163783 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 359383 Page 1 of 1
0 ONE CIVIC SQUARE HUTSON SONS BOILER CHECK AMOUNT: $1,397.00
CARMEL, INDIANA 46032 5 WEST EPLER AVE
INDIANAPOLIS IN 46217
o CHECK NUMBER: 163783
CHECK DATE: 9/1712008
DEPARTME ACCOU PO NUMBER INV NUMBER AMOUNT DESCRIPTION
651 5023990 S11372 12811 1,397.00 BOILER INSPECTION
I
HUTS ®N SONS BOILER 1ELDIN INC.
5 W. Eller Ave.
P.O. Box 17265
Indianapolis, IN 46217
Phone: (317) 783 -0953 Fax: (317) 756 -3431 Toll Free: 1- 877 753 -0953
"Quality service since 1978"
CARMEL UTILITIES August 26, 2008
Water Wastewater
760 Third Ave. SW, Suite 110
Carmel, IN 46032
Invoice 12811 P.O. S1 1372
Date completed: 8/6/08
Description of work: Opened boiler on the fireside and cleaned as necessary using a flue brush.
Performed PM and combustion check on Burnham boiler. Removed pilot assembly for cleaning and
ignition electrode replacement. Removed blower motor and wheel for cleaning. Cleaned
combustion air inlet dampers, oiled damper bushings, checked operating controls and safeties and
checked combustion with a flue gas analyzer on both methane and natural gas, found combustion
efficient on both fuels.
Labor: $1,294.00
Materials: 23.00
Trip Charge: 40.00
Analyzer Fee: 40.00
Total Due: $1 9 397.00
THANK YOU FOR YOUR BUSINESS
Terms: Net 30 days
1.5% late fee per month
Maximum total of I s% annually
Prescribed by State Board of Accounts City Form No- 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHED.
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
359383
HUTSON SONS BOILER Purchase Order No.
3 WEST EPLER AVENUE Terms
INDIANAPOLIS, IN 46217 Due Date 9/8/2008
I nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2008 12831 $1,397.00
Y,
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 086247 WARRANT ALLOWED
X59383 IN SUM OF
HU,TS'ON SONS BOILER
'X.WEST EPLER AVENUE
INDIANAPOLIS, IN 46217
�R
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12811 01- 7362 -05 $1,397.00
V
Voucher Total $1,397.00
Cost distribution ledger classification if
claim paid under vehicle highway fund