155959 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00350650 Page 1 of 1
ONE CIVIC SQUARE WILLIAMS COMFORT AIR INC
CARMEL, INDIANA 46032 1077 THIRD AVE SW CHECK AMOUNT: $291.33
CARMEL IN 46082 CHECK NUMBER: 155959
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 131281 291.33 CONT SVS -HAZ WASTE
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A t 41 o Williams Comfort Air SERVICE ORDER NO 131281
1077 Third Ave. SW, Carmel, IN 46032
o f o T I R Local: 317- 844 -3944 Fax: 317- 848 -8744 DATE O ATTN SUPERVISOR
E -Mail: service @WilliamsComfortAir.com TECH NUMBER
877 599 -HEAT (4328) TECH NAME
hmta g- moiing -paling &more 24 Hour Emergency Service CALL SLIP NUMBER
Customer Name: ie INTERNAL USE ONLY
Address: i v RSA:- CTA WS STL
City: State: IN Zip: CBA, XRE DC L) CT
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L) CTR CC
H/W /C 1 U;7 A/W /C 2-. Call Note:
Email: Heating CSA Exp..Date Visit Number-
EQUIPMENT IDENTIFIMION
Cooling CT of
Make Model Serial Age Cond. Source Quantity Materials Used
1 1
Z 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
Code r
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RECOMMENDED /SOLD SERVICES
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COMMENTS .0 Y_ VA_ Ck C_ %JL— OkL 1 1!1 tA_
RECOMMENDED /SOLD SERVICES t }TODAY S CHARGES
f
Accepted Declined
TOTAL FLAT RATE CHARGES
PAYMENT OPTIONS 3 DIAGNOSTIC CHARGES
AIR CHARGE CREDIT CARD A/R CASH CHECK CAIRfree SAVINGS AGREEMENT
❑NEW ❑RENEWAL
Card Exp. Date:
l/ 3
Signature !C,�"" Valid. Code SUBTOTAL CHARGES h
LESS DISCOUNTS
Print Dat LESS COUPON CODE
Seller retains ownership of all material listed until payment is made in full. Terms include 1.5
monthly service charge if not paid in 30 days. The customer will also be responsible for practical TOTAL DUE AND
attorney fees of Williams Comfort Air in the event they do not pay the amount specified 'Total PAYABLE
Williams Comfort Air is not responsible for insured losses.
White Customer Copy Yellow Office Copy Pink Return Copy
1
UMTED WARRANTY* Y* ON PARTS QUID SERMC
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 1/11/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/11/2008 131281 $291.33
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
��G /vas' C°cz�lv�` --Z... it
Date Officer
VOUCHER 077090 WARRANT ALLOWED
:350650 IN SUM OF
1 t4zVILLIAMS COMFORT AIR INC
P.O. BOX 3937
LARM E L, IN 46082
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
131281 01- 736H -08 $291.33
Voucher Total $291.33
:ost distribution ledger classification if
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claim paid under vehicle highway fund