225898 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 364570 Page 1 of 1
ONE CIVIC SQUARE MECHANICAL CONTRACTING SERVICE g
0 CHECK AMOUNT: $2,633.63
i�tza CARMEL, INDIANA 46032 15371 STONEY CREEK WAY
s� NOBLESVILLE IN 46060 CHECK NUMBER: 225898
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9011 1, 291 .22 OTHER EXPENSES
601 5023990 9012 1, 342 .41 OTHER EXPENSES
'i
MOS','INC. 114VOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9011
Invoice Date: Sep 30,2013
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
"Bill Td--'J� Ship,t0.
CARMEL WATER COMPANY JOB 13300 003567
3450 W. 131ST ST SERVICE CALL
WESTFIELD, IN 46074
eh't
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CARM Net 30 Days
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9
10130/13
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Sales- Service 1,291.22
Subtotal 1,291.22
Sales Tax
Total Invoice Amount 1,291.22
Check/Credit Memo No: Payment/Credit Applied
TOTAL;. �w,
. ..... ..............
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Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Stony Creek Way Noblesville, In 46060 Fax: (317)773-7340 003567
Name: QVI / Qty. Description Purchase Order Number Amount
Address.. ��W�- $
City: State: Zip: 1-4%
Contact:: $
Phone No.: �� $
Date: x $
6
Equip: $
Model No.: $
Serial No.: $
Year: Total Material WE ARE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed:
Service Call
Preventive Maintenance
Warranty
No Heating Call
No Cooling Call /
Equipment Check List R Code Environmental Check List
Compressor: Voltage Ph. E Refrigerant Type:
Condensor Coil: Clean: Di 1= 1 Recovered: Yes_No_Qt . U` 1✓
Refrigerant: Type Leek Charge_ R 2 Recycled: Yes_No_Qty. // �� _� jj
Fan&Motor: Voltage Ph. 1 3 Reclaimed: Yes_No_Qty. �`�� wA"
Evaporator Coil: Clean Dirty G 4 Returned: Yes_No_Qty. J
Condensate: Clean Dirty E 5 Non Usable: Yes_No_Qty. ��Q��' c� a / •Yf '
Air Filters: Clean Dirty R 6 Disposal: Yes_No_Qty.
Heating Assembly: Clean Dirty A Notes: '
Electrical: Relay Contactor P.S. N Oj
Thermostat Replace , Relocate T
HRS @ $ ,O /HR REGULAR T Time Left Last Job (10
HRS @ $ /HR REGULAR R Time Arrived On Job QQ
B HRS @ $ /HR REGULAR A Time Departed From Job A�lu o /!" ky`(.} ,AA R .
O 7 HRS /HR REGULAR V 2nd Arrival
HRS /HR OVERTIME E 2nd Departure / C1/
R HRS /HR OVERTIME L Truck Char e / YY
C 1. Material $ �' j9 2 All parts noted above are warranted as per 614- l
H 2.Truck Charge $ manufacturers specifications. v
A 3. Labor Is 10115. All labor noted above relative to the
R 4. Sales Tax T $ '
equipment serviced as noted,is guaranteed
E,� fora period of 30 days.
S
.� To al Amount Due $ . � Terms: Net- Due Upon Receipt
Date:
Customer:
Service Man: l,
Signature: Printed:
BILLING COPY
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IVICS, INC. ONVOICE
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060 Invoice Number: 9012
Invoice Date: Sep 30,2013
Page: 1
Voice: 317-773-7370
Fax: 317-773-7340
Wp"to:
... ....................
CARMEL WATER COMPANY JOB 13300 003788
3450 W. 131ST ST SERVICE CALL
WESTFIELD, IN 46074
P
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----CARM W Net 30 Days_
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10/30/13
Quantity''`
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Sales-Service 1,342.41
Subtotal 1,342.41
Sales Tax
Total Invoice Amount 1,342.41
Check/Credit Memo No: Payment/Credit Applied
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Mechanical Contracting Services, Inc. Phone: (317)773-7370 SERVICE REPORT
15371 Stony
Creek Way Noblesville, In 46060 Fax: (317)773-7340 003788
Y
Name: Qt . Description Purchase Order Number Amount
Address: $
Cit : State: Zi $
Contact: $
Phone No.: $ U
Date: $
Equip: $
Model No.: $
Serial No.: $
Year: Total Material= $
WE RE PERFORMING THE FOLLOWING ITEMS: Plumbing Service Performed:
Service Call
Preventive Maintenance
,Warranty
No Heating Call 9
No Cooling Call
Equipment Check List R Code Environmental Check List
Compressor: Voltage Ph. E Refrigerant Type:
Consor Coil: Clean: Di F 1 Recovered: Yes_No_Qty. �A .m
Rerant: Type Leek Charge_ R 2 Recycled: Yes_No_Qty.
Fan&Motor: Voltage Ph. 3 Reclaimed: Yes_No_Qty.
Evaporator Coil: Clean Dirty G 4 Returned: Yes_No_Qty.
Condensate: Clean Dirty E 5 Non Usable: Yes_No_Qty. ��n✓" ► wV °�`U /(
Air Filters: Clean Dirty R 6 Disposal: Yes_No_Qty.
Heating Assembly: Clean Dirty A Notes:
Electrical: Relay Contactor P.S. N
Thermostat Re lace , Relocate T
L HRS @ /HR REGULAR T Time Left Last Job
A HRS 6 $ o /HR REGULAR R Time Arrived On Job
B HRS @ $ /HR REGULAR A Time Departed From Job
0 HRS @ $ /HR REGULAR V 2nd Arrival
HRS /HR OVERTIME E 2nd Departure
R HRS @ $ /HR OVERTIME L Truck Char e i
C 1.Material $ All parts noted above are warranted as per
H 2.Truck Charge $ 5 01 Qd manufacturers specifications.
'A 3. Labor $ 'o 0. All labor noted above relative to the
R 4. Sales Tax T E $ equipment serviced as noted,is guaranteed
for a period of 30 days.
E
S
To al Amount Due $ Terms: Net- Due Upon Receipt
Service Man: Customer: Date:
Signature:
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
364570
MECHANICAL CONTRACTING SERVICES Purchase Order No.
15371 STONY CREEK WAY Terms
NOBLESVILLE, IN 46060 Due Date 10/28/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/201: 9011 $1,291.22
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
Date Officer
VOUCHER # 133159 WARRANT# ALLOWED
364570 IN SUM OF $
MECHANICAL CONTRACTING SERVIC
15371 STONY CREEK WAY
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9011 01-6200-06 $171.02
9011 01-6360-06 $1,120.20
q o 1 U� �2�6 1�1� g��L
Voucher Total a i T�$44,,-qf-22
Cost distribution ledger classification if
claim paid under vehicle highway fund