211860 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 364570 Page 1 of 1
ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE&ECK AMOUNT: $2,920.09
y,�!o CARMEL, INDIANA 46032 15371 STONEY CREEK WAY
NOBLESVILLE IN 46060 CHECK NUMBER: 211860
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8506 2, 920 . 09 OTHER EXPENSES
IVICS, INC. INVOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 8506
Invoice Date: Jul 31,2012
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Ship
....................
CARMEL WATER COMPANY JOB 12300 003363
3450W. 131ST ST CARMEL WATER COMPANY
WESTFIELD, IN 46074 SERVICE CALL
A
w
"t ""', Paymdnt,,Teft
..........
CARM
Net 30 Days
'� h Salet�Rep"I ipQate
8/30/12
tern scn unit, ppe
unt"
Sales-Service 2,920.09
97 (..per
Subtotal 2,920.09
Sales Tax
Total Invoice Amount 2,920.09
Check/Credit Memo No: Payment/Credit Applied
Mechanical Contracting Services, Inc. Phone: (317)773-7370 003363 SERVICE REPORT
1 37 Stony Cr ek Way Noblesville, In 46060 Fax: (317)773-7340
Name: 44C 0 Description Purchase Order Number Amount
fC ddress: $
i t :' State: Zip:
Contact: �n $
Phone No.: $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year: a Total Material= Is
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbin Se 'ce Performed:
Service Call 2-
Preventive Maintenance Z 2 (0 C '1
Warranty L4 ot {,
No Heating Call 2 L4 6/) �J
No Cooling Call ,
Equipment Check List R Code Environmental Check List
Compressor:Voltage Ph. Refrigerant Type:
7 Q
Condensor Coil: Clean: Di F 1 Recovered: Yes_No_Qty_- J�
Refrigerant: Type Leek Charge_ R 2 Recycled: Yes_No Qty.
Fan&Motor: Voltage Ph. 1 3 Reclaimed: Yes_No Qty � tAq
Evaporator Coil: Clean Dirty G 4 Returned: Yes_No_Qty
Condensate: Clean Dirty E 5 Non Usable: Yes_No_Ot .
Air Filters: Clean Dirty R 6 Disposal: Yes_No_Qty.
Heating Assembly: Clean Di A Notes: r QT
Electrical: Relay Contactor P.S. N
Thermostat Replace , Rel ate T O(A',', 3LA
L H HRS @ $ /HR REGULAR T Time Left Last Job r ( �1'
HRS @ $ /HR REGULAR R Time Arrived On Job
B� 7
H R S $ /HR REGULAR A Time Departed From Job r
HR C�3 /HR REGULAR E 2nd Arrival
�2 HRS /HR OVERTIME 2nd Departure
R HRS @ $ /HR OVERTIME L Truck Charge
C 1. Material $ 6 ZZi 49 All parts noted above are warranted as per
H 2.Truck Charge $ 1601190 manufacturers specifications.
A 3. Labor/a 7 • O $ All labor noted above relative to the
R 4.Sales Tax $ equipment serviced as noted,is guaranteed
E for a period of 30 days.
q aa, oq
S
Total Amount Due $ Terms: Net- Due Upon Receipt
Service Man: ustomer: Date: -2
Signature: Printed: ����14,4z2,
BILLING COPY
VOUCHER # 121806 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
8506 01-6200-06 $1,622.49
8506 01-6360-06 $1,297.60
Voucher Total $2,920.09
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 8/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2012 8506 $2,920.09
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
&/,/1 v C'J►�- ,�-�-
Date Officer