178915 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00350650 Page 1 of 1
ONE CIVIC SQUARE WILLIAMS COMFORT AIR INC CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032 1077 THIRD AVE SW
CARMEL IN 46082 CHECK NUMBER: 178915
CHECK DATE: 10/2812009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 141462 20.00 REPAIR PARTS
Williams Comfort Air SERVICE ORDER NO 1 *1 2
1077 Third Ave. SW, Carmel, IN 46032
0 Local: 317-844-3944 Fax: 317 -848 -8744 DATE _I_!_ J ATTN SUPERVISOR
E -Mail: service @WilIiamsComfortAir.com TECH NUMBER
877 -599 -HEAT (4328) TECH NAME
tBpwt7yq�tw 11 &f Hour Emergency Service CALL SLIP NUMBER
QM Custto m ee r Na m e: 9 FL )C C INTERNAL USE ONLY
Address: 2 y t e_ RSA 0 CTA WS U STL
City State: IN Zip: Q:? C ❑.CBA RE DC ❑CT
❑CTR ❑CCB
H/W /C S 1 1'- 6 0 HNW /C
4 Call Note:
Email: tie y rS'� Heating CSA Exp. Date Visit Number
EQUIPMENT IDENTIFICATION Cooling CT of
Make Model Serial Age Cond. Source Quantity Materials Used
1 1
2 2
4 4
CONDITION 1— 5 (5 BEST) Customer responsible for annual maintenance of new HVAC systems as specified by each equipment manufacturer's guidelines. Failure to do so may void any and or all warranties.
COMPLETED SERVICES
aa z¢. 06
RECOMMENDED /SOLD SERVICES
COMMENTS
t
RECOMMENDED/SOLD SERVICES TODAY'S CHARGES
JI tr
Accepted 13 Declined TOTAL FLAT,RATE CHARGES:
PAYMENT OPTIONS r CHARGES
AIR CHARGE CREDIT CARD AIR CASH CHECK CAIRfree SAVINGS AGREEMENT:
N.,EW., ;RENEWAL
Card Exp. Date,
SUBTOTALCHARGES y
Signature Valid. Code
L.
LESS DISCOUNTS
Print Dale— 1 I
retains ownership of material !isles until payment is made lull. Terms include 1S%
moot DUE AND d+
monthly service charge if not t paid in 30 days. The customer will also be responsible for practical t
attorney tees of Williams Comfort Air m the event they do not pay the amount specified 'Total'. PAYABLE
Williams Comfort Air is not responsible for insured losses.
White Customer Copy Yellow Office Copy Pink Return Copy
y MFTZltR'5>
heating N cooling N plumbing &more
Invoice 141462
Invoice Date: 06/29/09
Re: Service Performed At
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
Attn: Bob VanVoorst 20 CIVIC SQ
OR CURRENT RESIDENT CARMEL IN 46032
20 CIVIC SQ
CARMEL IN 46032
Site 121103 -001
Acct 121103
BATCH JUN956
W.O. Date ICall Slip P.O. Isalesman ITerms lContract
106565 Inet
DESCRIPTION
Reported by: Bob VanVoorst
Trouble Code: CNT COUNTER SALE
Sold custom filter rack $20.
It has come to our attention that your account is
past due. If you haven't already clone so, please
submit payment today. If you have questions, please
contact us today. Thank you!
AS AGREED 20.00
TOTAL 20.00
Serving Central Indiana Since 1966
add 1077 3rd Avenue, SW; Carmel, Indiana 46032 tou itee (877) 599 -HEAT (4328) central Indiana (317) 844 -3944
rax (317) 848 -8744 eh,, re WilliamsComfortAir.com .eWla MrPlumberindy.eom
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))
141462 $20.00
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
VOUCHFR NO, WARRANT NO.
ALLOWED 20
Williams Comfort Air
IN SUM OF
1077 Third Avenue S.W.
Carmel, IN 46032
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 141462 42- 370.00 $20.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund