212120 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00353073 Page 1 of 1
ONE CIVIC SQUARE APPEL HEATING AND AIR CONDITION"
CARMEL, INDIANA 46032 530 S RANGELINE ROAD
ECK AMOUNT: $101.66
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CARMEL IN 46032 CHECK NUMBER: 212120
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 165657 101 . 66 BUILDING REPAIRS & MA
NAME: r �G�� a ..a.� CUST.#: d3JS �� �
ADDRESS: y �f� // f"� S✓ APPEL 530 S. Range Line Road I Carmel, Indiana 46032
service @appelheat.com I www.appelheat.com
CITY/ZIP:. 0� EMAIL: HEATING & AIR CONDITIONING 317846.0434
PHONE: ° CELL: WORK:
SERVICE REQUESTED: 1. DATE: Q�_ I INVOICE#: 165657
n REPAIR STANDARD
SERVICE PERFORMED: �t7„r. �¢� 7-,,,my G o� o �� QTY CODES MATERIALS RATE PLAN RATE TECH IN OUT TOTAL
Ur w�'"� U lviTi C •�
//OD'�.1. -4- 4 ?14 e f �lrn., lid r2
FOLLOW UP
PARTS
WORK PERFORMED: Filter Size x x Filter Type
NEW EQUIPMENT
❑ Check thermostat ❑ Check superheat/subcool ❑ Check furnace safety controls
❑ Check air filters ❑ Check contactor and capacitors ❑ Check gas valve
• Clean condenser coil ❑ Check compressor terminals ❑ Check blower operation PREVENTIVE MAINTENANCE
• Check refrigerant charge ❑ Check disconnect power box ❑ Check electric heat elements
❑ Check electrical connections ❑ Inspect evaporator coil when 0 Check sequencer operation
Cl Check fan blade and motor accessible Cl Check reversing valve
❑ Lubricate motors ❑ Inspect and clean heat ❑ Check defrost control TOTALS
❑ Check and adjust airflow exchanger ❑ Clean flame sensor WANT TO PAY LESS?
C3 Check temperature drop/rise ❑ Check ignition system ❑ Unit working properly AT
❑ Check condensate drain ❑ Clean and service burners THIS TIME 0 If you are a member of our LABOR
Platinum Maintenance Plan,
UNIT HEAT COOL HUM EAC you receive a 15%discount MATERIALS
off all repair services.
BRAND AGE AGE SALES TAX
Today's savings on Appel d+ PREVENTIVE
MODEL Platinum Maintenance Plan: `p MAINTENANCE
TRIP CHARGE/
SERIAL PAID BY: DIAGNOSTIC J
PERFORMANCE PRESSURES Upon inspection,our trained technician
� ,�N recommends the following: REPAIRS
Cash ❑Check# / 7.
Outdoor � Head � 9�
Indoor Suction
Purchase ❑VISA ❑MC Exp. PLATINUM PLAN
� escr ptlon
Return Wa Superheat f P.G. u „w F Authorization Code SUBTOTAL
Supply _�#/ Subcool
. .c .-D 2 L13 r C)10() Card No. COUPON
LIMITED WARRANTY:Repair codes have yearparts Bud et
and labor warranty; labor warranty limited to same LlnelD Name on Card TOTAL DUE
defect or problem;does not include water or sludge in
oil tank or lines, clogged drain lines, lack of fuel, t8 PERMS: Due in full on completion. Unpaid balances past 30
switches or breakers off,blown fuses,thermostat set Approval Date days are subject to 11/2%per month service charge. A$30 X
incorrectly; if operation found normal, regular rates pp harge will be added for returned checks. Buyer shall pay all
apply. Neither seller nor any of its agents makes any re
/ �paassonable costs and expenses, including attorney's fees, I hereby acknowledge the satisfactory completion of the
warranty,express or implied,other than the above. incf, I in collecting any overdue charges. above described work.
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00353073 Appel Heating & Air Conditioning Terms
530 S. Range Line Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/15/12 165657 A/C repair at AO $ 101.66
Total $ 101.66
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
Voucher No. Warrant No.
00353073 Appel Heating &Air Conditioning Allowed 20
530 S. Range Line Rd
Carmel, IN 46032
In Sum of$
$ 101.66
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or Board Members
Dept ept# INVOICE NO. ACCT#/TITLE AMOUNT
1125 165657 4350100 $ 101.66 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
23-Aug 2012
Signature
$ 101.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund