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180219 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 357971 Page 1 of 1 ONE CIVIC SQUARE PAUL E SMITH CO CARMEL, INDIANA 46032 5150 ELMWOOD AVE CHECK AMOUNT: $234.00 INDIANAPOLIS IN 46203 CHECK NUMBER: 180219 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350100 434164 234.00 BUILDING REPAIRS MA Date atT�.....�(9t v7Y �'Zd C) 9 Tech C 43 4 16 4 Name PLUN®WG DRAIN CLEANING HEATING COOLING Address A Direct Energy Company 5150 Elmwood Avenue Ste. 200.E Indianapolis; IN 46203 City 1!` State Zip 3�- 317- 271- 2222orvisit www.paulesmith.com phone 5 �7 License C081017771 E -mail D- 1 D. R egular 4 �f -t1cKt 3. 1 i Customer Authorization: I hereby authorize the work described on this, proposal invoice and Essential Plumbing Plan tv agree to the terms and conditions as stated on both sides of this document. I recognize that aged and deteriorated plumbing fixtures, piping, and appurtenances may no longer be serviceable, Total Repair and I agree to hold Paul E. Smith Co. Inc. blameless for any damage or destruction to those items as a result of these conventional repair efforts. I agree to pay for all work, goods, and services received when rendered. I agree to perform the obligations set forth in the applicable card holder agreement with the credit card user. Failure to make payment will result in a service charge of 1' /M per month (18% per annum) on all balances 30 days or more pastdue. X Work Declined X Work Approved Description of Completed Work Essential Preferred Regular ode Equipment snake Essential"Plumbing Plan Model Total Repair �37` Serial Discounts Coupons nn Cash Amount Credit Card Amount D GRAND TOTAL Check Amount Credit Card Auth. No. C Amount You Saved' Check No. Credit Card Last 4- Digits A ree the work completed was authorized -and Acceptance Signature: I- hereby DL No. Name on Credit Card completed to my satisfaction..: Exp. Date PSI Customer initials to authorize future communication for important information Essential Financing Amount Job No. Location Customer's Initials Regular Essential Plumbing. Follow Up„ Technician has advised customer that a current property Warranty Essential Protection Other damage health risk exists Customer's Initials CUSTOMER All service work is cash upon completion, unless prior .credit has been approved. Any account not paid when due will be charged the. maximum interest allowed under the state_ laws. MCD 1. PREVENTION Regular inspections can help prevent damage that could resuitfrorn leaks oe deterioration. 2. DISCOUNTS Receive all service and parts at a special value rate. 3. PROTECTION Emergency service is available 24hours a, day with affordable rates. 4. INFORMATION Receive money saving tips and learn about new products from our experts. s. COMPREHENSIVE In -home plumbing inspection, on all. readily accessible plumbing fixtures and materials, performed by a licensed plumbing company. The Gompanyscope of work does not include the identification, detection, abatement, encapsulation or removal of asbestos, radon gas, mold or products or material containing asbestos, radon gas, mold or other hazardous substances. In the event the Company encounters such products or materials in the course of performing its work, it may remove its employees from the project until such products or materials therewith are abated, encapsulated or removed, or it is determined that. no hazard exists (as the case may require) and the Company shall receive an extension of the time to complete this work hereunder and compensation. for delays encountered as.a result_ of the presence. of .asbestos, mold or other, hazardous substances. Further, the Company shall have no obligation to arrange for and will have no liability for.th removal. of, failure to detect or contamination as a result of its failure to detect any asbestos, radon gas; mold or other hazardous products or materials. Any alteration or deviation from the enclosed specifications involving extra costs will be executed only upon written order and will become an extra charge over and above the estimate. Any reinstallation of customer- supplied materials required due to. material defect or product shortage will incur additional charges. No repair of rough or finished drywall, flooring, ceiling, lawn, landscaping, or concrete is included in this proposal unless specifically addressed. The Company will be held blameless for any weather related delays. t YEAR SERVICE CALL LIMITED VARRANTY -The Company .warrants that its service described on .the front side of this form and any parts used will be free from defects in workmanship and materials for a period of one year from the date service was completed, with the exception noted below. The Company will repair or replace, at its option, any malfunction in the component directly arising from a defect in labor furnished with this service call, or any defect in materials furnished by the technician under this service call (other than those covered by a manufacturers warranty), if the Company receives notice of a claim under this warranty on or before 365 days from the date of such service call. To obtain service, contact your local dealer at the address or number shown on the front side of this form. No warranty_is expressed or implied in respect to customer supplied materials. The Company does not warrant any materials covered by a manufacturer's warranty, nor does the Company adopt any manufacturer's warranty as its own. This warranty does not cover normal wear and tear, including normal reduction in. operational efficiency. This warranty extends to the customer /owner identified on the front side of this form and ends if the home is sold prior to end of the warranty period. The Company's liability under this limited warranty shell be limited to the lesser of (i) the cost of all plumbing fixtures, piping, appurtenances and services provided to the customer under this invoice or (ii) $5,000. ANY IMPLIED WARRANTIES, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY_OR FITNESS FOR A PARTICULAR PURPOSE OR USE, ARE LIMITED TO 365 DAYS FROM THE DATE OF THIS SERVICE CALL. UNf1M NO. CIRCUMSTANCES SHALL THE COMPANY BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES RELATED TO THE PLUMBING FIXTURES, PIPING AND APPURTENANCES SERVICED OR LABOR FURNISHED WITH THIS SERVICE CALL. Some states do not allow limitations on how long an implied warranty lasts, or do not allow the exclusion or limitations of incidental or consequential damages, so the above limitations or exclusion may not apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state. License C081017771 Plumbing Solutions That Work! Prescribed by State Board of Accounts City Form No. 201 (Rev. 193,5) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL g s 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)) 11/26/09 I 434164 I I $234.00 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 VOUCHE NO. WARRANT NO. ALLOWED 20 Paul E. Smith Plumber IN SUM OF Attn: Sandy 5150 Elmwood Avenue Indianapolis, IN 46203 $234.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 434164 43- 501.00 $234.00 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 Tuesday, December 01, 2009 4we Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund