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Home My WebLink About169916 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T362662 Page 1 of 1 ONE CIVIC SQUARE CHAD GRAY CHECK AMOUNT: $653.12 CARMEL, INDIANA 46032 22213EECHMONT DRIVE roe CARMEN IN 46032 CHECK NUMBER: 169916 CHECK DATE: 3118/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 653.12 SEWER'BACK UP RETMBUR r I sE w 7 1-. AF 11355 N MERIDIAN STREET CARMEL, IN 46032 TELEPHONE 317- 844 -7994 FAX (317)843 -0678 GRAY, LAURA 211 /ND2SX '222 Beechmont Drive 11123/084:OOPM 11125/085:02PM I Carmel, IN 46032 2/2 109.00 RATE PLAN S -DJ1 HH# AL: CAR: CONFIRMATION NUMBER: 88277195 11/25/08 PAGE 1 11123/08 1293862 GUEST ROOM $109.00 11/23/08 1293862 STATE TAX $7.63 11/23/08 1293862 OCCUPANCY TAX $5.45 11/24/08 1294058 GUEST ROOM $109.00 11/24/08 1294058 STATE TAX $7.63 11/24/08 1294058 OCCUPANCY TAX $5.45 11/25108 1294164 GUEST ROOM MULTI $109.00 11/25/08 1294164 STATE TAX $7.63 11/25/08 1294164 OCCUPANCY TAX $5.45 11/25/08 1294165 DS *9554 ($366.24) BALANCE $0.00 EXPENSE REPORT SUMMARY ��QQ 11/23/08 11/24/2008 11/25/2008 STAY TOTAL ROOM TAX $122.08 $122.08 $122.08 $366.24 yy''11 tl� DAILY TOTAL $122.08 $122.08 $122.08 $366.24 DS *9554 11/25/2008 269997 A GRAY, LAURA 025722 366.24 e nut TROL (317) 390 -5555 (765) 447 -7661 INVOICE: 8404 2 8 3 2, WINDOW i 7 25 WOODROW AVENUE 412 FARABEE DRIVE 7 INDIANAPOLIS, IN 46241 LAFAYETTE, IN 47905 J 00 ARRIVAL LICENSE H0001146, CO5060004 NOW PART OF THE TIME AR5 /RESCU>: ROOTER FAMILY CUSTOMER CARE (317) 630 2100 AIR CONDITIONING HEATING PLUMBING DRAIN CLEANING i o i i a MEM CUSTO R NAME PHON BILL TO ID Q COD C/HSP DA E 1 l -.1 0 IV lc�� Y JOB ADDRESS ADD PH A BILLING ADDRESS 0 C.BACK '''y r�- -e- SCl/ L Wl Z) ❑WARR. CAL V f CITY STATE ZIP EMAIL CITY STATE ZIP TE H TECH# L�wrv✓t ,e 3 Z HOME WARR. INSTALL 25 o a i a ORIGINAL SERVICE REQUEST 3 f� B D p t p 9 CA I I 1, v DIAG RECOM 0 D 0,5 -e z, C ef- lab vv o ADD'L RECOM. WARRANTY rTEM(5) DIAGNOSTIC FEE PARTS: LABOR: Agreement for Service: This Agreement for Service is by and between the SUB TOTAL SUBTOTAL Customer and the Company The estimated price does not include sales or other a PARTS: LABOR tax, if any, or cover unforeseen parts or labor, which may be needed after the �L. work begins. Written customer authorization will be obtained before beginning �a�' ad Via# RENEW any additional or extended work. I auth ize the performance of the work, ORIG. EST- Q S (e� CJ RENEW GHSP subject to all the CASH ❑CHECK AUTH }t PO the terms and condi s on the reverse side hereof, plus I any taxes upon ompletion. ce is u and payable upon receipt SALES TAXI Start date VISA M/C (DISC (JARS O OTHER Signature:' Est. date of comp: f/ CREDIT CARD t�Il `1 5�d EXP COMM TAX Oil My signature helow xawle s that the work has been comp elect and v A I agree to t�s.. har ges and payment method. TOTAL D Signature 7q �ay we contact you about future offers? B. Printed name f pate .ZJ °d Yes No C. IC 32 -27 -3 contains important requirements you must follow before you ma) file a lawsuit for defective construction against the contractor or builder of your home SUCTION PRESS SUPERHEAT LIQUID PRESS SUB -C COMP AMPS ObB OWB Sixty (60) days before you file your lawsuit, you must deliver to the contractor or builder a written notice of any construction conditions you allege are defective and providE IWB 11313 FAN AMPS 6A5 PRESSURE ELECTRIC HEAT AMPS TEMP RISE RECOVERED REFRIGERANT your contractor or builder the opportunity to make an offer to repair or p ay for the LR$, Las defects. You are not obligated to accept any offer to repair or pay for the defects If you participated in one of our preventative maintenance programs, you would receive a discount off However, if you unreasonably reject a reasonable written offer and commence an action against the builder or contractor, a court m award attorne s fees ant 11 our standard price for all repair services, as w II as preferre customer status. This program has been y y explained to me. costs to the builder or contractor. There are strict deadlines and procedures undel state law, nd failure to follow them may affect your ability to file a suit. Current participant Agree to purchase ecline participation Customer's Initials: X (IND. CO 7-27-3 -1 2) 02008 American Residential Services LL.C. All Rights Reserved. Rev 05113/08, Tech Signature Tech printed nam ry J yu' Ir,: mrw INVOICE: 64U4- a Alli 'raol (317) 390 -5555 (765) 447 -7661 1lME WINDOW 25 WOODROW AVENUE 412 FARABEE DRIVE INDIANAPOLIS, IN 46241 LAFAYETTE, IN 47905 0)r ARRIVAL LICENSE H0001146, 005050004 NOW PART OF THE ARS /RESCUE ROOTER FAMILY CUSTOMER CARE (317) 630 2100 AIR CONDITIONING HEATING -.PLUMBING DRAIN CLEANiNG-�' HIRE= s a o s CUSTOMER NA E py0 Y y BILLTO ID 4 Q COD 0 CJ DA)F JOB ADDRESS C\ r ADD PH UU k BILLING ADDRESS 0 C.BACK CALL H 1 t'�i C' t..i'lr 1'r�' 77,V, P 0 WARR. CITY STATE Z EMAIL CITY STATE ZIP TE TECH CNr v r C�� ❑HOME WARR. O INSTALL�`� 1 e e e e° e e ORIGINAL SERVICVEQUEST DIAG RECOM q WN 1"` 1Ji t w4 c_fir C C, a WA few 00 ADD'L RECOM. WARRANTY ITEM(S): DIAGNOSTIC FEE PARTS LABOR, Agreement for Service: This Agreement for Service is by and between the SUB TOTAL nt L~ Customer and the Company. The estimated price does not include sales or other SUBTOTAL tax, if any, or cover unforeseen parts or labor, which may be needed after the PARTS: LABOR: work begins Written customer authorization will be obtained before beginning GRENEW any additional or extended work. I authorize the ertormance of the work, ORIG. EST. r OHSP subject to all the terms and conditions t f he reverse side hereof, plus ;'yy 0 CASH 0 CHECK 0 AUTH PO ❑PUR any taxes upon completion. This Vol nd payable upon receipt, SALES TAX) I V 0 0 VISA 0 M/C DISC OARS L] OTHER Start date:'j�1 2� 1 Signature: Est. date of comp: I Q 4-t 0 e- Coi,.r COMM TAX CREDIT CARD EXP My signature below acknowlegWes that the work has been completed and A I agree to the sum tot es and payment method. TOTALd Signature ay we contact you about future offers_. B. Printed name Date 1 1 9� 0 Yes p Np C. IC 32 -27 -3 contains important requirements you must follow before you ma file a lawsuit for defective construction against the contractor or builder of your home r SUCTION PRESS SUPERHEAT LIQUID PRESS SUB -C CAMP AMPS ODB OWB Sixty (60) days before you file your lawsuit you must deliver to the contractor or build( 1 a written notice of any construction con you allege are defective and provid IWB IDB FAN AMPS GA5 PRESSURE ELECTRIC HEAT AMPS TEMP RISE RECOVERED REFRIGERANT your contractor or builder the opportunity to make an offer to repair or pay for LBS/ LB5 defects. You are not obligated to accept any offer to repair or pay for the defect a court ma y award attorn fees an If you participated in one re our preventative maintenance programs, you would receive a discount off However, if you unreasonably reject a reasonable written offer and comment our standard price for all repair services, as well as preferred customer status. This program has been an action against the builder or contractor, explained to me. costs to the builder or contractor There are strict deadlines and procedures undl state law, and failure to follow them may affect your ability to file a suit. 0 Current participant O Agree to purchase ecline participation Customer's Initials: X IND. C 7-27-3 -12) ®zoos American ReslaentialservtcesL .c All RignuReserved.Re osn3ms- Tech Signature Tech Printed name 0 U" R:o P.Clibed by No. St(Rev. Board °Donis For ACCOUNTS PAYABLE VOUCHER m No. 301 1995) TO ADDRESS Invoice Date Invoice Number Item Amount 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 19 Signature Title 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. 19 Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. CARMEL, INDIANA No- C} Favor Of ,222— l eac N10 C�}ert�e 1 rN �6�32 Total Amount of Voucher Deductions SY P�(- 3 _lC7f. 6002 C) 00 L 2 $3 027 60. 60 O t CK 3 J Amount of Warrant 3 }2 Month of 19 Acct. VOUCHER RECORD No Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1 -800 -382 -8702 325