HomeMy WebLinkAbout206663 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 365495 Page 1 of 1
ONE CIVIC SQUARE EXCEL MECHANICAL INC
CARMEL, INDIANA 46032 3005 S RURAL ST CHECK AMOUNT: $2,567.00
INDIANAPOLIS IN 46237
CHECK NUMBER: 206663
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 6616 2,567.00 BUILDING REPAIRS MA
HECK 'LIST AMOUNT EXCEL MECHANICAL INC.
COMPRESSOR a 3005 S. RURAL ST. 6 616
El SUCTION Psi j .A e 6, G�, 0-5e
1:3 HEAD PSI INDIANAPOLIS, IN 46237
VOLTS AMPS L FID 35- 1b54203 DArE
ELECTRICALCONNECTIONS
CONTACTS TIGHT &CLEAN (317) 788 0622 FAX (317) 788-0759
OIL LEVEL &CONDITION DATE ORDERED
CONDENSER COIL Q,jj _A'^,
CLEAN COIL& CHECK FIN COND. NAME/ A /,.�f E-MAIL �yJ ram, ATE SCHEDULED
❑ENT 'F LVG °F C'A /c I• r �L
REFRIGERANT STREET PHONE
LEAK [:]CHARGE
'?1/ w r
F FAN AND MOTOR CITY T STATE ZIP WK. PHONE OR CELL
r VOLTS AMPS
F7 ELECTRICAL CONNECTIONS
❑CONTACTS TIGHT& CLEAN MAKE MODEL SERIAL NUMBER
D WARRANTY
❑:FAN PULLEYS (ADJUST BELT) CONTRACT
CHECK, LUSE BEARINGS &.MOTOR SERVICE CONTRACT
CFM I] NORMAL
EVAPORATOR COIL,.. JOB
CLEAN COIL CHECK. FIN LOCATION J� C-0V 7 #f ywcG ORES COMM.
ENT pB F LVG OB _`F
DESCRIPTION OF WORK
❑ENTWB._ F ILVGWB _aF s-
CONDENSATE AREAS
INSPECT CLEAN DRAIN PAN CL}M =LA4Nr
INSPECT CLEAN DRAIN
AIR FILTERS
El CLEANED F-1 REPLACED AP ,rt
FILTER SIZE RET rOFIT PLIED 1 1
HEATING ASSY.
BURNER HEAT EXCHANGER U iV �ry���•� J�
FUEL SUPPLY PRESSURE T
PILOTASSEMSLY REFIRtGERAU T ADDED
ED FLAME ADJUSTMENT
PRIMARY RELAY& FLUE... RJ uY
FAN LIMIT SWITCH OPER 1-
Y
❑SLOWER ASSEMBLY
TOTAL PARTS (�Q�
Q RV VALVE S j r...l. „7 V r i G IF✓' ..,�.L...m..
STRIPHEAT WRITE OR CODE AMOUNT
PARTS WARRANTY
DEFROST CYCLE A
ELECTRICAL COMP'TS. All parts as recorded are warranted as per
manufacturerspecifications.
RELAYS CONTACTORS
LABOR GUARANTY s
PRESS. SWITCH
DVERLOAD
The labor charge as recorded here relative to the F TECH h REGULAR O HRS. OVERTIME L7�
[71 eq THERMOSTAT p g 0 #1 �a HRS. 70 /HR.= Tod R
ui equipment serviced as noted, is guaranteed for R E HR, 00
O.K. REPLACE period of 30 days. M REFER MACH. USAGE REGULAR I HRS. OVERTIME
RELOCATE We do not, of course, guaranty other parts than those TECH 0
M
we supply. If repairs later become necessary due to e #2 HRS. s 8 /HR. a3 a E /H R.
TRAVEL TIME other defective parts, they will be charged separately. o TOTAL TECHNICIAN CERT.# TOTAL
TIME w OTHER CHARGES SIGNATURE OTHER
CHARGES
ARRIVED
ENVIRONMENT CHECK LIST e e SUB
TIME CHRG.TfPE SYSTEM e E CHANGE TOTAL
D
DEPARTED OUT GE I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO
R ,CODE REFRIG. QN x U REPLACED)? ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL
TRAVEL YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL
TIME E 1O 1 DIS- FINAL COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TRIP
RECOVERED? LLJJ QTY" P MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO
3
CHARGE
MILEAGE FI YES NO M El
MANTLED?
YES NO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR
ENDING E REFRIGERANT DISPOSAL ANY DAMAGES RESULTING FROM THE REMOVAL T OF.
R
RECYCLED? OTY w N r f cJ V C
..I.; T O
START m OUR PERSONNEL
G(I RECLAIMED? CITY. °RECOMMEND:
ILES
OT
T ALM E,. RETURNED TO ice,✓
THIS SYSTEM? Y s QTY•
8
R YES NO
X MR.= A DISPOSAL AUTHORIZED SIGNATURE J
9 ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY H
/M1.= N NON USEABLE OWNER'S INITIALS DATE E
X
m TRIP Y NO QTY. ACCEPTED DECLINED V
CHARGE T OO DISPOSAL
i
a
QUANTITY ITEM OR PART DESCRIPTION PRICE
3
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i f
+I- j
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ADDITI PARTS
(BE SURE TO ADD IN ON OTHER SIDE)
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Excel Mechanical Inc.
IN SUM OF
3005 S. Rural Street
Indianapolis, IN 46237
$2,567.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #(T LE AMOUNT Board Members
2201 6616 43- 501.00 $2,567.00 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
lhursday,,Febr6a 23, 2012
Street Commissioner
QIICCE l�V[1IIIIISbi fl
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/03/12 6616 $2,567.00
1 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