215707 12/18/2012 a CITY OF CARMEL, INDIANA VENDOR: 364570 Page 1 of 1
_. ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE g
€ 0 CHECK AMOUNT: $3,407.76
CARMEL, INDIANA 46032 15371 STONEY CREEK WAY
NOBLESVILLE IN 46060 CHECK NUMBER: 215707
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8671 1, 771 . 76 OTHER EXPENSES
601 5023990 8672 286 . 00 OTHER EXPENSES
601 5023990 8673 1, 350 . 00 OTHER EXPENSES
IVICS, INC. UNVORCE
15371 STONY CREEK WF.,Y-
NOBLESVILLE, IN 46060 Invoice Number: 8671
Invoice Date: Nov 30,2012
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Bill To:>. Ship to:"
CARMEL WATER COMPANY JOB 12300 004098
3450 W. 131ST ST SERVICE CALL
WESTFIELD, IN 46074
CustomerlD Custo ne'r PD :,.�.. Payment Terhis" �•
CARM Net 30 Days
_:Sales Rep ID Shipping Method_ Ship Date Due Date
12/30/12
Quantity `> Item Description °; Unit Price Amount '
Sales-Service 1,771.76
Subtotal 1,771.76
Sales Tax
Total Invoice Amount 1,771.76
Check/Credit Memo No: Payment/Credit Applied
TOTAL ' ' 1 771.76,
Mechanical C®ntra0ing Services, Once Phone: (317)773-7370 U O �{O O SERVICE REPORT'
15371 Stony Creek Way. Noblesville, In 46060 Fax: (317)773-7340
Name: Anfit Q Description Purchase Order Number Amount
Address: n v �' G .^L $ A
Cit State: Zip: 5" $
Contact: $
Phone No.: $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year Total Material Is loss,-q(-
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Serv" Perfor ed: p
Service Call
Preventive Maintenance .�` `•O �
Warranty
No Heating Call t v_
rte.
No Cooling Call
Equipment Check List R Code Environmental Check List
Compressor:Voltage Ph. . E Refrigerant Type:
Condensor Coil: Clean: Di :F. 1 , Recovered: Yes_No_Qty.
Refrigerant: Type Leek Charge` R 2 Recycled: Yes_No_Qty.
7Fan&Motor: Voltage Ph. l 3 Reclaimed: Yes_No_Qty.
Evaporator Coil: Clean Dirty, G 4` Returned: Yes_No_Qty,
Condensate: Clean Dirty` E 5'.. Non Usable: Yes_,No,Qty,
Air Filters: Clean Dirty R 6 Disposal Yes_No—Qty.
Heating Assembly: Clean . Dirty.. A Notes:
Electrical: Relay Contactor P.S. ;N
Thermostat Replace , Relocate T
L HRS.@ $ – /HR REGULAR T Time Left Last Job
A HRS $. _ /HR REGULAR' R Time Arrived On Job
8 REGULAR A Time Departed From Job
p HRS 0 /HR REGULAR V,, 2nd Arrival
HRS ® /HR OVERTIME E 2nd De arture
R HRS @ $ /HR OVERTIME L Truck Char e
C 1.Material $ a All parts noted above are warranted as per
H 2.Truck Charge $' p�� .� manufacturers specifications.
A 3.Labor $ •_ All labor noted above relative to the
R'. A.Sales Tax $.,.. – ___
equipment serviced as noted,is guaranteed
G fora period of 30 days.
a.,
To Amount Due, $ ,�� Terms:.Net-Due Upon Receipt
a
rC /:
'•i•.
Customer: Date:
�1rz
Signature: Printed:
BILLING,COPY
MCS, INC- I my, 0 0 C E
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 8672
Invoice Date: Nov 30,2012
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Bill To: %. Ship to:
CARMEL WATER COMPANY JOB 12300-004139
3450 W. 131ST ST CARMEL WATER COMPANY
WESTFIELD, IN 46074 SERVICE CALL
"•,.=.Gust6mdHD Customer PQ Payment Um-s ._
CARM Net 30 Days
Sa1es;,Rep,ID
Shipping-NMethad...'.. Ship Date Due.Date
12/30/12
Quantity Item Description z Unit Price Amount
Sales-Service 286.00
Subtotal 286.00
Sales Tax
Total Invoice Amount 286.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 286.A0
Mechc1nical Cohtracti g Services', _Inc. Phone:(317)773-7370 U 0.4 7 SERVICE REPORT
15371 tong Fax:Way Noblesville, In 46060 ( )773-7340.
Name: / Qty, Description Purchase Order Number Amount
Address:
City. State: Zi : $
Contact: ( $
Phone No.: $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year: Total Material= $
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed:
Service CallJ�
Preventive Maintenance
Warranty `
No Heating Call —
No Cooling Call
Equipment Check List R Code Environmental Check List
Compressor Voltage Ph. E Refrigerant Type:
Condensor Coil: Clean: Di F 1 Recovered: Yes_No Qty,
Refrigerant: Type Leek Charge_ R 2 Recycled: Yes_No_Oty.
Fan&Motor: Voltage Ph. 1 3 Reclaimed: Yes—No_Qty,
Evaporator Coil: Clean Dirty G 4 Returned: Yes—No_Qty.
Condensate: Clean Dirty E 5 . Non Usable: Yes_No_•Qty,
Air Filters: Clean Dirty R 6 Disposal: Yes_No_Qty.
Heating Assembly: Clean Dirty A Notes:
Electrical: Relay Contactor P.S. N
Thermostat Replace , Relocate T
L HRS @ $ vp /HR REGULAR . T Time Left Last Job
A HRS ® $ /HR REGULAR R Time Arrived On Job
B HRS @ $ /HR REGULAR A Time Departed From Job
0 HRS U /HR REGULAR V 2nd Arrival
HRS @ /HR OVERTIME E 2nd Departure
R HRS @ $ /HR OVERTIME. L Truck Char e
C 1.Material $ o Al/Parts noted above are warranted as per
H; 2.Truck Charge $ �� manufacturers specifications.
A 3. Labor $ j All labor noted above relative to the
R 4.Sales Tax $ quipment serviced as noted,is guaranteed
Eora period or 30 days.
wr Total Amount Due $ Terms: Net-Due Upon Receipt
f :VSk
'? --T
i
Man: Customer: Date:
ti
Signature: Printed:
a
BILLING COPY
_ _M.
IVICS, INC.
1507l STONY CREEK WAY 9 IQ V~DOCE
NOBLESVLLE. IN 46060 Invoice Number: 8873
|nvo ice Date: Nov 3O.2O12
Page: 1
Voice: 317-773'7370
Fox: 317'773'7340
Bill To:
'Ship to:
CARMEL WATER COMPANY JOB 12300 004119
WESTFIELD, IN 46074
CARM Net 30 Days
,,Sales ftp ID
Quantity Item, Descrilption Unit Price. Amount
Sales-Service 1,350.00
Subtotal 1,350.00
Sales Tax
Total Invoice Amount 1,350.00
Check/Credit Memo No: Payment/Credit Applied
Mechanical Contracting $err. Ices, Inc. Phone:(317)773-7370 SER�7 BCE REPORT
k 00-4119
15371 Stony Creek Way Noblesville, In 46060: Fax:(317)773-7340
Name: Qty. De ri tion Purchase Order Number Amount
Address: $
City: State: zip: " 14 $
Contact: $.
Phone No.: I $
Date: $
Equip: $
Model No.: $
Serial No.: $
Year Total Material= $
WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbinq Service Perfor ed.
Service Call f
Preventive Maintenance
Warranty
No Heating Call j 0,fuo
No Cooling Call
Equipment Check List R Code Environmental Check List
Compressor:Voltage Ph. E Refrigerant Type:
7 e�a�
Condensor Coil: Clean:—Dirty F 1 Recovered: Yes _ No Qty,
Refri Brant: Type Leek Char e R 2 Recycled: Yes No Qty,
Fan&Motor: Voltage Ph. l 3 Reclaimed: Yes—No_Q
Evaporator Coil: Clean Dirty G 4 Returned: Yes_No_Qty
Condensate: Clean Dirty. E 5 Non.Usable: Yes_No_Qty
Air Filters: Clean Dirty R 6 Disposal: Yes„No_Qty.
Heating Assembly: Clean Dirty A Notes:
Electrical: Relay,- Contactor P.S. N
Thermostat Re lace , Relocate T
L HRS @ /HR REGULAR T Time Left Last Job
A _ HRS @ $ /HR REGULAR'. R Time Arrived On Job
B _ _ HRS @$ /HR REGULAR A Time Departed From Job
0 HRS@ /HR'REGULAR: V 2nd Arrival
HRS @ /HR OVERTIME E 2nd Departure
R HRS @ $ /HR OVERTIME L Truck Char e
C 1.Material $ All parts noted above are warranted as per
Truck-Char e $ manufacturers specifications.
A t3.Labor $ All labor noted above relative to the
4:Sales.TaX $ equipment serviced as noted,isguaranteed
for a period of 36 days.
e1kk^"
Total Amount Due $ .' S�f 0 Terms: Net-:Due Upon Receipt C I
Customer: Date: J
signature:: Printed:
BILLING.CCFPY
VOUCHER # 123059 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
8671 01-6200-06 $1,055.96 1
8671 01-6360-06 $715.80
�(W oi-(0a0D-k0 , ;tt.00
567A 0l-i30-06 a65,00
$(0'13 DI-43&6- 06 1350.D0
Voucher Total3,�Ib7.'7� -�Fr-
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 12/13/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/201: 8671 $1,771.76
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
Date Officer