165930 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 262100 Page 1 of 1
s 0 ONE CIVIC SQUARE REAL MECHANICAL INC
CARMEL, INDIANA 46032 475 GRADLE DR CHECK AMOUNT: $731.13
CARMEL IN 46032
CHECK NUMBER: 165930
CHECK DATE: 11/12/2008
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER A DESCRIPTION
1120 4350100 102400 731.13 BUILDING REPAIRS MA
Date: 10/31/2008
'I Invoice 102400
Customer 2209
MIECKANICAL 00 tRiACTORS Work Order 169917
475 Gradle Drive (317) 846 -9299 Dispatch 66545
Carmel, IN 46032 Fax (317) 575 -3494
Job Site
Bill To Carmel Fire Dept. Headquarters Carmel Fire Dept. Headquarters
2 Carmel Civic Square 2 Carmel Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O. Net 30 Days No Interest
JOB 1 Commercial Service [1]
Work Done
Bryant Unit #5 Ser. -6219 Replaced blower motor, associated parts as needed on specified HVAC
equipment and verified proper operation per attached field copies.
Parts and Material Used
Qty U.M. Part# Description Price Extended
1 EA Non Inventory BLOWER MOTOR HC37AE114 $308.11 $308.11
1 EA Non Inventory CAPACITOR P2910753 $7.04 $7.04
7 EA. 6" 12" !NYLON CABLE TIE $0.64 $4.48
1 USE ELECT. TAPE USE OF ELECTRICAL TAPE $2.00 $2.00
10
Miscellaneous 1 Others Retail
Truck Charge $32.00
Fuel Surcharge $7.50 $7.50
Labor
Tech Tech Name Dt. Worked Hrs Worked Hrly Rate Extended
43 Tom Thompson 10/28/2008 05:00 Reg $74.00 $370.00
Total Hours: 05:00
Thank You for using Real Mechanical Service Department.
INVOICE TOTALS
Parts /Material $321.63
Misc /Other $39.50
Labor $370.00
Total Invoice $731.13
Terms The Customer Is Responsible For All Legal And Collection Fees Deemed Necessary To Collect Amount Of This Invoice.
Page 1 of 1
'R FmvAkL 169917
MECHANICAL CONTRACTORS JOB CHARGEABLE
475 Gradle Drive Carmel, Indiana 46032 (317 -9299 FAX (317) 575 -3494 Job No: Cost Code
Name li� L �7C rim ✓A'�ft'C P.M.
Address
City State Zip: Date T
Contact: Phone: Equipment
Nature of Call: N o ke Model No. 3 S Le-U O
Serial No 3 1i�0 C �(02l Q l
Service Performed :rri AaelLi✓ _b,�#- gv
X _.r A'6.GVl �a -•aT 14.t�r./�iv 12- -c v+ �.v c —ri
L F i nished AN ONLY
j'1++ v ✓QN�cY f'' il`,.is+. a!rzsSS ed Juj
HNICIAN
Parts RECOMMENDS
Procurement ode! I Part Nuntb a At -C �a P dls Amount Q AIR F I L TERS
Code C,[ SERVICE CONTRACT
MISCELLANEOUS MATERIAL USED ❑REPLACEMENT
OTHER REPAIRS NEEDED
6 Y}03 7 Pt6 1 im'r -f- Z—
P� t- 015'3 Cotprted
OTHER INVOICES FORWARD
4 t
N
Purchase Order Number L Total For Materlats Truck CtV.
Labor
The seller retains title to all materials and property listed herein until payment has been made in full. Total
Accounts not paid within thirty days of invoice date are in default and a late payment charge Sales Tax
computed by a "periodic rate" of 1 per month will be added. It is understood and agreed that
REAL MECHANICAL, INC., shall not be responsible to purchaser for any insured loss. Purchaser PAY THIS
agrees to reasonable attorney or collection fees incurred by REAL MECHANICAL, INC. in securing AMOUNT
payment for this contract.
A S: NET -OUE UPON RECEIPT
Serviceman S Customer's Signature
Time Left Las 2nd Arrival Re O_T. Mech. Date Reg. O.T. MCch. Date
2nd Departure
Time Arrived on Job VVV C. O
U D 3rd Arrival
Time Departed Fro Job
3rd Depa4ure
j' cIG2 :OT 80 Be 400
VOUCHER NO. WAR NO.
ALLOWED 20
Real Mechanical
IN SUM OF
475 Gradle Drive
Carmel, IN 46032
$7 31.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members
1120 102400 43- 501.00 $731.13 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
NOV i 0 9908
_7
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))
102400 Repair Furnace $731.13
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