242721 03/03/2015 1y U�cgq�f CITY OF CARMEL, INDIANA VENDOR: 00351921
® 3i ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $*******285.53*
?� CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST CHECK NUMBER: 242721
.,:.yi�oN�o. CARMEL IN 46032 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 18223 161.50 EQUIPMENT REPAIRS & M
1120 4350000 18261 124.03 EQUIPMENT REPAIRS & M
Duncan Appliance Service
11404 Central Drive East
Carmel, IN 46032-4510
817-844-0420 Voice, 888-847-0173 Fax
Job Name&&Address Job Specs
CFD/CARMEL FIRE#43 2/26/15, 18261
3242 E 106TH ST[18-17] DISHWASHER, KITCHENAID
CARMEL IN 46033 KUDK031-TWH3, FY0523855
Service Performed
REMOVED AND REPLACED BLOWN THERMAL FUSE.TESTED UNIT.ALL OKAY.CUSTOMER TO CALL IF FURTHER
TROUBLE., USED 1 W10258275 (BI METAL) FROM STOCK.JOB CMPLTD
Items Used
1 W10258275 BI METAL 26.03 26.03
Steve D. Parts Total
Labor
10.00
Scall
88.00
Sales Tax
otal
Payments Received/Balance Due
Total Monies Receive 00
Balance due $124.03
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF$
11404 Central Drive East
Carmel, IN 46032
$124.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 18261 43-500.00 $124.03 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
MAN
C/d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
II
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, 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))
18261 Sta.43 Dishwasher $124.03
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
120
Clerk-Treasurer
Duncan Appliance Service
317-844-04205 11404 Central Dr E, Carmel, IN 46032
Thank You For Your Businessf{
Cfd#Carmel 2/27/15, ## 18223
8242 E 105th Bt Washer, LG
Carmel, IN 45083 V M0642HW/01 , 902KVVSB00374
Removed and replaced defective drain hose assembly. Tested unit, all
functions
ok.
1 5215ER2002G drain hose kit 48.50
by Steve D Parts Total 48.50
Labor 25.00
S.Call 88.00
Sales Tax 0.00
Total Ticket 161.50
1 have reviewed this form and approve its contents. Acting for myself(or as agent forthe listed party) Total Monies Received: $0.00
1 agree to make timely payment of all sums owed(and,if I fail in that,to pay all associated collection costs,
including attorney'sfees, plus interest atthe rate 1.8 percent per month). Balance due =$161.50
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF$
11404 Central Drive East
Carmel, IN 46032
$161.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICENO. ACCT#/TITLE AMOUNT Board Members
1120 18223 43-500.00 $161.50 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
MAR 2 7Qi
' 7/7
Bim.
Fire Chief
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.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
18223 Sta.43 Washer $161.50
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