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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 _.............. _.. _.._. _.......................,...,.. .............. ...,,...,,... ....,. .........,...... .... ..................... . .. _... _-_........._ ...__.._ .,...,.. .......... .._.,.._..._,,................ ..._.. .... ... _ ........_ �..........._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