176744 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 363100 Page 1 of 1
i4` Q ONE CIVIC SQUARE FULLER ENGINEERING SERVICE CO. CHECK AMOUNT: $1,630.00
o CARMEL, INDIANA 46032 4135 W 99TH STREET
CARMEN IN 46032 CHECK NUMBER: 176744
CHECK DATE: 9/2/2009
DEPA ACCOUN PO NUMBER IN VOICE NUMB AMOUNT DESCRIPTION
1047 4350000 111767 1,630.00 EQUIPMENT REPAIRS M
FULLER
Engineering Service Company I n voi ce
4135 West 99 Street Ci
Carmel, IN 46032
(317) 875 -8961 JUL 2. 7200 Inv Number: 111767
FAX (317) 876 -1935 Invoice Date: 7/20/2009
13Y. Page: 1 of 1
Bill To: 4120 Service 3296
Carmel Clay Monon Center Location: Carmel Clay Monon Center
1235 Central Park Drive, East 1235 Central Park Drive, East
Carmel, IN 46032 Carmel, IN 46032
Work Ord ID Co Aete PO Number j Term C a ll ed In B
111767 05/15/2009 Jeremy Kerr Net 30 Days Jeremy Kerr
Description of Work
ABB drive service found pump drive failed. Replaced and started drive, including new fuses
Unit
Qty Item ID Description Date Price Disc Amount
Other Charges
5 HP 460AC ABB Drive 5/15/2009 920.00
10AMP 600V Fuses 5/15/2009 60.00
Service, install and start-up labor. 5/15/2009 650.00
SubTotal 1,630.00
purchase
Description
P.O. (O P or F
G.L
Bud AUG 0 6 2009
Line Descr
purchaser Date
Approval. Date
Invoice Subtotal 1,630.00
Sales Tax 68 0
Invoice Total 1,6 .60
Payment Received 0.00
Balance Due /,698. 60
n
r
R
L WORK O
DER
ENGINEERING SERVICE COMPANY
4135 West 99` Street Carmel, IN 46032 t
317- 875 =8961 FAX 317 -876 -1935 ..JOB NAME claY�f}pje4(�ij �•b•
00
TO 1 ADDRESS s
L (7
COMPLAINT
DATE DATE
SERVICE
�r'
ORDERED PO# COMPLETED J ❑CONTRACT
EQUIPMENT INDOOR EQUIPMENT OUTDOOR OTHER CHARGES AMOUNT
Make O/ Misc.
Model No.
Serial No. 30 Q 6 Travel Time &Mileage
Voltage Recovory Charge
DESCRIPTION OF WORK PERFORMED:
QTY MATERIAL �UPIIT PRICE TOTAL AMT MECH DATE START FINISH TOTAL HRS RATE AMOUNT
4
Y
Nil TOTAL LABOR
TOTAL.MATERIALS j
sc
TOTAL MATERIALS TOTAL OTHER
TERMS: Net 30 Da
SERVICEMAN'S s TAX y
SIGNATURE
CUSTOMER'S
G/
SIGNATURE A Service Charge of 1 -1 /2 per Month to Ail Invoices
I HEREBY ACKNDPGE THE SATi FACTORY,COMPLETION 0 THE ABOVE DESCRIBED WORK. Unpaid After 30 Days (18% Annual Rate)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
363100 Fuller Engineering Service Company Terms
4135 West 99th Street
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/20/09 111767 Replace kiddie pool VFD 21901 F 1,630.00
r
Total 1,630.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
363100 Fuller Engineering Service Company Allowed 20
4135 West 99th Street
Carmel, IN 46032
In Sum of
1,630.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
I 1047 111767 4350000 1,630.00 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
27 -Aug 2009
A4 L-222Z22M -2
Signature
1,630.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund