HomeMy WebLinkAbout199444 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365495 Page 1 of 1
t}. ONE CIVIC SQUARE EXCEL MECHANICAL
!i CHECK AMOUNT: $2,116.40
CARMEL, INDIANA 46032 3005 S RURAL ST
INDIANAPOLIS IN 46237 CHECK NUMBER: 199444
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 6464 2,116.40 OTHER CONT SERVICES
CHECK LIST ITEM OR PART DESCRIPTION AMOUNT EXCEL MECHANICAL INC.
OCO COMPRESSOR PS �d �ti� 3005 S. RURAL ST. 6464
El HEAD HEAD
INDIANAPOLIS, IN 46237
❑VOLTS AMPS -1654203
1:3 ELECTRICAL CONNECTIONS DATE
❑CONTACTS TIGHT CLEAN (317) 788 0622 FAX (317) 788-0759 f
,�26QO 110
❑OIL LEVEL &CONDITION DATE ORDERED
CONDENSER COIL
CLEAN COIL CHECK FIN COND. NAME E -MAIL DATE SCHEDULED
❑ENT F LVG °F /Z/hG STh EET r�
REFRIGERANT Jy/,¢ /'/Xe; y 7 G STREET r PHONE
LEAK CHARGE 3 YOO I tv M,oy /A/ S7_&
FAN AND MOTOR CITY STATE ZIP WK. PHONE OR CELL
VOLTS AMPS Clq_
n/.), C
F ELECTRICAL MODEL S NUMBER
ELECTRICAL CONNECTIONS MAKE f/6 AL UM
El CONTACTS TIGHT& CLEAN
C] WARRANTY
F FAN PULLEYS (ADJUST BELT)
El CONTRACT
CHECK, LUBE BEARINGS MOTOR SERVICE CONTRACT
CFM _v7 evo s NORMAL
EVAPORATOR COIL JOB ED RES -COMM.
CLEAN COIL CHECK FIN LOCATION f✓ i.
ENT DS F LVG DB F
ENT WB- F ILVG WB _'F DESCRIPTION OF WORK
ORIGINAL J
CONDENSATE AREAS COMPLAINT /t?� �r j e!' op 1/0
INSPECT CLEAN DRAIN PAN
INSPECT CLEAN DRAIN
AIR FILTERS Sri o w /!!!E .8v; er
CLEANED REPLACED RE I APPLIED
FILTER SIZE
HEATING ASSY.
BURNER HEAT EXCHANGER -Jr/z/ S
El FUEL SUPPLY PRESSURE
PILOT ASSEMBLY REFRIGERANT ADDED 1 y l
F FLAME ADJUSTMENT J lyy W
PRIMARY RELAY FLUE
FAN LIMIT SWITCH OPER 6,m4-
ASSEMBLY TOTAL PARTS
RV VALVE
RV VALVE C WRITE OR CODE AMOUNT
STRIP HEAT H
PARTS WARRANTY A n
ED DEFROST CYCLE ,T �y
ED ELECTRICAL COMP'TS. All parts as recorded are warranted as per manufacturer specifications. E
RELAYS CONTACTORS LABOR GUARANTY S
F OVERLOAD El PRESS. SWITCH The labor charge as recorded here relative to the F TECH REGULAR O OVERTIME
HRS.
F THERMOSTAT equipment serviced as noted, is guaranteed for a o #1 HRS. /HR.= R
O.K. REPLACE period Of 30 days. M REFER MACH. USAGE REGULAR T OVERTIME
RELOCATE We do not, of course, guaranty other parts than those TECH 1 HRS.
a #2 HRS. /H R. M /HR.
TRAVEL TIME we supply. If repairs later become necessary due to E E
other defective parts, they will be charged separately. L TOTAL TECHNICIAN CERT. TOTAL
W OTHER CHARGES g SIGNATURE OTHER
TIME
CHARGES
ARRIVED ENVIRONMENT CHECK LIST SUB
TIME CHRG.TYPE SYSTEM m E CHANGED TOTAL f I t0
DEPARTED I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO
R CODE REFRIG. CITY. O REPLACED 7 ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL
TRAVEL U YES NO RETAIN TITLE TO ANY EOUIPMENT OR MATERIAL FURNISHED UNTIL
TIME E 1O l DIS- FINAL COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TRIP
MILEAGE F RECOVERED? YES NO CITY w M MANTLED? El El CHARGE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO CHARGE
YES NO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR
ENDING R N R DISPOSAL ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX
O RECYCLED? CITY. O
LL T 6
START 'r I m OUR PERSONNEL
G Q3 RECLAIMED? I YES I CITY. RECOMMEND:
Oj
T A MILES E RETURNED TO
w L THIS SYSTEM? CITY.
o R YES
NO L�
X MR A DISPOSAL
AUTHORIZED SIGNATURE 1 O
9 OWNER'S INITIALS ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. DATE H-N
C
MI.=
S X N NON USEABLE ACCEPTED DECLINED
TRIP T YES NO CITY.
O CHARGE DISPOSAL X
QUAD NTITY ITEM OR PART DESCRIPTION PRICE
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I ADDITIONAL PARTS
(BE SURE TO ADD IN ON OTHER SIDE)
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))
12/20/10 6464 $2,116.40
i 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
VOUCHER NO. WARRANT NO.
Excel Mechanical Inc. ALLOWED 20
IN SUM OF
3005 S. Rural Street
Indianapolis, IN 46237
$2,116.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 6464 43- 509.00 $2,116.40 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
5 Th ursdaX J ly 14, 2011
Street Commi4
oLr l;dr;°
TF'essione
Cost distribution ledger classification if
claim paid motor vehicle highway fund