218152 03/13/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 364570 Page 1 of 1
ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE&ECK AMOUNT: $312.50
CARMEL, INDIANA 46032 15371 STONEY CREEK WAY
+, o� NOBLESVILLE IN 46060 CHECK NUMBER: 218152
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8731 312 . 50 CONT SERVICES OTHER
MC;, INC. 114VOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 8731
Invoice Date: Jan 31,2013
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
t •3 r h+% '_ .��hE ,� Ew..�' _x.. ,uv ,u �k'b1'� '3�1�'�i„i -v
CARMEL WATER COMPANY JOB 13300 004182
3450W. 131ST ST CARMEL WATER
WESTFIELD, IN 46074 SERVICE CALL
�"l y E
CustomerD Customer PO ¢ PaymentTeens
.4
CARM Net 30 Days
10, 011 N 1 SF i in Method �� �, Ship Date E, Due Date
3/2/13
Quantrt�J �` Item 'u 3 Descn tion � O"If Price -: Amounts �Y
.R',.E :�w.^�w„ ,.,..3. .�:':,..3. �,....:...,�-•„ndnt „ i�': ..�3...#*.. iGa„<dz,."O .,.. ,,.>�...... .a .,..,..
Sales-Service 312.50
Subtotal 312.50
Sales Tax
Total Invoice Amount 312.50
Check/Credit Memo No: Payment/Credit Applied
Mechanical Contracting Services, Inc. Phone: (317)773-7370 004182 SERVICE REPORT
15 71 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340
Name: at . Description Purchase Order Number Amount
Address: $
Cit : State: Zi $
Contact: $
Phone No.: $
Date: $
Eui : $
Model No.: $
Serial No.: $
Year: Total Material= $
WE RE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed:
Service Call
Preventive Maintenance
Warranty
No Heating Call
No Cooling Call
Equipment Check List R Code Environmental Check List PA W�
Com ressor: Voltage Ph. E Refrigerant Type: '
Condensor Coil: Clean: Dirty F 1 Recovered: Yes_No Qty.
7 Refrigerant: Type Leek Charge_ R 2 Recycled: Yes_No Qty.
Fan&Motor: Voltage Ph. I 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 $ 00 /HR REGULAR R Time Arrived On Job
B HRS @ $ ID /HR REGULAR A Time Departed From Job
HRS /HR REGULAR V 2nd Arrival
C HRS /HR OVERTIME E 2nd Departure
R HRS @ /HR OVERTIME L Truck Charge
C 1. Material $ All parts noted above are warranted as per
H 2.Truck Charge $ manufacturers specifications.
A 3. Labor $ 7 All labor noted above relative to the
R 4.Sales Tax 7 Z X-:- i equipment serviced as noted,is guaranteed
q for a period of 30 days.
E ,
S ,Total A ount Due $ Terms: Net- Due Upon Receipt
Service Man: Az 4 Customer: Date:—
Signature: Printed:
BILLING COPY
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 3/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 8731 $312.50
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
3/y/3 -a�--� / — /%- -
Date Officer
VOUCHER # 131010 WARRANT # ALLOWED
IN SUM OF $
364570
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
8731 01-6360-06 6312.50
i
{ Voucher Total $312.50
I Cost distribution ledger classification if
claim paid under vehicle highway fund