Third Ave. SW, Carmel, IN 46032 DATE 1j l �O 0 ATTN SUPERVISOR Local: 317- 844 -3944 Fax: 317- 848 -8744 I R E -Mail: ser vice @WiIliamsComfortAir.com TECH NUMBER 877 599 -HEAT (4328) TECH NAME hg klg &more C 4 !p� 24 Hour Emergency Service CALL SLIP NUMBER Customer Name: �r �'7�'� INTERNAL USE ONLY Address: f al a e/r RSA CTA WS STL City: 4!!::�kC`rye State: IN Zip: t 03a CBA RE DC CT H/ W/C S7 H/W /C CTR CCB Call Note: Email: Heating CSA Exp. Date Visit" Number EQUIPMENT IDENTIFICATION Cooling CT of Make Model Serial Age Cond. Source Quantity Materials Used 1 2 2 3 3 4 4 CONDITION 1 5 (5 BEST) Customer responsible for annual maintenance of new HVAC systems as specified by each equipment manufacturer's guidelines. Failure to do so may void any and or all warranties. COMPLETED SERVICES T Qty. Code Ddkription- Price —ps 610 169- a j '1u b; g 1q ?3 -03 RECOMMENDED /SOLD SERVICES Qty Code Description Price Total COMMENTS RECOMMENDED /SOLD SERVICES TAY'S CHAR OD GES Accepted Declined TOTAL F "LAT RATE CHARGES' PAYMENT OPTIONS DIAGNOSTIC CHARGES AIR CHARGE CREDIT CARD /A/R CASH CHECK CAIRfree SAVINGS"AGREEMENT NEW L) RENEWAL Card Exp. Date: SUBTOTAL CHARGES Signature Valid. Code 9 LESS DISCOUNT_ S- Print Date /k/ LESS COUPON:. CODE Seller retains ownership of all material listed until payment is made in full. Terms include 1.5% DUE AND monthly service charge it not paid in 30 days. The customer will also be responsible for practical attorney fees of Williams Comfort Air in the event they do not pay the amount specified 'Total'. TOT A L PAYA BILE C� Williams Comfort Air is not responsible for insured losses. w White Customer Copy Yellow Office Copy Pink Return Copy a UMTED WARRANTY* ON PARTS AND SERME Williams Comfort Air, Inc. (hereinafter "Seller warrants services, parts and materials, which it sells and installs during the servicing of equipment, against defective materials or workmanship for the period of ninety (90) days from the original purchase date. This warranty is confined to specific parts purchased and repairs made during servicing and does not apply to allied, combined or related conditions. Except for the latter, no minimum service and diagnostic charges shall be assessed. This limited warranty applies to new equipment, parts and service, and IS IN LIEU OF ANY AND ALL OTHER WARRANTIES, IMPLIED OR OTHERWISE, including WARRANTIES OF MERCHANTABILITY OR FITNESS, FOR A PARTICULAR PURPOSE, WHICH ARE LIMITED, if applicable, to the duration of the express warranty set forth herein. Under this warranty, equipment or parts that fail as a result of defective materials or workmanship, within the stated time limitations, will be repair or replaced at the option of the Seller. This warranty is void if the equipment or parts have been damaged by negligence, accident, unreasonable use, misuse, abuse, failure to provide reasonable or necessary maintenance, missing parts, alterations not done by Seller, neglect, improper service, or other cause or causes not arising from defects of material or workmanship. Goods and services supplied under warranty are warranted only for the remaining term of the original warranty period. Maintenance and maintenance items, including but not exclusively, filters and water panels, are not warranted. Warranty is subject to full payment of account. Under no circumstances shall Seller be held liable for incidental or consequential damages due to breach of this or other warranties implied by law or provided by statute. This warranty gives you specific legal rights, and you may also have other rights which may vary from state to state. 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 350650 WILLIAMS COMFORT AIR INC Purchase Order No. P.O. BOX 3937 Terms CARMEL, IN 46082 Due Date 10/6/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/6/2008 137901 $238.93 4' hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 086370 WARRANT ALLOWED 35,0650 IN SUM OF WILLIAMS COMFORT AIR INC P.O. BOX 3937 CARMEL, IN 46082 r Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 137901 01- 736H -08 $238.93 L Voucher Total $238.93 Cost distribution ledger classification if claim paid under vehicle highway fund