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180308 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00351542 Page 1 of 1 ONE CIVIC SQUARE VERDIN COMPANY 1, CARMEL, INDIANA 46032 PO BOX 632672 CHECK AMOUNT: $550.00 CINCINNATI OH 45263 -2672 CHECK NUMBER: 180308 CHECK DATE: 12/812009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4351501 19- 11002481 550.00 EQUIPMENT MAINT CONTR XERDIN 1205 Maintenance Contract Invoice The Verdin Company phone: 800- 883 -7346 V, PO Box 632672 fax: 513 559 -3966 Cincinnati, Ohio 45263 2672 www.verdin.com BELLS 6a CLOCKS SINCE 1842 Billed Address: Site Address: City of Carmel MO City of Carmel One Civic Square One Civic Square Carmel, IN 46032 Carmel, IN 46032 Contract Number Invoice Date Invoice Number A0044-1 !RCA00 30TI' D 2'-181 2010 Maintenance Service Agreement covers: 2 visits Tower Clock Equipment Amount Due: $590 (U.S Dollars) s Early Bird $avingS by Dec 31 2009 and pay, only $550 Maintenance Service Agreement The Verdin Maintenance Service Agreement assures that a Verdin- approved service technician will inspect and maintain your equipment regularly. To continue your maintenance, please detach and return the bottom portion of your renewal statement along with your payment to the address below. Upon receipt of your payment, we will notify your Verdin technician and he will call you to schedule your first call. BENEFITS Servicing bells and clocks for 167 years Verdin- approved Service Technicians Genuine Verdin parts Priority service on all calls 10% discount on repair parts /discounts on select new equipment Keep your Verdin investment safe and maintained Thank you. We appreciate your continued trust and your business. Please let us know how we can improve our service to better meei your needs. Disregard notice if payment has been made. X Authorization Form Amount Paid: (U.S. Dollars) 1. Complete the form, sign, and mail back with payment to renew your Verdin Maintenance Service. 2. To pay by credit card, include credit card information and fax back to 513 559 -3966 or mail to address below. Payment: MasterCard Visa American Express Check Po Make check payable to: The Verdin Company Name on Credit Card: Credit Card Expiration Date: INCA009 City of Carmel Signature: Title: One Civic Square Carmel, IN 46032 Email: Phone: Remit to: The Verdin Company, PO Box 632672, Cincinnati, OH 45263 -2672. Fax credit card payments to: 513 -559 -3966. Terms and Conditions on back side Terms and Conditions Verdin will provide general maintenance services for the items of equipment specified in this Agreement in accordance with the following terms and conditions: Verdin agrees to provide routine maintenance services such as lubrication, adjustments, testing of electronic control equipment, and general upkeep to slow the process of normal wear and tear. All maintenance services will be performed by Verdin- approved service technicians who are trained and qualified to provide the services required to maintain Customer's equipment in good operating condition. The routine maintenance services provided under this Agreement do not include the reconditioning or repair of broken equipment, or the provision of replacement parts. Also excluded are repairs or damages caused by accident, fire, water, lightning strikes, power surges, forces of nature, or unwarranted abuse. In the event Customer's equipment requires services or parts beyond the scope of this Agreement, Verdin's service representative will provide Customer for its approval an estimate of the costs for such services or parts. Customer will receive a 10% discount on all Verdin parts during the term of this Agreement. To the extent Customer requires additional service calls beyond the scope of this Agreement, such service calls will be charged to Customer at Verdin's established rates. Invoicing for parts or services beyond the scope of this Agreement will be made at the time the work is completed. Customer agrees to provide safe and secure access to the equipment specified in this Agreement, including, if necessary, the provision of any lifts or hoists. This Maintenance Agreement is payable in advance. Renewal invoices will be sent to the Customer in November for the following year. The Verdin Company Cincinnati, Ohio 800- 883 -7346 C ast bcorl C Chur";h el s Restoration/ canhon L cJk- {"itdf'Ji.J Ply -O Vntl d Bei s hi ta'!au n Repair ilt,l dfl';,` i Dolhir F 1 Ulllt; W 3gr ins i2'Q� Press d 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 Verdin Co. Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/19/09 19- 11002481 2010 Clock Tower Maintenance Agreement $550.00 Total $550.00 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 VOUCHER N01 2/07/09 WARRANT NO. Verdin Co. ALLOWED 20 IN SUM OF PO_ Box 632672 Cincinnati, OH 45263 -2672 $550.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1 205 General Administration Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 19- 11002481 515 $550.00 materials or services itemized thereon for which charge is made were ordered and received except 20 pjgnatureA Title Cost distribution ledger classification if claim paid motor vehicle highway fund