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217097 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366935 Page 1 of 1 h ' ONE CIVIC SQUARE COMFORT HEATING AND COOLING CHECK AMOUNT: $1,311.00 ,t�+o CARMEL, INDIANA 46032 PO BOX 17223 INDIANAPOLIS IN 46217 CHECK NUMBER: 217097 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 1304 1, 311 . 00 BUILDING REPAIRS & MA Aki; i t INVOICE o or 513.923.C®®L(2665) � www.ComfortHeatingCooling.net 13 04 Ideating & Cooling comfortheatingcooling @ gmail.com Duct Cleaning P.O.Box 17223 •Indianapolis,IN 46217 Sales & Service •Residential & Commercial DATE PHONE Cl Compressor r• —, `� r.1 �r ❑Suction NAME JOB NAME r ,� 11 Head r�1t (� t. ❑Volts ADDRESS STATE ZIP AD ESS STATE ZIP ❑ q Electrical Connections —51-) c, L\ ❑Connection Tight&Clean CITY CITY ❑ Condenser Coil CAS ❑Clean coil&Check Pin R A D COMPL. INCPL. QUAN. PART/PROCEDURE AMOUN T ❑ Refrigerant ❑Leak ❑Change ❑ Fan and Motor SERVICE PERFORMED - 11 Volts_ Amps_ , v P.a_ 3sx ❑Electrical Connections L3 V t i 7 ��� v �� �� 5- ` C3 Connection Tight&Clean Vt ! ❑Fan Pulleys(adjust belt) �) ,7 Q. Lam, 1?5 ❑Check bearings&Motor 7 ` 5 ❑ Evaporator Coil. /� El Clean Coil&Check Fan l_' ❑ Condensate Areas ❑Inspect&Clean Drains ❑ Air Filters � ) ❑Cleaned. Replaced \` QC-=J ❑ Filter Size Cn. ❑ Heating Assembly ❑Clean&Check Connections NDOOR MAKE PART, ❑Fuel Supply&Pressure PROCEDURE ❑Pilot Assembly MODEL TOTAL_ ❑Flame Adjustment seavlcE ❑Blower Assembly SERIAL NO. REFRIGERANT ❑ Electrical Components RECOVERY OUTDOOR MAKE DATE INSTALLEDIAPPROX.AGE El Relays SUBTOTAL ❑Overload MODEL SALES TAX Connectors REFRIGERANT YES El NO x i SERVICE C1 RECOVERY TECHNICIAN El Pressure Switch NECESSARY INITIAL HERE SERVICE CONTRACT. SERIAL NO. NEw❑RENEW❑ ❑ Thermostat I herby authorized the repair work per estimate of$ 1_ ��_ _ HUMIDIFIER A/C WP E.A.0 ❑OK / I 311 YES❑ NO❑ YES❑ NO 0 YES ❑ NO❑ YES O NO❑ R-Relocate ..•^•'"�� ,/r ' �� SERVICE CHK CASH C.C. THE TECHNIC AN t`4='C CUS OMER SIGNATURE CONTRACT NUMBER TOTAL �� ❑Replace )rescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn 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)) 1304 Sta. 44 Humidifiers to Furnace $1,311.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Comfort Heating and Cooling IN SUM OF $ PO Box 17223 Indianapolis, IN 46217 $1,311.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 1304 I 43-501.00 I $1,311.00 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 FEB 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund