178359 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 262100 Page 1 of 1
ONE CIVIC SQUARE REAL MECHANICAL INC CHECK AMOUNT: $256.16
CARMEL, INDIANA 46032 475 GRADLE DR
CARMEL IN 46032
CHECK NUMBER: 978354
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1 ;.1.20 4350100 106142 256.16 BUILDING REPAIRS MA
f Date: 09/30/2009
Invoice 106142
Customer 2209
MECHANICAL CONTRACTORS Work Order 174967
475 Gradle Drive (317) 846 -9299 Dispatch 70262
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. Net 30 Days No Interest
JOB #1 Commercial Service [1]
Unit FURN Split System Eq. Mfg:CARR
Model 58MSAl00 -20 Serial 4098A2710
Work Done
Carrier Furnace #1 Replaced blower wheel on specified HVAC equipment and verified proper operation per
attached field copy.
Parts and Material Used
Qty U.M. Part# Description Price Extended
1 EA, Non Inventory BLOWER WHEEL LA22ZAl18 $135.16 $135.16
1 PARTS DELIVERY/ HANDLING FEE $15.00 $15.00
2
Miscellaneous 1 Others Retail
Truck Charge $32.00
Labor
Tech Tech Name Hrs Worked Hrly Rate Extended
11 Sean Fox 01:00 Reg $74.00 $74.00
Total Hours: 01:00
Thank You for using Real Mechanical Service Department.
INVOICE TOTALS
Parts /Material $150.16
Misc /Other $32.00
Labor $74.00
Total Invoice $256.16
Terms: The Customer Is Responsible For All Legal And Collection Fees Deemed Necessary To Collect Amount Of This Invoice.
Page 1 of 1
09--25 -2009 08:28 TIN COFI=EY 3178171038 PAGE3
R 174967
E
MECHANICAL CONTtiACTOR6 J08 CHARGEABL
475 Gradle Drlys Carmel, Indiana 48032 (317) 94&44 FAX (317) 575.3494 Job No: Cost Code
L/
Name --r,, Z/ .t As' Sf� t I P.M.
Address S_a Z E /3/
City C,d� rrt Stale zip: Date 9
Contact: Phone: Equipment AP- J
Nature of Call: £tl.,,J ac ei k;;:l Model No. 61ky �l L90 Zb
Serial No,. t111 gY/71 Z7 /z�)
Service Performed
Te o TECHNICIAN 014LY
Job Finished X
Job NOT Finished
OUR TFCNNICIAN
Parts RECOMMENDS
Procurement No. Par! Numbcr Bill of Materlala Amount AIR FILTERS
Code SERWCE CONTRACT
Lj MISCELLANEOUS MATERIAL USED OTH P M S
Q TH M REMiER3 NEEDED
L A Aa 71 A
DTNER INYDICES FORWARD
f
s
s
i
Purchase 4faer Nurnhrr Total For Illowisle ~rock Chg.
f n Oil& I aDOr
The seller retains Ellie to all materials and property listed herein until payment has been made in full. TD1Pf
Aceounls not paid within thirty days of invoice date are In default and a late payment charge SAI" 1AX
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 PAvnns
agrees to reasonable attorney or collecUon fees incurred by REAL MECHANICAL, INC. in securing AMOUNT
paymenT for this contract.
TERMS NET -DUE UPON RECEIPT
Serviceman Customer's Signature
174967
Time Len Last 7w 2nd Arrival Rau O.T. Mach. Dam PCs. 0.1. Ma h. Dora
Pun 2nd Dermrrura
a Anivacr on JoD
3rd Anlvaf
Ti D�au erlyd drum Job
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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))
106142 $256.16
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
VOUCHER. NO. WARRANT NO.
ALLOWED 20
Real Mechanical
IN SUM OF
475 vradle Drive
Carmel, IN 46032
$256.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 106142 43- 501.00 $256.16 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
OCT 12 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund