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Home My WebLink About212982 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00352933 Page 1 of 1 ONE CIVIC SQUARE ECOLAB EQUIPMENT CARE CARMEL, INDIANA 46032 G C S SERVICE INC CHECK AMOUNT: $947.31 <. 24673 NETWORK PLACE CHECK NUMBER: 212982 CHICAGO IL 60673-1246 CHECK DATE: 9/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350900 92557215 947 . 31 OTHER CONT SERVICES Equipment Car ..:.;::. :. ...... . .:;;;;; ;: :.: . Cust No:295219 PO No: Inv No:92557215 Commercial Kitchen Equipment Service& Parts Sales Office:Indianapolis RSSC Order No:8001256155 Inv Date:09/12/2012 www.EquipmentCare.com 1 800 822 2303 Payment Terms:Net 30 FID# 13-0758620 Date of Srv:08/31/2012 Performance Guarantee 90 days on parts 30 days on labor MAKE CHECKS PAYABLE TO GCS SERVICE, INC. I: :< :::: I; ::: d :::: :::::.:..::::::::::. ...............................:............:............. Brookshire Golf Course Brookshire Golf Course Ecolab Equipment Care 12120 Brookshire Pkwy 12120 Brookshire Pkwy GCS Service, Inc. Carmel, IN 46033-3314 US Carmel, IN 46033-3314 US 24673 Network Place Chicago, IL 60673-1246 Page 1 of 1 •':::Y::i::::::::iF::iiiii::::::::: �`'j:::i:i;iii•'ry:ii;::;.:'�;'::i'::;;:y:;::n:;:t;.?: '.'.:.:�;::: ;;ii:•:�':.::i:::i';:i:v.;::::;::�i::��t iv;.i;'f.;is:;:L;:jSj"•i:titi:i::i::i::: .::<:.::i::i•.�..:.::::::.: ::.:'f.:::;•::is i. �i':i?i ii}iiU: .::.:L��:'.:;.;i;:.:•ii:• :.� :.::F....:.::.:::•:::.:.::.:.::.iiiiii:.i:.i '� :::i:% ViR':::: ::::i:::':'i:':': 3.000 LABOR-TRIP01 REPAIR HOURS 99.75 HR 299.25 2.500 LAB02 REPAIR HOURS-2ND 99.75 HR 249.38 1 .750 LAB03 REPAIR HOURS-3RD 0.00 HR 0.00 1.500 LAB04 REPAIR HOURS-4TH 0.00 HR 0.00 2.000 LAB05 REPAIR HOURS-5TH 0.00 HR 0.00 1.000 75141964 SCALEKLEEN 2.2LB 50.90 EA 50.90 E/S/F ORMD EV979835 1.000 75095486 THERMOSTAT 131 .88 EA 131 .88 1 20-170DEG WASH 5930-003-13-65 1.000 TRIP-CHARGE TRIP CHARGE 99.00 EA 99.00 1.000 TRIPRET TRIP CHARGE-50% DISC 49.50 EA 49.50 MFG Model # Serial # E ui ment Descri do JACKSON S AVENGER HT N/A DISH MACHINE GAMBLKR Inspected unit, remoN ed and replaced listed part(s). Tested anc unit is working well at this time. $ # iun000d $ ## iun000y NOTES: Subtotal 879.91 Shipping&Handling 58.00 Qz, # jun000b Total Tax 0.00 Vu1 Supplies 9.40 l po Less Amount Paid 0.00 "1i` Izzz<[ 947.31 PLEASE CONTACT US AT 800 822 2303 OR www.EquipmentCare.com THANK YOU FOR CHOOSING ECOLAB EQUIPMENT CARE,THE LEADER IN KITCHEN EQUIPMENT SERVICE&PARTS! ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- Please cut here and include with payment Credit card payment: ❑ Master Card ❑Visa ❑American Express Make checks p a able to GCS Service Inc. -Name on Card v;. .::<:::;:::. :::::.��►?Ea�.>k'� .:::::::.::: Card Number 295219 92557215 947.31 Exp Date Signature 1-651-204-3590 9/7/2012 1 ; 20 ; 16 PM PAGE 29/051 Fax Server ❑ SBUX ®• Page-°�2— 26442 [7 Add On Cali(No Trip) WORK ORDER# ; E GCS Service.Inc, ® ❑ No Return Trip OGFEBA' ❑ON CALL 5VC.ASTER HOURS Q j �..�r.,._, [91-51/d/ CUSTOMER INFORMATION iEQUIPMENT INFORMATION Customer Name r� equipment.DescirpUDn AGd�u fad r �� MFq. Model City, / ste YIP seNet Assot Tae I 't Customer BP 3L •') / Contact Ptame I$Ihlt equrpment eaveved under the smart Cary Programs ❑lee ❑No (htstomer PO# f� Local PJrchaso PO it Voles Volts "Gasl] PrDSSUre Pross ure Rated S�pplled fated 5VPPOed Contact fills Pane Volts Amps Ll L2 wAlwge r Rated ❑ES*!MATE ❑E$TIMATF INCREASE Duo to candu ons rand durfna the"wxu an of this rspeu,the asrin•br hsf Deen+MtPe --'—` — - 'SERYiCEiFIFORMATPDC. _.I,Orr,�Qa.m�ioa�uewtcnarou.�ruosurraeawoei.sae:arryotfxrdoo,�.rrRarv.�ed. rwn.,e ❑Cb*ing ❑Ttefngeratlon Q Warewashrrw d Beverage 11 Install ❑Startup ❑Prownthv MnShterlarlbe ❑MY Torch Q Smart care Q shop job Tag# Toby n C u$a RaeokNm P(Gblem DeSCAPLIoei . :§:j:1 N Mei 14ri TOM= c PARTS INFORMATION EACH J.f?IC6 L 7,m El 0//",; ❑ BILLABLE PARTS TOTAV LABOR INFORMATION 'START LR14NE 7,, 0 25}]� r� E5❑DT OEST -1 12 ' 6 ❑orI]tsr�'� '� �y�o 3a Q�oofotsr • H[LLA9iFl.A90RfHOVRS WARRANTY INFORMATION ESTIMATE Q/taWMD ❑REJECTED ❑SEEKWGAPPUNAL GCS will procsss warrarTCy clefms ppanaing manufacturer approval,The cus(arrter!s responsrl5fe for any LABOR TOTAL PARTS TOTAL charges wAlch ara rrot approyedby the manufacfume. ❑OEM Warranty Labor ❑OEM Warranty Parts ❑Install Date TRIP CHARGE FR15IGHT&HANDLING Wa rranty Auth.if ❑CFESA Tag n ❑GCS Warranty Labor ❑GCS Warranty Parrs ❑onglhaI W/O 1# 0 Warranty Not Applicable MISC/SUNDRY MTIMATE TOTAL TECHNICIAN SIGN-OFF WORK APPROVED BY, NLmEW AU.MCLAIMEAS ON ikVESSE SIDEAND SIGN NEED W. DEN PRINT: PRINT: xxe b DATE SIGN, DATE. Pr;crne lndlccfdd a tfirs drocumear ra tor 'earlmarNrs 25442 FoF Questions or to Request Service, purposes orbs FM bllf OW vory rtes rafeufaffeny �u i eoa ezz zags or, pernpxrrn�y etrJ.srslsnlny,cuarumeragreesro pay all go to wwwrequlpmantcareeam cHxrges as sper rfred a,me JAVerrr. ORIGINAL COPY-GCS YELLOW OOP/-CUSTOMER PINK cor Y-c MVICETECHMCIAN 1-651-204-3590 9/7/2012 1 :20 : 16 PM PAGE 30/051 Fax Server [l ssux ® P.age of 26442 Q Add On Call(No Trip) WORK ORDER 4 GCS Service,Inc. !! El+ No Return Trip EC ® C1 -w '4• ❑ON CALL SVC.AFTER HOURS 18 10 Q f r CUSTOMfiR OVFORMATfON EGUIPHGNT INFORMATION Customer Nem,,g Equipment Descrivtlon Atld,�ss Mfg. Model City Stabs ZI Serial Asret iag A Cus�omer BP Contact Nama pf rf Is tFte eQulpmenT covered under the smart Care Program? Q Yee ❑No Customer Pb# Local Purcfiase PO*f Volta Volts Gas �J NaG Aressure Pressure Reed supplied Type L8 LP rLated Supplied Contact 7Ue phone volts Amps Li LZ L3 Wattage d 'pied 'SER`r'iCC'i h'rIQRMA'f`ON II----II ESTIMATE_- ❑ESTIMATE_INCREASE_ Dos Lo cavf4Een¢rem d�Ng tt o mroaMlon or tnl,rowV tm osumato ruch+on ravlcod vmm�E4 --J- ro sncludo Isle addnlonel charaea.TFIs eaLrnele nmeacedes vry glher dgGdmenU prodded. IMlwLU iCocking, ❑Rerrmgeretldn ❑Y,(areareshine ❑BWror4q p ❑1,KW II. ❑St4pA Up O Preventive Malnte-narbee O My Tech Q Smart core ❑Shop Job T87 a P_IA_ Coosa Rm: Ugn problem Deseriptlorc r . • ANT03 PARTS INFORMATION 777 MINNOW e C1 ❑ �❑ a ❑ o Qa 7771 L.A9Q•R INFORP9ATION BILLABLE PARYS TOTAL: 90 r - 7777 1 �� J' ❑0r❑w / Y ❑REG❑OT❑LaY ❑RW L]DT❑asT ❑ee�❑or❑rsr BILLABLE LABOR/HOURS WARRANTY INFOR-MATION ESTIMATE ❑A"MME ❑a SMIJ ❑sttwltanPpaoAL GCS WO TCOSS warranty ClairrLS ppending rlanufacturer approval The cusinmerls responsible for any LABOR TOTAL PAR15 TOTAL charg o,s which ana noYappraredGy the manufacfL ❑OEM Warranty Labor ❑OEM Warranty PdTtS ❑Install Dabe TRIP CHARGE FREIGHT&HANDLING ❑Warranty Auth.# ❑CFESA Tag 0 ❑GCS Warranty Labor ❑GCS Warranty Parts ❑Orfoinal WHO# Q Warranty Not Appl icahle M19C,JSUNDRY ESTINATr TOTAL TECHNICIAN SIGN-OFF WORK APPROVED BY. REV ALL DISCLRIMEGSCIRMYERSESIDE ANP SIGN fiELCNE fICN / PRINT: PRINT; ARD t p WE SIGN: DATE: S!G DATE: q 'a J Prrc/n rndiea+EOr rhls document +s for ear af1n9 For Questions or to Request 5arvlea, purpo w on+y, brf�rr�y mar�' [+ex ra+rurarrenz 2fi442 call 1 800 822 2'SO'3 or Derrrurremy,etc.). rsrga ,a curromvraarevsroaaYa+I ■ go to wwwioqulpmenicare.com charVrsasspec+rredon rrm=nooks. OREGINAL COW-GCS YELLaW COPY-CUSTOMr=R PINK COPY•SERVICE TECHNICIAN VOUCHER NO. WARRANT NO. ALLOWED 20 Ecolab Equipment Care GCS Service, Inc. IN SUM OF $ 24673 Network Place Chicago, IL 60673-1246 $947.31 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 92557215 I 43-509.00 I $947.31 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 Friday, September 21, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor 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 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)) 09/12/12 92557215 Repair Dishwasher $947.31 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