250919 10/22/15 *F CITY OF CARMEL, INDIANA VENDOR: 00351921
'; ® it ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $**.....401.80"
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST CHECK NUMBER: 250919
'MiioH�. CARMEL IN 46032 CHECK DATE: 10/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 21016 138.31 OTHER CONT SERVICES
2201 4350900 21082 263.49 OTHER CONT SERVICES
Duncan Appliance Service
317-844-0420; 11404 Central Dr E, Carmel, IN 46032
Thank You For Your Business!!
Cfd/Carmel 10/13/151 ## 21082
2 Civic Sq Washer, Whirlpool
Carmel, IN 40032 WF 9151 YW, H L22765181
Removed and replaced defective pump assembly and tested unit. All functions
ok.
1 W10130913 pump 150.49
by Steve a Parts Total 150.49
Labor 25.00
S.Call 88.00
Sales Tax 0.00
Total Ticket 263.49
1 have reviewed this form and approve its contents. Acting for myself(or as agent for the listed party)
1 agree to make timely payment of all sums awed(and, if I fail in that,to pay all associated collection costs. Total Monies Received: $0.00
including attorneysfees, plus interest atthe rate 1.5 percent per month). Balance due =$263.49
DuncanAppliance Service
317-844-0420, 11404 Central Dr E, Carmel, IN 46032
Thank You For Your Business!!
Cfd/Carmel 10/13115, # 21015
3610 W 105th St Refrigerator, Haier
Carmel, IN 45032 HT18TS45SW, BLO18SE6000PAD
Replaced timer, tests ok.
1 482493 timer,defrost 33.00
by Tony O Parts Total 33.00
Labor 15.00
S.Call 88.00
Sales Tax 2.31
Total Ticket 138.31
Total Monies Received: $0.00
Balance due = $138.31
V
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF $
1 t404 Central Drive East
Carmel, IN 46032
$401.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 21082 43-509.00 $263.49 I hereby certify that the attached invoice(s), or
1120 21016 43-509.00 $138.31 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 i 9 2015
JH: It
f
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
21082 Washer-Sta.41 $263.49
21016 Fridge-Sta.42 $138.31
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