246770 06/30/15 c~'' CITY OF CARMEL, INDIANA VENDOR: 00351921
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $*******133.81*
9 ��; CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST CHECK NUMBER: 246770
R'�'rori�°' CARMEL IN 46032 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 19724 133.81 EQUIPMENT REPAIRS & M
Duncan Appliance Service '
317-544-04201 11404 Centra! ter E�, Carrel, IN 46032
'hank You For Your Business!!
Cfd/Carmel 61291151 19724
10701 College Ave N Washer, Maytag
Indianapolis, IN 46280 ISI HWZ600TW01 , H LW3934634
Removed and replaced defective drain hose. Tested unit, all functions ok.
1 11x10114808 hose,drain 15.81
by Steve D Parts Total 15.81
Labor . 30.00
S.Call . 88.00
Sales Tax 0.00
Total Ticket 133.81
1 have rerieaed this farm and appaove its contents. Acting for myself(or as agent for the listed party) Total monies Received_ SO.00
I agree to make timely payment of all SUMS awed(and, if I fail in that,to pay all assaoiated collection its,
including attorneys fees, plus interest at the rate 1.5 peaoent pea month). Balance due= X133.81
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF$
11404 Central Drive East
Carmel, IN 46032
$133.81
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members �
1120 19724 43-500.00 $133.81 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 JUN 2 9 2015
I 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
IAn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
I
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
I
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
19724 Sta.45 Washer $133.81
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