HomeMy WebLinkAbout202358 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00350650 Page 1 of 1
ONE CIVIC SQUARE WILLIAMS COMFORT AIR INC
CHECK AMOUNT: $94.00
CARMEL, INDIANA 46032 1077 3RD AVE. S.W.
CARMEL IN 46032 CHECK NUMBER: 202358
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 179958 94.00 OTHER EXPENSES
Q Williams Comfort Air THIS IS YOUR INVOICE #t A
1077 3rd Avenue SW, Carmel, IN 46032 r6
v hn b DATE ATTN SUPERVISOR
Local: 317- 452 45x3 •Fax: 317 -848 8744 u_
E -Mail: seriice@WilliamsComtortAit.com TECH NUTA UMI I IR HVAG License H0002400
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nealg KcofflolgNplumbmg &more 877- 599 -HEAT (4328)
CAL SLIP NUMBER
IDENTIFICATION
Customer Name: L I 1 EQUItPMEN CONDITION 1 5 (5 BEST)
Make Model
Address: Age card H
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City: 1yf! State: IN Tor
HANK H(W /C 2 s I j Source j 0 .l Materials Used
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Agreement for Service: 1, the undersigned, am an authorized representative of the p 4
premises at which the v.o k below is being done. l authorize the performance of the work s 3
as noted on this iNV010E and/or the SUMMARY CF FINDINGS. I acknowledge that the
estimated price does not include unforeseen parts or labor which may be needed after the
work begins. My written authorization wilt be obtained before beginning any additional w
i Air Handler Cabinet D OK O Dust 0 Growth !POE3 G s
work. t have read this contract, and agree to be bound by all the terms contained herein. S glower wheel a OK 0 Dust D Growth r Din ru voc's
Signature Housing
Evaporator Coii oK el Dust o Growth D Dirt O VOC's
Ducts and vents (S) rJ OK U Dust 0 Growth U Dirt q VOC's
E Ducts and Vents (R) ;a OK :2 Dust D Growth Dirt O VOC s
Sao »)i D
tAO Overall .Rating (5 BEST) U 1 U 2 i 1 3 J o
_l GAIRfree Savings Agreement:
This program has been explained.
Q Current participant
iD Agree to purchase
i Q Decline participation
Customer's initials
1 See St3MMARY OF FINDINGS m t z
I( t additi information. GA1Rfree SAVINGS AGREEMENT CI NEW D ,RENEWAL
PAYMENT OPTIONS a
U AIR CHARGE O CREDIT CARD AIR D CASH v CHECK
A
Card Exp. Date the Saving
l have discussed CAIRfree s
Print Valid. Code Agreement with the customer. I have given a
ff ti copy of the contract to the customer. Alf work
Signature Date Ili I have done is in compliance with Wllliarns
My signature above ac es that I agree to the sum total of the charges and payment Comfort Air standards of excellence in
method. Seller retains ownership of all mat6ai listed until payment is made in full. Teams DUE•A YA workmanship and in compliance with
include 1.5% month) service charge if not aid in 30 d in the event of non rnent of the
Y 9 p aid building codes when applicable.
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specified 'Total', alien against my property maybe pursued and i wilt be responsible for practical Technician's Signature
rn and interest. Seller is not responsible for insured losses.
VOUCHER 115861 WARRANT ALLOWED
350650 IN SUM OF
WILLIAMS COMFORT AIR INC
P.O. BOX 3937
CARMEL, IN 46082
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
179958 01- 7360 -01 $94.00
Voucher Total $94.00
Cost distribution ledger classification if
claim paid under 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 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 9119/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2011 179958 $94.00
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
Date Officer