187777 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $48.00
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032 CHECK NUMBER: 187777
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 01494 48.00 EQUIPMENT REPAIRS M
Duncan Appliance 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 01494
2 CIVIC SO Date Order Taken and Completed
CARMEL, IN 46032 07/02/10
317 -571 -2600 07/06/10
Name, Address and Telephone Numbers for the Service Location (if different from above) Item Make and Type
FIRE STATION HDQRTS #41 41 FRIGIDAIRE
2 CIVIC SQUARE [17 *15) WASHER
CARMEL, IN 46032 Purchase Date
317- 571 -2600
Description of Symptoms and /or Customer's Request Model and Serial Numbers
CONFIRM SUSPECTED RECURRENCE OF DEFECTIVE TIMER ISSUE. FEX831 FS4
XF01201311
Service Performed
UNIT HAS A DEFECTIVE TIMER. CUSTOMER TO HANDLE THRU HH GREGG., JOB CMPLTD, O -EMLD TCKT
[SDLINK11494A.JPG] (VIA SDM)
Parts Used
Record of Times at Location Payments Received Parts Total
SD 7/6 TUE 19:08 19:35 00:27 0.00
Service Call
48.00
Labor
Technician's Signature Customer Signature
Sales Tax
Steve D. Invoice Total
48.00
VOUCHER NO. WARRANT NO.
Duncan Appliance Service ALLOWED 20
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$48.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 01494 43- 500.00 $48.00 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
r, n
r
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))
01494 $48.00
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