179388 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 262100 Page 1 of 1
ONE CIVIC SQUARE REAL MECHANICAL INC
CARMEL, INDIANA 46032 475 GRADLE DR CHECK AMOUNT: $60.75
CARMEL IN 46032 CHECK NUMBER: 179388
CHECK DATE: 11111/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
L120 4350100 106314 60.75 BUILDING REPAIRS MA
Date: 10/21/2009
Invoice #:106314
Customer 2209
tMECHAMCAL COWRACTORG Work Order 51448
475 Gradle Drive (317) 846 -9299 Dispatch 70051
Carmel, IN 46032 Fax (317) 575 -3494
Job Site 2560
Job Site
Bill To Carmel Fire Dept. Headquarters Carmel Fire Station 44
2 Carmel Civic Square 5032 E. 131 St St.
Carmel, IN 46032 Carmel, IN 46033
P.O. NIA Net 30 Days No Interest
JOB #1 Maintenance. Contract/ Bill To [MCI
Contract $60.75
Work Done
Performed Scheduled Premium Quarterly Maintenance Inspection on Specified HVAC Equipment per Service
Agreement.
Labor
Tech Name
Sean Fox
Thank You for using Real Mechanical Service Department.
INVOICE TOTALS
Contract $60.75
Total Invoice $60.76
Terms The Customer Is Responsible For All Legal And Collection Fees Deemed Necessary To Collect Amount Of This Invoice.
Page 1 of 1
Real Mechanical, Inc.
475 Gradle Drive Carmel, Indiana 46032 (317) 846 -9299 FAX (317) 575 -3494
i
Name l'.�z�� F a :ate41 Date
Address 5 �5 i'f Equipment C. AaZ;s =g-
City State Model No. 181499 166 Zd
Bill To: Serial No. !fG
Job Phone:
Nature of Call: PREVENTIVE MAINTENANCE
Compressor Temp. Control Steam Traps
Starter Belts [Burner Comments: QoAz�=fs IIZT
Motor Sheaves Exhaust Fan 4
Refrig. Leak Ck. Bearings PL_ f Air Filters. n� V4c- rC Pn
Evacuated System Evap. Coil [Safety Cut Outs ��I �r�F�tt cJ, e..r_L
Refrig. Charge Heating Coil Relay
Greased Oiled Blowers Voltage
Refrig. Oil Cond. Drain Amps l ;:5 4—c, Z
Retrig. Dryer ❑Condenser Coil Super HT
Suet. Line Filter Cooling Tower H.D. PR.
Thermal Exp. Val Pumps Suct. PR.
EQUIPMENT CONDITION: O.K. R Repaired RPL Replaced C Cleaned
Parts
Procurement No. Part Number Bill of Materials Amount OTHER INVOICES FORWARD
Code
>t
a
a
Truck Chg.
Maintenance
Charge
Repair
Charge
Total For Materials
Customer No. Work Authorization No.
-7 ,�j Total
i
Sales Tax
PAY THIS
The seller retains title to all materials and property listed herein until payment has been made in full. AMOUNT
Accounts not paid within thirty days of invoice date are in default and a late payment charge
computed by a "periodic rate" of 1 per month will be added. It is understood and agreed that
REAL MECHANICAL, INC., shall not be responsible to purchaser for any insured loss. Purchaser TERMS: NET -DUE UPON RECEIPT
agrees to reasonable attorney or collection fees incurred by REAL MECHANICAL, INC. in securing
payment for this contract.
77L
Serviceman Customer's Signature
Time Left Last Job 2nd Arrival Reg O.T. Mach. Date Reg. O.T. Mech, Date
Time Arrived on Job 2nd Departure
3rd Arrival
Time Departed From Job
/yam 3rd Departure
Prescribed by State Board of Accounts City Form No. 201 1,2ev_ 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))
106314 $60.75
ii
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
VOUC6ER NO WARR NO.
ALLOWED 20
Re-,:d Mechanical
IN SUM OF
475 Gradle Drive
Carmel, IN 46032
$60,75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# f Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 106314 43- 501.00 $60.75 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund