162379 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 361368 Page 1 of 1
0 ONE CIVIC SQUARE IRISH MECHANICAL SERVICES INC CHECK AMOUNT: $2,500.00
CARMEL, INDIANA 46032 9151 FORD CIRCLE
FISHERS IN 46036 CHECK NUMBER: 162379
CHECK DATE: 817/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMO DESCRIPTION
1110 4350100 16706 1252 2,500.00 COOLING TOWER REPAIRS
i
Irish Mechanical Services, Inc.
9151 Ford Circle
I R SA H Suite 200
i Fishers, Indiana 46038
Phone: (317) 570 -0770
MECNANICAt SERVICES Fax: (317) 570 -0771
Invoice Number: 1252
o Carmel Police Invoice Date: 07/17/2008
3 Civic Square Our Job Number: 60016
m Carmel, IN 46032
Job Name:
Your Purchase Order Number: 16706
Provide material and labor to:
Complete the project of sealing water sump basin for West
Cooling Tower using byutal sealant flexible waterproof
caulking at leaking joints and corners in cooling tower sump.
Fill west cooling tower with water after repairs are complete
then check operation of tower fan, operational controls,
and circulation pump.
Make note of any additional problems found during west
tower start-up to customer.
Reference our proposal dated May 27, 2008.
QUOTED PRICE: $2,500.00
Terms: Due Upon Receipt
C 4 INDIANA RETAIL TAX EXEMPT PAGE
i f Carmel PURCHASE O CERTIFICATE NO.003120155 002 0 li RDER NUMBER
'Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 ,n
i ivv
ON&CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CA INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
M_ 29 2809 n 1 r war
VENDOR Frish Mechanical Services, Inc TO IP City of Carmel Police Departmnt
9151 Ford Ctrcle 3 Civic Square
Fishers, IN 46038 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to cooling tower 2,500.00
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«ttge
Send Invoice To: t
x
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 501 bui &ding repa>t>ts nTnaintena
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPRIATION SUFFICILNf TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A R. A of of P niica
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 1 6 7 tJ R-V- COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.- WARRANT NO..__-
ALLOWED 20
IN THE SUM OF
S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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----
r
20
Signature
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
Irish Mechanical Services, Inc. Purchase Order No. 16706F
9151 Ford Circle, Suite 200 Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/17/08 1252 payment for repairs to cooling tower 2,500.00
Total
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.
ALLOWED 20
Irish Mechanical Services, Inc. IN SUM OF
9151 Ford Circle, Suite 200
Fishers, IN 46038
2,500.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16706F 1252 501 2;500.00 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
July 23 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund