HomeMy WebLinkAbout222068 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 362779 Page 1 of 1
ONE CIVIC SQUARE LEACH&RUSSELL CHECK AMOUNT: $1,284.94
CARMEL, INDIANA 46032 9151 FORD CIRCLE
4 oN io FISHERS IN 46038 CHECK NUMBER: 222068
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 28188 1, 284 . 94 OTHER CONT SERVICES
T Leach & Russell pK
a Mechanical Contractors, Inc.
n 9151 Ford Circle nvoice
Fishers, Indiana 46038
R U S S E L L Phone: (317)841-7877
M E C H A N I C A L Fax: (317) 841-7460
Invoice Number: 28188
o Carmel Redevelopment Commission Invoice Date: 06/26/2013
30 W.' Main Street, Suite 220 Our Job Number 136008
m Carmel, IN 46032
Job Name: Carmel Energy Center
Your Purchase Order Number:
Labor and materials needed for HVAC service in above
location. Tested Chiller #4 for leaks. No leaks found. Valved
off, isolated, and capped chilled water piping. Found
refrigerant to water leak on evaporator heat exchanger.
Must be replaced.
(See copy.of work order attached)
., �b
I1 TOTAL AMOUNT DUE $1,284.94
Q
D
JUL 15 2013
By
Terms- Due Upon Receipt
WORKrORER 0
TO: W c LEACH & RUSSELL
MECHANICAL CONTRACTORS, INC.
....
9151 Ford Circle
Attention: Fishers, Indiana 46038-3000
JDB`°CATI°": Phone (317) 841-7877 Fax (317) 841-7460
_.__..........
WORK REQUESTE 1
.....\. .... ` ............... Date: I [::]contract Extra
al rA + rder Taken Time&Material
By: Warranty
U O V Customer Job Complete
Order No.: Job Incomplete
Phone Model Number:
Number:
- - -
Our Job ��/ Serial-Number:------------ — ---
Number:
OTHER CHARGES AMOUNT
Truck Charge ()
QTY MATERIALS AMOUNT
1........ _v .�-'._ ..w .3..�,... .......... /._?... . .1 TOTAL OTHER CHARGES
X35 DATE LABOR ST 1.5 DT AMOUNT
_.............. _.. _.._.
_.......................,...,.. .............. ...,,...,,... ....,. .........,...... .... ..................... . .. _...
_-_........._ ...__.._
.,...,.. .......... .._.,.._..._,,................
..._.. .... ...
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........_ �..........._e............ ............_.. I ...... ..... .... ...
1
TOTAL MATERIAL 3 2-cf Icl Lf TOTAL LABOR q p O DO
TOTAL MATERIAL, OTHER& LABOR $4 ctT
Work Ordered By:
TAX --
signature: TOTAL Z
Thereby—acknowledge the—satisfactory completion-o e a ove escriBe wor an
agree to render payment upon receipt of invoice.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Leach & Russell Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$1,284.94
Total $1,284.94
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. 06126113 WARRANT NO.
Leach & Russell ALLOWED 20
IN SUM OF $
9151 Ford Circle
Fishers, IN 46038
$ $1,284.94
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
28 1813 bill(s) is (are) true and correct and that the
509 t,2sa.9a materials or services itemized thereon for
which charge is made were ordered and
received except
b, 20
Si nature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund