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223997 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00351618 Page 1 of 1 ONE CIVIC SQUARE J M I MECHANICAL SERVICES, INC CARMEL, INDIANA 46032 5610 DIVIDEND ROAD CHECK AMOUNT: $1,165.00 INDIANAPOLIS IN 46241 CHECK NUMBER: 223997 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 25380 J22126 580 . 00 REPAIR AIR SUPPLY 1110 4350100 25378 J22140 585 . 00 TOILET REPAIR J.M.I. Mechanical Services, Inc. J M I 5610 Dividend Road Indianapolis, Indiana 46241 m.::f.; ,;;,m;.;L..: f=• ;ia-- P: 317.243.7180 F: 317.243.7181 YOU CAN RELY ON J M1 www.jmimechanical.com Invoice No. : J22126 Invoice Date: 08/27/2013 Client: CARMELPOLICED Site: 3CIVICSQUARE Page: 1 of 1 City of Carmel Police 3 Civic Square Service Location Carmel IN 46032 City of Carmel Police Department 3 Civic Square Carmel IN 46032 --— - - - .ter= �-°--- =�-. :.,;.��•�,��.�_-__---- -- --_ - -;,-•� - -� — --�"+=_ ,•h� 1�I:4514'�: ',µ � '�; r. - �;=;�• `- s:; •�" �,=x�a'°;�PO:#:'r-f2�380�:- ;3;��.�,a€�`-:��=��, C•Work;_Ordei;�ld L ,,..i;. ->�..;•��'�,.. �'- � "z ;r _ -�� :: ompletion�Date X08%1�2/201'3,'' x," °' .�:�'�:_. .,__. . .�k<��`�_� '.. �-__� _' .. v��'��'��'Job�ld:__S 3CIaVICS.QUA•RE -. ._�' Work Requested: Install a new 8" supply run into an office on the 2nd floor per proposal #130717. Equipment: Unknown Equipment Work Performed: Consulted with customer on job. work delayed until Monday, 8/12 due to interviews being conducted in the work area. Customer had double booked (sprinkler guy was there) so we have to reschedule to a later date. Hang new duct per proposal. Description Qty. Ext'd Price Material and Taxable Items $0.00 Labor and Exempt Items $580.00 E NVO.ICEZOTAL $ & DUE UPON RECEIPT A Service charge of 1 1/2% per month will be charged on any balance not paid within 30 days of the date of this invoice. Thank You for Your Business! J.M.I. Mechanical Services, Inc. d M 5610 Dividend Road Indianapolis, Indiana 46241 P: 317.243.7180 F: 317.243.7181 YOU CAN RELY O N J M 1 www.jmimechanical.com Invoice No. : J22140 Invoice Date: 08/30/2013 Client: CARMELPOLICED site: 3CIVICSQUARE Page: 1 of 1 City/ of Carmel Police 3 (;iVlc Square Service Location Carmel IN 46032 City of Carmel Police Department 3 Civic Square Carmel IN 46032 _ I C0 Ietl n'Da e X08 Job Id .;=S53CIVICSQUARE� _ Work Requested: Install a new toilet in the 1 st floor women's restroom per Proposal#130718. Equipment: 1ST FLOOR WOMENS RR Work Performed: Picked up replacement toilet. Removed old toilet from wall. Installed new wall; hung toilet and closet gasket. Replaced vacuum breaker and tail piece spud gasket. Used existing toilet seat from old toilet. Caulked fixture. Checked toilet flush and for leaks; O.K. Description Qty. Ext'd Price Material and Taxable Items $0.00 Labor and Exempt Items $585.00 INV0ICEf0TAEd�, DUE UPON RECEIPT A Service charge of 1 1/2% per month will be charged on any balance not paid within 30 days of the date of this invoice. Thank You for Your Business! INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 8 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 7MA13 JMI mocbanical Services, Inc. Carmel Police Department VENDOR SHIP 3 Civic SgUam TO 5010 Dividend Rand Cairmol, IN 46M Indianapolis, IN 45241 (317)57142%9 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT ` QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43al.00 9 Each repairs to toilet $385.00 $585.00 Sub Total: $385.00 a�.......... ga ist Poorwom-ones rostroom I Send Invoice To. Carmel Police Department Attn: Teresa Andaman 3 Civic Square Carmel, IN 46w-- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. � PAYMENT $585.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. •'•_.` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFI SHIPPING INSTRUCTIONS '4 HAT THERE IS AN UNOBLIGATED BALANCE IN 1. THIS APPROPRIATIO SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. ZZOf THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 25- 378 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO.�_i ALLOWED 20 _ IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or L'+ 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 20 --- ----- --- ......-- -- - ----------------------------------------------------- Signature .-................----.....-..---.. ...-.........-........--.........-.-..-....-..-...----..............-.....---...-..._...-..... ... .............. .. Title Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE City ®f"1\ >/_akme i CERTIFICATE NO.003120155 002 0\ PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 JMI Mechanical Gaivicos, Inc. C2rmol Police Department VENDOR SHIP 3 Civic squam TO 5610 Dividend Road Czrmol, IN 432 Indianapolis, IN 46241 (347)5712 CONFIRMATION BVUN11T CONTRACT PAYMENT TERMS FREIGHT QUANTITY OF MEASU RE DESCRIPTION UNIT PRICE EXTENSION Account 43MI.00 9 Each repairs to air supply $580.00 $580.00 Sub Total: $580.00 Wfor Simn0's office Send Invoice To: Cwmol Police Department Attn: Teresa Andorson 3 (Civic Square Darmol, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT T PROJECT I PROJECT ACCOUNT AMOUNT Cannel Police Dept. r- (`6 PAYMENT .Go • 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 CERTIg THAT THERE IS AN OBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �/J of LABELS. �a p g, •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE H I Y®111 V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 255 3 V® CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF $ $ ON ACCOUNT OF APPROPRIATION FOR e 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 except---__ 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)) 08/27/13 J22126 repairs to air supply $580.00 08/30/13 J22140 repairs to toilet $585.00 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 JMI Mechanical Services, Inc. IN SUM OF $ 5610 Dividend Road Indianapolis, IN 46241 $1,165.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25380 J22126 43-501.00 $580.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 25378 J22140 43-501.00 $585.00 materials or services itemized thereon for which charge is made were ordered and received except Thursday, September 05, 2013 4Z Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund