187280 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $149.00
to CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032
CHECK NUMBER: 187280
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 01386 149.00 EQUIPMENT REPAIRS M
Duncan Kppliance Service
11404 Central Drive East
Carmel, IN 46032 -4510
317 844 -0420 Voice, 888 847 -0173 Fax
Name, Address and Telephone Numbers for the Paying Party Invoice Number
CARMEL FIRE DEPARTMENT 01386
2 CIVIC SQ Date Order Taken and Completed
CARMEL, IN 46032 06/18/10
317- 571 -2600 06/23/10
Name, Address and Telephone Numbers for the Service Location (if different from above) Item Make and Type
CARMEL FIRE #44 WESTINGHOUSE
5032 E MAIN ST [22 REFRIGERATOR
CARMEL, IN 46032 Purchase Date
317 -571 -2632 317- 409 -0909 12130/99
_c
Description of Symptoms and /or Customer's Request Model and Serial Numbers
ITEMS IN FRIG ARE FRZN. FRZR COMPARTEMENT SEEMS FINE TO THEM. MRT18GRGWD0
BA81603459
Service Performed
UNIT NEEDS NEW COLD CONTROL. ESTIMATE TO REPAIR IS 160.00 COLD CONTROL 5304404821 IN STOCK., SAVED TCKT
[SDLINK11386A.JPG] (VIA SDM)j REMOVED AND REPLACED DEFECTIVE COLD CONTROL AND TESTED UNIT, ALL OK., JOB CMPLTD,
SAVED TCKT [SDLINK11386B.JPG] (VIA SDM)
Parts Used
1 5304404821 cold control [SD -6/23] 60.00 60.00
Record of Times at Location Payments Received Parts Total
SD 6/19 SAT 13:04 13:15 00:11 60.00
SD 6/23 WED 14 :44 15:04 00:20 Service Call
88.00
Labor
Technician's Signature Customer Signature
Sales Tax
Steve D. Invoice Total
148.00
VOUCHER NO. WtRRANT N
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$149.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 01386 43- 500.00 $149.00 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
Q
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 snow: 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))
01386 Repair Sta. 44 Fridge $149.00
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