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Home My WebLink About221587 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 356465 Page 1 of 1 ONE CIVIC SQUARE JIM RUSSELL PLUMBING&HEATING CARMEL, INDIANA 46032 PO BOX 846 CHECK AMOUNT: $8,497.00 4,,roM`o ZIONSVILLE IN 46077 CHECK NUMBER: 221587 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 25700 217074 8, 012 . 00 INSTALL WATER FOUNTAI 1120 4350100 217101 235 . 00 BUILDING REPAIRS & MA 1120 4350100 217102 250 . 00 BUILDING REPAIRS & MA Date. 0 Invoice 6/24/13 k 217101 PLUMBING,HEATING&AIR CONDITIONING,L.L.C. 70 E!HAWTHORNE ST.• ZIONSVILLE,IN 46077 PH:1317)873-5773 FAX:13171873-2816 LICENSE# CP10200006 Billed To: Carmel Fire Dept. Station Job: SERVICE 2 Civic Sq. Customer Phone: 508-5777 Carmel, In.46032 Description of Work: Day Work Re-, Station#42 1. Replace 3/4 ball valve on hot water circulator line. Total $ 35.00 PAYMENT DUE UPON RECEIPT. 1 1 Customer Copy F te Invoice 4/13 217102 r70 BING,HEATING&AIR CONDITIONING,L.L.C. HAWTHORNE ST.• ZIONSVILLE,IN 46077 3171 873.5773 FAX:(317)873-2816 NSE# CP10200006 Billed To: Carmel Fire Dept. Station Job: SERVICE 2 Civic Sq. Customer Phone: 508-5777 Carmel, In. 46032 Description of Work: Day ork ----- -Re, Station#42 1. Water leak above ceiling in dayroom. 2. Removed 4" piece of 1/2" "M" copper that had a pinhole and replaced it with 1/2" Pex. Total $250.00 PAYMENT DUE UPON RECEIPT. Customer 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 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)) 217101 $235.00 217102 $250.00 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 Jim Russell Plumbing, Heating & Air Conditioni IN SUM OF $ P.O. Box 846 Zionsville, IN 46077 $485.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 217101 43-501.00 j $235.00 I hereby certify that the attached invoice(s), or 1120 217102 43-501.00 $250.00 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 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Date Invoice 6/16/13 217074 jWV PLUMBING,HEATING&AIR CONDITIONING,L.L.C. Pag t' 70 E!HAWTHORNE ST.• ZIONSVILLE,IN 46077 PH:0317)873-5773 FAX:1317)873-2816 LICENSE# CP10200006 Billed To: City of Carmel Job: SERVICE 3 Civic Square Customer Phone: 317-591-2500 Carmel, In.46032 Description of Work: Day Work Re: Police Department 1. Installed 4 Halsey Tayler HTHB-HAC8WF-33 Hydroboost drinking fountains with bottle filler. $2003.00 ea. Total $8012.00 PAYMENT DUE UPON RECEIPT. I Customer Copy I City INDIANA RETAIL TAX EXEMPT PAGE ( f Qar. �}'�'� el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER \ll�11 JL Jl Jl J L FEDERAL EXCISE TAX EXEMPT 35-60000972 25700 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4112f2013 Jim Russell Plumbing,Heating &AlrCondltionin Cartel Police Department VENDOR TOIP 3 Civic Squam P.O. Rix 845 C eI, IN X 6M ZionsylIle IN 46077 (W157142 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION m Account 43-601.00 4 Each install water fountains $2,003.00 $8,032.00 Sub Taal: $8,012.00 J m w - c "< e Send Invoice To: . Carmel Police Department I Attn: 'erfta Anderson 3 Ciyle Square CaRnal, IN 462- PLEASE INVOICEIN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $8,012.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT�O PAY FOR THE ABOVE ORDER.J r •SHIP REPAID. T. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY _ ✓ ./ .r :e'"�"'71w•^-r �"�---� f S SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V I bAfl Cyr. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - CLERK-TREASURER DOCUMENT CONTROL NO. A.P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER N.O. WARRANT NO. . ALLOWED 20 IN THE SUM OF$ I ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 -....--...--...........-.......................-...... - - 20 ....................................................................................................................................-.........._-..............-- -.......-. Signature ................_.....-.................................-...................--.....--.........-......................... . 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)) 06/16/13 217074 water fountains $8,012.00 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. Jim Russell Plumbing, Heating &Air Conditioni ALLOWED 20 IN SUM OF $ P.O. Box 846 Zionsville, IN 46077 $8,012.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25700 I 217074 I 43-501.00 I $8,012.00 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 Tuesday, June 25, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund