250197 10/07/15 t� CITY OF CARMEL, INDIANA VENDOR: 00351921
® ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: S"""'""196.95'
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST CHECK NUMBER: 250197
�, __oN ;r CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 20813 196.95 OTHER CONT SERVICES
Duncan Appliance Service
11404 Central Drive East
Carmel, IN 45082-4510
817-844-04201 Voice, 888-847-0178 Fax
Name,Address and Telephone Numbers for the Paying Party Invoice Number
CARMEL FIRE DEPARTMENT 20813
2 CIVIC SQUAREAVE N Date Order Taken and Completed
CARMEL, IN 46032 46280 9/10/15
317-571-2600 317-697-4703 317-590-3628 9/24/15
Name,Address and Telephone Numbers for the Service Location (if different from above) Item Make and Type
CARMEL FIRE#45 # 45 WHIRLPOOL
10701 COLLEGE AVE N [16-171 DISHWASHER
INDIANAPOLIS, IN 46280 Purchase Date
317-818-3400 317-697-4703 317-590-3628
Description of Symptoms and/or Customer's Request Model and Serial Numbers
2013 DOES NOT DRAIN WDF730PAYB4
F32102406
Service Performed
FOUND PUMP BAD ORDERED OK TO SCHEDULE NEED 45 MIN,ORDRD 1 W10348269(PUMP,DRAN)IFOUND PUMP IMPELLARS DAMAGED BY DEBRIS
IN PUMP.REMOVED DEBRIS AND FLUSHED DRAIN LINE.REPLACED DEFECTIVE PUMP AND TESTED UNIT,ALL FUNCTIONS OK.,JOB CMPLTD
Parts Used
1 W10348269 pump,dran [SD-9/24] 68.95 68.95
I
Record of Times at Location Payments Received Parts Total
SD 9/12 SAT 9:32 10:08 00:36 68.95
SD 9/24 THU 8:44 8:44 00:00 Service Call
88.00
Labor
echnician's Signature Customer Signature 40.00
Sales Tax
Steve D. Invoice Total
196.95
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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 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))
20813 Sta.45 Dishwasher $196.95
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. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF $
11404 Central Drive East
Carmel, IN 46032
$196.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 20813 43-509.00 $196.95 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
OCT - 5 209
7 Y.
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund