HomeMy WebLinkAbout210339 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365495 Page 1 of 1
Q� ONE CIVIC SQUARE EXCEL MECHANICAL INC CHECK AMOUNT: $3,430.00
CARMEL, INDIANA 46032 3005 S RURAL ST
INDIANAPOLIS IN 46237 CHECK NUMBER: 210339
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 6613 3,430.00 OTHER CONT SERVICES
c �,�as�,i „'s ,L I E,�a' a- �,�4AM ,r�, EXCEL MECHANICAL INC.
=coMPRessoR; 3005 S. RURAL ST. 6 613
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❑..OIL LEVEL CONDITIONS
'CONDENSER COIL 3f u
NAME E. -MAIL DATE SCHEDULED
CLEAN COIL& CHECK FIN COND.
`REFRIGERANT STREET
PHONE
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❑.ELECTRICAL'CONNECTIONS le A e
❑:CON7ACTSnGHr a CLCAN MAKE MODEL SERIAL NUMBER WARRANTY
❑',FAN PULLEYS (ADJUST.BEL1� x ,SS�H a Y i .';;?a s ar s a fr n� *`t, 4 ar qt O CONTRACT
❑CHECK;LUBE BEARINGS &MOTOR I t "6� do SERVICE CONTRACT,
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RATOR COIL 1OB 13 COMM.
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FILTER SIZE
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nEFRIGERANT
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STRI HEAT AII as dare warranted es er;, A WRITE OR CODE AMOUNT V /N
DEFROST CYCLE
P
y vJ
ELECTRICAL COMP TS. G
manufacturer specifications 3 E
RELAYS ❑,CONTACTORS LABOR GUARANTY a it S
TH ERMOO A ESS SWITCH The labor charge,ea recorded here rel8tive to th8� `F TECH RE a O OVERTIME
OVERLOAD p GULAR E
-7 v HRS.
T equipment servleed as noted is guaranteed
R for a a #1 a S HRS. U /HR. 1 E a /HR.
Q 0 K 9 t EPLACE period Of 30 day t 1 t r t. 0 R
M REFER MACH.
USAGE REGULA T OVERTIME
RELOCATE F We do riot of course guerentyotherpartsth se TECH I HRS. -r i L'
U B #2 7 S HRS. /HR. 7 M
reairs later beco r
we supply If pme necessary due to' J E /HR
TRAVEL TIME a r other. defectiveparts 'theywiltbechargedjseparetely L r I -i TOTALx -'k TECHNICIAN CERT.k r ;,TOTALAa a O�
TIME w OTHER CHARGES g SIGNATURE 1OTHERS.?
;'CHARGES.
ARRIVED
DEPARTED CHRG, rr u a'I E C UT N t LIST';` o 0 0 0 SUB V
TIME TYPE SYSTEM v
ENVIRONMENT;. CHECK 7
GEp TOTAL ;i O 0
I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO
CODE REFRIG. QTY. O 0 (OR F7 F7 ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL
TRAVEL R U. REPLACED)? YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL
TIME E iQ,, I DIS- FINAL COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TRIP
i
kl a RECOVERED? QTY w P, MANTLED? MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO QV
r F r MILEAGE p s °r vas No M; CHARG
YES NO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR
ENDING E REFRIGERANT DISPOSAL ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF.
R El
1 RECYCLED? OTY. N. TAX SG O
T;N ti
START— I t I VES 7 I d OUR PERSONNEL
G O RECLAIMED? l—J E71 QTY. RECOMMEND:
T MILES E RETURNED TO
YES I s
OT A L THIS SYSTEM? CITY.
R, YES NO J l� 0
X /HR.= A DISPOSAL
AUTHORIZED SIGNATURE 0 V
N OWNER'S INITIALS
w i ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. DATE Hoc
X IML= NON USEABLE E
t YES NO CI ACCEPTED DECLINED
TRIP T v
CHARGE DISPOSAL A M1 „ti
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 6613 $3,430.00
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 NO. WARRANT NO.
ALLOWED 20
Excel Mechanical Inc.
IN SUM OF
3005 S. Rural Street
Indianapolis, IN 46237
$3,430.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
r
2201 I 6613 I 43- 509.001 $3,430.00 1 hereby certify that the attached invoice(s), or
I 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
T/hursd6,�June 28, 2012
Street Commissi ?ner
S treet omTitl'Ssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund