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220943 06/18/2013 a CITY OF CARMEL, INDIANA VENDOR: 365825 Page 1 of 1 ONE CIVIC SQUARE AUTOMATED DOORS&ACCESS INC CARMEL INDIANA 46032 6334 E 32ND COURT CHECK AMOUNT: $1,415.00 , .�, INDIANAPOLIS IN 46226 CHECK NUMBER: 220943 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 455 . 00 AIN0708231207 1093 4350100 230 . 00 AIN0708231208 1093 4350100 730 . 00 AIN0708231278 INVOICE AUTOMATED DOORS MAY 2 8 2013 k1D &ACCESS,INC "Quality Is Automatic" iny' www.quolityisoutomotic.com PLEASE REMIT TO INVOICE NUMBER AIN0708231207 Automated Doors&Access, Inc. INVOICE DATE 5/17/2013 6334 E.32nd Court PO NUMBER MC004055 Indianapolis,IN 46226 Phone:(866)470-8099 TOTAL DUE $455.00 BILL TO LOCATION Accounts Payable Monon Community Center Monon Community Center Monon Community Center Attn: Accounts Payable Carmel, IN 46032 1235 Central Park Drive East Carmel, IN 46032 Contact:Matthew Bush- - Phone:(317)843-3863 Phone:(3'17)721-2874 Description Issue-Couple of doors not working properly: East Building Exterior top of door separated. Inspected east building entrance. Found top weld on door broken.Would recommend fab plates to reinforce door.Inspected daycare door. Found that post is loose from wall.Will need secured to wall with anchors.Will need long wood bit and long concrete bit.Will need to be done between the hours of 1 pm and 4pm.Reschedule.05.01.13-Kid Zone Gate-Gate post not attached properly. Not closing. Inspected gate.Found that the post is loose from concrete.Removed existing screws and top.Reanchored post with new screws and caulk.Tested-OK.Gate is secure. Post is secure. 1m/5hr Service Call 130430-0001 MONON CENTER-COUPLE OF DOORS Salesperson Customer Number Order Date Completion Date `Payment Terms Shipping Method MONON COM CTR 5/9/2013 5/9/2013 LOCAL DELIVERY Cost Code Totals EQUIPMENT $0.00 MATERIAL $0.00 Purchase �� L LABOR $375.00 Description SUBCONTRACTOR $0.00 P•O.# p r Z g7a TRAVEL $80.00 G.L.# I093- !g;3 op Subtotal $455.00 Bur;oet Line Descr Subtotal $455.00 Purchaser Date Tax $0.00 Approval Date Amount Paid $0.00 Total $455.00 Page 1 of 1 Automated Doors&Access, Inc., 6334 E. 32nd Court, Indianapolis, IN, 46226 Phone (866)470-8099 Fax(317)472-7451 E-mail accounting @qualityisautomatic.com AUTOMATED DOORS 6334 East 32nd Court 1105 Stones River Court Indianapolis IN 46226 LaVergne, Tennessee 37086 &ACCESS,INC Office: 317.472.7450 Office: 615-471-5366 "Quality Is Automatic" Fax: 317.472.7451 Fax: 615-471-5367 Toll Free: 866.470.8099 • servicerequest @qualityisautomatic.com www.qualityisautomatic.com SERVICE WORK ORDER 1 CE fY)--0M C CUSTOMER NO.: P.O.NO.: G3 Q rJ� W.O.1.D.NO.: LOCATION: Aloof 6MMA 4 TIME IN: l, TIME OUT: ?,2,A I ZONE: DATE:is t 1. ADDRESS: t ,3g— ESTIMATE❑ PROPOSAL❑ PARTS❑ PLANNED MAINTENANCE❑ UNIT NO.: REGULAR EMERGENCY El RETURN❑ WARRANTY❑ CITY,ST,ZIP: O� INTERIOR Ul/ EXTERIOR❑ ENTRANCE❑ _EXIT❑ CONTACT: ftA ut�)/,s/t 7„� 1 7 X9,7 13 SLIDE SWING 9' OTHER❑ DOOR NO.:(ill' 7( `�( 7� BI-PART❑ SINGLE PAIR❑ DOOR,LOCATION:,fj_.Q_ FULL B.O.O FIXED SIDELITE El INSWING O OUTSWING a-, BRAND: �L MODEL: i �0 PROBLEM REPORTED: —-V t SERVICE PERFORMED: is ADDITIONAL FORMS ATTACHED: YES❑ NO 07 PROPOSAL REQUIRED: ❑FAX# QTY. ADA PART NO. DESCRIPTION TRUCK OR WAREHOUSE NO. u DOOR&OPERATOR INSPECTION-MARK(-)FOR IN COMPLIANCE:(X)FOR NOT IN COMPLIANCE t(NA)IF NOT APPLICABLE TO THIS DOOR MECHANICAL SPEEDS&FORCE SWITCHING ACCESSORIES TRACK&CAP ING SPEED ON/OFF SWITCHING TRANSFORMER S WHEELS&HANGERS CLOSING SPEED PRESENCE SENSORS DECALS/SIGNAG BOTTOM GUIDES TIME DELAYS SAFETY BEAMS DAILY SAFET ECK PIVOTS&HINGES LATCH AND BAC ECKS ACTIVATIO SORS/MATS GUIDE /SHOES DRIVE BELTS CUSHIONS SAFET 'SORS/MATS THRES LDS OPERATOR i ARBOX OPENING FCLOSING FORCE WAL SWITCHES LOCK /.INDICATORS MOTOR I EMERGENCY BREAKOUT CORD&CONNECTIONS GLASS/STOPS ADA has completed an inspection of the above noted door.This inspection is intended to assess the doors safety compliance by performing a physical inspection and conducting practical field tests designed to approximate the requirements of the current ANSFBHMA standards.Individual manufacturers may have additional requirements or recommendations for their equipment.It is strongly recommended that the door remain in compliance of these standards for safe operation.We recommend immediate discontinued door operation if any of the above items are noted"X-NOT IN COMPLIANCE”within the standards of the inspection. RECOMMENDATIONS TO CUSTOMER: QTY. PARTS REQUIRED: ❑ PARTS RECOMMENDED: ❑ TECHNICIAN I.D. NO.: TECHNICIAN 1NITIALS:LI k, WE KNOW THAT YOU HAVE A CHOICE, THANK YOU FOR CHOOSING AUTOMATED DOORS AND ACCESS, INC. WAS THE SERVICE PERFORMED TO YOUR SATISFACTION? OPTIONAL RESPONSE: YES❑ NO❑ Q� CUSTOMER SIGNATURE PRINT NAME D. 'E STORE STAMP AUTOMATED DOORS 6334 East 32nd Court 1105 Stones River Court Indianapolis IN 46226 Lavergne, Tennessee 37086 &ACCESS,INC Office: 317.472.7450 Office: 615-471-5366 "Quality Is Automatic" Fax: 317.472.7451 Fax: 615-471-5367 Toll Free: 866.470.8099 • servicerequest @qualityisautomatic.com www.qualityisautomatic.com SERVICE WORK ORDER / NOT AN INVOICE t Z-o +50 oao CUSTOMER NO.: P.O.NO.: C�V W.O.I.D.NO.: LOCATION: TIME IN: TIME OUT:�;�,� ZONE: DATE: D �� ADDRESS: ' Z51— g ESTIMATE❑ PROPOSAL❑ PARTS❑ PLANNED MAINTENANCE❑ UNIT NO.: REGULAR M" EMERGENCY❑ RETURN❑ WARRANTY❑ CITY.ST,ZIP: ` d� INTERIOR U,'-' EXTERIOR fiat ENTRANCE❑ EXIT❑ _1 k CONTACT: 7 4 SLIDE❑ SWING Q-_ OTHER❑ DOOR NO.: G BI-PART❑ SINGLE 13,-- PAIR II- DOOR ;NM 67 FULL B.O.❑ FIXED SIDELINE❑ INSWING O OUTSW ING O- BRAND: / �/ MODEL: PROBLEM REPORTED: n�+� �r! ^ Y ^ &&AIK !� SERVICE PERFORMED: Tn (d!/i AFi — 6tv 1,4P A�J"-v — AWA tca Pic; — ubr ADDITIONAL FORMS ATTACHED: YES❑ NO❑ PROPOSAL REQUIRED: ❑FAX# QTY. ADA PART NO. DESCRIPTION TRUCK OR WAREHOUSE NO. DOOR&OPERATOR INSPECTION-MARK ✓ FOR IN COMPLIANCE/ X FOR IN COMPLIANCE, NA IF NOT APP ABLE TO THIS DOOR MECHANICAL SPEEDS&FORCE SWITCHING ACCESSORIES TRACK&CAP OPENING SPEED ONJOFF SWITCHING TRANSFORMER(S) WHEELS&HANGERS CLOSING SPEED PRESENCE SENSORS DECALS!SIGN E BOTTOM GUIDES TIME DELAYS SAFETY BEAMS DAILY SAFE CHECK PIVOTS&HING . LATCH AND BACK ECKS ACTIVATION SE ORS 1 MATS GUIDE RAXS!SHOES DRIVE BEL JK CUSHIONS SAFETY SEN S I MATS THRES LDS OPERA /GEARBOX OPENING SING FORCE I WALLSW14CHES LUCK INDICATORS MOTOR EMERGENCY BREAKOUT I I CORD&CONNECTIONS GLASS/STOPS ADA has completed an inspection of the above noted door.This inspection is intended to assess the doors safety compliance by performing a physical inspection and conducting practical field tests designed to approximate the requirements of the current ANSUBHMA standards.Individual manufacturers may have additional requirements orrecommendations for their equipment.It is strongly recommended that the door remain in compliance of these standards for safe operation.We recommend immediate discontinued door operation if any of the above items are noted-X-NOT IN COMPLIANCE'within the standards of the inspection. RECOMMENDATIONS TO CUSTOMER: QTY. PARTS REQUIRED: ❑ PARTS RECOMMENDED: ❑ TECHNICIAN I.D. NO.: TECHNICIAN INITIALS: WE KNOW THAT YOU HAVE A CHOICE, THANK YOU FOR CHOOSING AUTOMATED DOORS AND ACCESS, INC. WAS THE SERVICE PERFORMED TO YOUR SATISFACTION? OPTIONAL RESPONSE: YES❑ NO❑ X CUSTOMER SIGNATURE PRINT NAME DATE STORE STAMP INVOICE "D AUTOMATED DOORS M.E17"Fl, &ACCESS,INC MAY 2 8 2013 "Quality Is Automatic' www.quoIityisoUtomtatic.com PLEASE REMIT TO INVOICE NUMBER AIN0708231208 Automated Doors&Access, Inc. INVOICE DATE 5/17/2013 6334 E.32nd Court PO NUMBER MC004056 Indianapolis, IN 46226 Phone:(866)470-8099 TOTAL DUE $230.00 BILL TO LOCATION Accounts Payable Monon Community Center Monon Community Center Monon Community Center Attn: Accounts Payable Carmel, IN 46032 1235 Central Park Drive East Carmel,IN 46032 Contact:Matthew Bush Phone:(317)843-3863 Phone:(317)721-2874 Description Issue-East Building Exterior Entrance top weld on door is broken loose:Inspected door. Found the top weld on front edge broken loose.Redrilled with new holes and screws to secure frame together.Tested door-OK.Door and frame are secure. 2m/2hr Service Call 130503-0004 MONON CENTER-DOOR WELD BROKE Salesperson Customer Number Order Date _ Completion Date Payment Terms Shipping Method Ryan F Kell MONON COM CTR 5/9/2013 5/9/2013 LOCAL DELIVERY Cost Code Totals EQUIPMENT $0.00 MATERIAL $0.00 LABOR $150.00 Purchase i'%^Cri^i{On SUBCONTRACTOR $0.00 ------— 98Y7 �.r). L TRAVEL $80.00 �P t� Subtotal $230.00 G•L.# i_irie.uescr Subtotal $230.00 Purchaser Date Tax $0.00 Approval_ --__Date Amount Paid $0.00 _ Total $230.00 Page 1 of 1 Automated Doors Et Access, Inc., 6334 E. 32nd Court, Indianapolis, IN, 46226 Phone (866)470-8099 Fax (317)472-7451 E-mail accounting@qualityisautomatic.com AUTOMATED DOORS 6334 East 32nd Court 1105 Stones River Court Indianapolis IN 46226 LaVergne, Tennessee 37086 &ACCESS,INC Office: 317.472.7450 Office: 615-471-5366 - "Quality Is Automatic" Fax: 317.472.7451 Fax: 615-471-5367 Toll Free: 866.470.8099 • servicerequest @qualityisautomatic om www.qualityisautomatic.com 130 SERVICE WORK ORDER / NOT AN INVOICE l CUSTOMER NO.: - P.O.NO.: —4-5 6 W_O.LD.NO.: � �J LOCATION: ��" la 6rRAwjL TIME IN: �; TIME OUT: -; ZONE: DATE: f �f! ADDRESS:t�v PAL, � ESTIMATE❑ PROPOSAL❑ PARTS O- PLANNED MAINTENANCE C3 UNIT NO.: "��" REGULAR®// EMERGENCY❑ RETURN❑ WARRANTY❑ CITY,ST.ZIP: INTERIOR O EXTERIOR ENTRANCE❑ EXIT❑ CONTACT r7 1 SLIDE❑ SWING�� OTHER El DOOR NO.: �i/ BI-PART❑ SINGLE W" PAIRQ/ DOOR LOCATION:, 61& FULL B.O.E3 FIXED SIDELITE O INSWING❑ OUTSWING CaY- BRAND: G �Jr' MODEL: PROBLEM REPORTED 2 f__3 / eb SERVICE PERFORMED: ((fJ�� Oki SC ; .Q ADDITIONAL FORMS ATTACHED: YES O NO❑ 1 PROPOSAL REQUIRED: ❑FAX 4 QTY. ADA PART NO. DESCRIPTION TRUCK OR WAREHOUSE NO. DOOR&OPERATOR INSPECTION-MARK(vK)FOR IN COMPLIANCE i X)FOR NOT IN COMPLIANCE;(NA)IF NOT APPLICABLE TO THIS DOOR MECHANICAL SPEEDS&FORCE SWITCHING ACCESSORIES TRACK&CAP OPENING SPEED ON/OFF SWITCHING TRANSFORMER(S)i WHEELS&HANGERS CLOSING SPEED PRESENCE SENSORS DECALS/SIG E BOTTOM GUIDES TIME DELAYS SAFETY BEAMS DAILY SAER1rY CHECK _ PIVOTS&HINGES LATCH AND BAC5,EMCKS ACTIVATIO NSORS/MATS GUIDE irAILS/SHOES DRIVE BELTS CUSHIONS SAFETY 5rNSORS/MATS THRESHOLDS I OPERATOR/GEARBOX I OPENING/CLOSING FORCE WALL SWITCHES LOCKS/INDICATORS MOTOR I EMERGENCY BREAKOUT CORD&CONNECTIONS I GLASS/STOPS ADA has completed an inspection of the above noted door.This inspection is intended to assess the doors safety compliance by performing a physical inspection and conducting practical field tests designed to approximate the requirements of the current ANS I1BH MA standards.Individual manufacturers may have additional requirements or recommendations for their equipment.It is strongly recommended that the door remain in compliance of these standards for safe operation.We recommend immediate discontinued door operation if any of the above items are noted"X-NOT IN COMPLIANCE-within the standards of the inspection. RECOMMENDATIONS TO CUSTOMER: QTY. PARTS REQUIRED: ❑ PARTS RECOMMENDED: ❑ TECHNICIAN I.D. NO.: TECHNICIAN INITIALS Ht' WE KNOW THAT YOU HAVE A CHOICE, THANK YOU FOR CHOOSING AUTOMATED DOORS AND ACCESS, INC. WAS THE SERVICE PERFORMED TO YOUR SATISFACTION? OPTIONAL RESPONSE: YES❑ NO O VC )b t4iAe��2 E h-� 0�10� CUSTOMER SIGNATURE PRINT NAME DATE STORE STAMP INVOICE AUTOMATED DOORS =-- &ACCESS,INC"Quatity Is Automatic" www.qualitylsautomatic.com PLEASE REMIT TO INVOICE NUMBER AIN0708231278 Automated Doors&Access, Inc. INVOICE DATE 5/31/2013 6334 E.32nd Court PO NUMBER MC004078 Indianapolis,IN 46226 Phone:(866)470-8099 TOTAL DUE $730.00 BILL TO LOCATION Accounts Payable Monon Community Center Monon Community Center Monon Community Center Attn: Accounts Payable Carmel, IN 46032 1235 Central Park Drive East Carmel, IN 46032 Contact:Matthew Bush Phone:(317)843-3863 Phone:(317)721-2874 Description Issue-West door rubbing and not closing completely:05.06.13-Exterior west entrance right hand:Inspected right hand side set.Found that roton hinge at the top is broken.Will need to replace.Will return ASAP with part.Also, customer requested service on Exterior Auotmatic Opener.Checked door. Found that the control plug to the operator was loose.Made connection and tested door.0 K.Recommendations:Replace Roton Hinge/05.06.13-Returned to replace hinge:Replaced full surface hinge.Broke glass while there.Will return with glass to replace./05.21.13- Returned with glass to replace broken window unit:Removed existing broken glass unit.Installed new glass unit. Ok'ed with customer.Material charge only for hinge;not glass unit. 2m/6hrs Service Call 130506-0001 MONON COMM CENTER-WEST DOOR N !Salesperson Customer Number Order Date Completion Date Payment Terms Shipping Method Ryan F Kell MONON COM CTR 5/30/2013 5/30/2013 LOCAL DELIVERY Purchase `'v��GA'R�✓/�;4� Cost Code Totals Description �/� EQUIPMENT $0.00 P.O.,y � P v F MATERIAL $200.00 C.L.# /V"/�"'7✓� LABOR $375.00 Budget Line Desc SUBCONTRACTOR $75.00 TRAVEL $80.00 Purchaser Gate Subtotal $730.00 Approval Date _ Subtotal $730.00 Tax $0.00 Amount Paid $0.00 Total $730.00 Page 1 of 1 Automated Doors it Access, Inc., 6334 E. 32nd Court, Indianapolis, IN, 46226 Phone (866)470-8099 Fax (317)472-7451 E-mail accounting @qualityisautomatic.com AUTOMATED DOORS 6334 East 32nd Court 1105 Stones River Court Indianapolis IN 46226 LaVergne, Tennessee 37086 AD4 &ACCESS;INC Office: 317.472.7450 Office: 615-471-5366 "Quality Is Automatic" Fax: 317.472.7451 Fax: 615-471-5367 Toll Free: 866.470.8099 • servicerequest @quaIityisautomatic.com www.qualityisautomatic.com SERVICE WORK ORDER / NOT AN INVOICE -0-60 j CUSTOMER NO.: P.O.NO.: 6 �`� W.O.I.D.NO.: LOCATION: QVOf J b kVqua �-r TIME IN: TIME OUT: ZONE: DATE: - 0 ADDRESS: ''Z3s'ej0jn v/ Piz ESTIMATE❑ PROPOSAL❑ PARTS❑ PLANNED MAINTENANCE C3 UNIT NO.: REGULAR Q-�• EMERGENCY❑/ RETURN❑ WARRANTY❑ CITY,ST.ZIP: �� INTERIOR 13 EXTERIOR Gds ENTRANCE� EXIT C3 CONTACT: orn,(/�np r, SLIDE❑ SWING OTHER O DOOR NO.: 111 rl ICC7L BI-PART❑ SINGLE Cl PAIR O� DOOR LOCATION: yst�.� FULL B.O.❑ FIXED SIDELITE❑ INSWING❑ OUTSWING a- BRAND: �gaanfl& ` u MODEL: PROBLEM REPORTED: /1�_,� t SERVICE PERFORMED: ADDITIONAL FORMS ATTACHED: YES❑ NO c l PROPOSAL REQUIRED: ❑ FAX# QTY. ADA PART NO. DESCRIPTION TRUCK OR WAREHOUSE NO. DOOR&OPERATOR INSPECTION-MARK t-1►FOR IN COMPLIANCE i(X)FOR NOT IN COMPLIANCE i(NA)IF NOT APPLICABLE TO THIS DOOR MECHANICAL SPEEDS&FORCE SWITCHING ACCESSORIES TRACK&CAP OPENING SPEED ON/OFF SWITCHING TRANSFORMER S WHEELS&HANGERS ljtifa, CLOSING SPEED PRESENCE SENSORS DECALS/SIGNAGE BOTTOM GUIDES 'TIME DELAYS SAFETY BEAMS Ilk DAILY SAFETY CHECK PIVOTS&HINGES LATCH AND BACK CHECKS ACTIVATION SENSORS/MATS I GUIDE RAILS/SHOES I DRIVE BELTS CUSHIONS L11 I SAFETY SENSORS/MATS THRESHOLDS 7 OPERATOR/GEARBOX OPENING/CLOSING FORCE WALL SWITCHES 'LOCKS/INDICATORS MOTOR EMERGENCY BREAKOUT I CORD&CONNECTIONS GLASS/STOPS I J ADA has completed an inspection of the above noted door.This inspection is intended to assess the doors safety compliance by performing a physical inspection and conducting practical field tests designed to approximate the requirements ofthe current ANSI/BHMA standards.Individual manufacturers may have additional requirements or recommendations for their equipment.It is strongly recommended that the door remain in compliance of these standards for safe operation.We recommend immediate discontinued door operation if any of the above items are noted"X-NOT IN COMPLIANCE"within the standards of the inspection. RECOMMENDATIONS TO CUSTOMER: QTY. PARTS REQUIRED: PARTS . RECOMM ENDED: ❑U4U4.4-&e- �ql-t C t _ Or- 6k S-" &tr JlIb 1�� TECHNICIAN I.D.NO.: TECHNICIAN INITIALS: 1 A�f`N fCY_0�l WE KNOW THAT YOU HAVE A CHOICE, THANK YOU FOR CHOOSING AUTOMATED DOORS AND ACCESS, INC. WAS THE SERVICE PERFORMED TO YOUR SATISFACTION? OPTIONAL RESPONSE: YES❑ NO❑ kQzll� �z -- Zda I CUSTO SIGNAT;RE PRINT NAME DAT= t STORE STAMP AUTOMATED DOORS 6334 East 32nd Court 1105 Stones River Court &ACCESS INC Indianapolis IN 46226 LaVergne, Tennessee 37086 Office: 317.472.7450 Office: 615-471-5366 "Quality Is Automatic" Fax: 317.472.7451 Fax: 615-471-5367 Toll Free: 866.470.8099 " servicerequest @qualityisautomatic.com www.qualityisautomatic.com SERVICE WORK ORDER/ NOT AN INVOICE f 3Q5' CUSTOMER NO.:Rioevul P.O.NO.: W.O.I.D.NO.: LOCATION: TIME IN:f�3 D TIME OUT: '3 ZONE: DATE: ADDRESS: ESTIMATE❑ PROPOSAL❑ PARTS❑ PLANNED MAINTENANCE❑ UNITNO.: REGULAR❑ EMERGENCY❑ RETURN❑ WARRANTY❑ CITY,ST,ZIP: INTERIOR❑ EXTERIOR❑ ENTRANCE❑ EXIT❑ CONTACT: SLIDE❑ SWING❑ OTHER❑ DOOR NO.: BI-PART❑ SINGLE O PAIR❑ DOOR LOCATION: I�// T FULL B.O.❑ FIXED SIDELITE C3 INSWING❑ OUTSWING❑ BRAND: MODEL: PROBLEM REPORTED: SERVICE PERFORMED: ADDITIONAL FORMS ATTACHED: YES❑ NO❑ 1 PROPOSAL REQUIRED: ❑FAX# QTY. ADA PART NO. DESCRIPTION TRUCK OR WAREHOUSE NO. r DOOR&OPERATOR INSPECTION-MARK ./ FOR IN COMPLIANCE r X FOR NOT IN COMPLIANCE/ NA IF NOT APPLICABLE TO THIS DOOR MECHANICAL SPEEDS&FORCE SWITCHING ACCESSORIES TRACK&CAP OPENING SPEED ON/OFF SWITCHING TRANSFORMER(S) LS&HANGERS CLOSING SPEED PRESINICE SENSORS DECALS/SIGNAGE BOIL70KQUIDES TIMEIQELAYS SAFETY B S DAILYSA TYCHECK PIVOTS& ES LATC D BACK CHECKS ACTIVATION ORS/MATS GUIDE RA%,S/SHOES DRIVE BELTS CUSHIONS SAFETY SENSORS TS THRESHOL OPERATOR/GEARB X OPENING/CLOSI E WALL SWITCHES LOCKS I INDlggORS MOTOR EMERGENCY BREAKOUT I CORD&CONNECTIONS GLASS I STOPS ADA has completed an inspection of the above noted door.This inspection is intended to assess the doors safety compliance by performing a physical inspection and conducting practical field tests designed to approximate the requirements ofthc current ANS Ir BH MA standards.Individual manufacturers may have additional requirements or recommendations for their equipment.It is strongly recommended that the door remain in compliance of these standards for safe operation.We recommend immediate discontinued door operation if any of the above items are noted"X-NOT IN COMPLIANCE"within the standards of the inspection. RECOMMENDATIONS TO CUSTOMER: QTY. PARTS REQUIRED: ❑ PARTS RECOMMENDED: ❑ TECHNICIAN I.D. NO.: TECHNICIAN INITIALS: WE KNOW THAT YOU HAVE A CHOICE, THANK YOU FOR CHOOSING AUTOMATED DOORS AND ACCESS, INC. WAS THE SERVICE PERFORMED TO Y R SATISFACTION' OPTIONAL RESPONSE: YES❑ NO❑ X CUSMOMER NATURE PRINT NAME DATE STORE STAMP QrV RA('IC PA(7F FYIR IMPnOTA NIT QAF'F'TV N.InTATInNQ AUTOMATED DOORS 6334 East 32nd Court 1105 Stones River Court Indianapolis IN 46226 Lavergne,Tennessee 37086 &ACCESS,INC Office: 317.472.7450 Office: 615-471-5366 "Quality Is Automatic" Fax: 317.472.7451 Fax: 615-471-5367 Toll Free: 866.470.8099 • servicerequest @qualityisautomatic.com www.qualityisau'Lomatic.com SERVICE WORD ORDER / NOT AN INVOICE CUSTOMER NO.: P.O.NO.: W.O.I.D.NO.: LOCATION: �� TIME IN: TIME OUT: �f,0 ZONE: DATE: Z f ADDRESS: ESTIMATE❑ PROPOSAL❑ PARTS❑ PLANNED MAINTENANCE❑ UNIT NO.: REGULAR EMERGENCY❑ RETURN ,WARRANTY❑ CITY,ST,ZIP: INTERIOR Ll EXTERIOR ENTRANCE❑ EXIT❑ CONTACT: SLIDE❑ SWING U OTHER❑ DOOR NO.: BI-PART❑ SINGLE❑ PAIR❑ DOOR LOCATION: FULL B.O.❑ FIXED SIDELITE❑ INSWING D OUTSWING❑ BRAND: tt'G MODEL: PROBLEM REPORTED: �d L �n 1 /�, F C36L �✓L 1�7J"' LL/✓LIr SERVICE PERFORMED: Ole ADDITIONAL FORMS ATTACHED: YES❑ NO❑j PROPOSAL REQUIRED: U FAX# QTY. ADA PART NO. DESCRIPTION TRUCK OR WAREHOUSE NO. DOOR&OPERATOR INSPECTION. MARK ✓ FOR IN COMPLIANCE; X FOR NOT M COMPLIANCE! A IF NOT APPLICABLE TO THIS DOOR MECHANICAL SPEEDS&FORCE SWITCHING ACCESSORIES TRACK&CAP OPENING SPEED ON/OFF SWITCHING TRANSFORMER(S) WHEELS&HANGERS CLOSING SPEED PRESENCE SENSO DECALS/SIGNAOt BOTTOM GUIDES TIME DELAYS SAFETY BEAMS DAILY SAFE T CHECK PIVOTS&HINGES LATCH AND BACK CKECKS ACTIVATION NSORS/MATS GUIDE RA /SHOES DRIVE BELTS CUSHIONS SAFETY SE ORS!MATS THRES LDS OPERATOR/GE OX OPENING'CLO G FORCE WALL SWIfTCHES LOC /INDICATORS MOTOR I EMERGENCY KRFAKOIJT I CORD&CONNECTIONS GLASS/STOPS ADA has competed an inspection of the above noted door.This inspection is intended to assess the doors safety compliance by performing a physical inspection and conducting practical field tests designed to approximate the requirements ofthe currentANSI/BHMA standards.Individual manufacturers may have additional requirements or recommendations for their equipment.It is strongly recommended that the door remain in compliance of these standards for safe operation.We recommend immediate discontinued door operation if any of the above items are noted"X-NOT IN COMPLIANCE"within the standards of the inspection. RECOMMENDATIONS TO CUSTOMER: QTY. PARTS REQUIRED: ❑ PARTS RECOMMENDED: 0 TECHNICIAN I.D. NO.: TECHNICIAN INITIALS: nL WE KNOW THAT YOU HAVE A CHOICE, THANK YOU FOR CHOOSING AUTOMATED DOORS AND ACCESS, INC. WAS THE SERVICE PERFORMED TO YOUR SATISFACTION? OPTIONAL RESPONSE: YES❑ NO❑ y il- Z 3 CUSTOMER SIGNATURE PRINT NAME DA YE STORE STAMP 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. 365825 Automated Doors & Access, Inc. Terms 6334 E. 32nd Court Indianapolis, IN 46226 ;Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount /17/13 AIN0708231207 Repairs to magnetic door to Kidzone 29848 $ 455.00 5/14/13 AIN0708231208 East door repair 29847 $ 230.00 5/31/13 AIN0708231278 MCC West main door repair 29890 $ 730.00 Total $ 1,415.00 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. 365825 Automated Doors &Access, Inc. Allowed 20 6334 E. 32nd Court Indianapolis, IN 46226 In Sum of$ $ 1,415.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1093 AIN070823120 4350100 $ 455.00 1 hereby certify that the attached Invoice(s), or 1093 AIN070823120 4350100 $ 230.00 bill(s) Is (are)true and correct and that the 1093 AIN070823127 4350100 $ 730.00 materials or services itemized thereon for which charge Is made were ordered and received except 14-Jun 2013 Signature $ 1,415.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund