211373 07/31/2012 *� CITY OF CARMEL, INDIANA VENDOR: 364570 Page 1 of 1
ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE CHECK AMOUNT: $2,233.61
CARMEL, INDIANA 46032 15371 STONEY CREEK WAY
NOBLESVILLE IN 46060 CHECK NUMBER: 211373
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8482 2, 233 . 61 6200 . 6
Wiz:S, INC. INVOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 8482
Invoice Date: Jul 17, 2012
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
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CARMEL WATER COMPANY JOB 12300 003912
3450W. 131ST ST CARMEL WATER COMPANY
WESTFIELD, IN 46074 SERVICE CALL
Cus#omerllD GusfomerPO � �.,, PeymentTe
,
CARM Net 30 Days
-
8/16/12
QUd(itity r Item £` `D @SCrI tlt3lt gClltS' [lCe x OUttt
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SEE ATTACHED SERVICE REPORT FOR 2,233.61
DESCRIPTION OF WORK
Subtotal 2,233.61
Sales Tax
Total Invoice Amount 2,233.61
Check/Credit Memo No: Payment/Credit Applied
TOA4
Mechanical Con
15371 Stony Creek Way
Name:
Address:
City: State: Zip:
Contact:
Phone No.:
Date:
�Z
Equip:
Model No.:
Serial No.:
Year:
WE A ERFORMING THE FOLLOWING ITEMS:'
IL Service Call
Preventive Maintenance
Warranty
No Heating Call A
No Cooling Call
Equipment Check List
Compressor: Voltage Ph. I
Condensor Coil: Clean: DirtyI
Refrigerant: Type Leek Charge I
Fan&Motor: Voltage Ph. I
Evaporator Coil: Clean Dirty
Condensate: Clean Dirty
Air Filters: Clean Dirty
Heating Assembly: Clean Dirty 1
Electrical: Relay Contactor P.S. I
Thermostat Re lace Relocate
I
L S @ $ /HR REGLI
A rn 5 US@ $ , (o0/HR REGL'
B S @ $ 7S— /HR REGU
O RS /HR REGU
R HRS /HR OVEF
HRS @ $ /HR OVEF
C 1. Material
H 2.Truck Charge
A 3. Labor s
R 4. Sales Tax
E LR
S' Tota
Service Man:
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
364570
MECHANICAL CONTRACTING SERVICES Purchase Order No.
15371 STONY CREEK WAY Terms
NOBLESVILLE, IN 46060 Due Date 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 8482 $2,233.61
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
-71Z?�2
Date Officer
VOUCHER # 121606 WARRANT # ALLOWED
364570 IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
8482 01-6200-06 $455.61
8482 01-6360-06 $1,778.00
Voucher Total $2,233.61
Cost distribution ledger classification if
claim paid under vehicle highway fund