159322 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
s ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $123.38
Syr CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032
CHECK NUMBER: 159322
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1120 4350000 25669 123.38 EQUIPMENT REPAIRS.& M
DUNCAN APPLIANCE SERVICE
11404 Central Drive East 5 c c n
CARMEL, INDIANA 45032 5 6 V J
(317) 844 -0420
EZ27T
L RVICE PICKUP PHONE REPAIR 1N DAT OF ORDER
INSTALL DELIVER 571.2600 N,Yl01 11 SHOP
NA" Lire Department DATE PROMISED
ADDRLErSS L 1 Ll t.J LLfll APARTMENT
2 Civic Square
CITY Carmel 4 Y 6 03 RATE OF ORIG. INSTAL.
MAKER V1J_7 L. 7,, M 7 O D E 7 L T��i SERIAL NO. ❑ESTIMATE
K ald d lshwash r K L LJJ255HWH ❑WARRANTY
Whirl ool I emak GI1.500SHW2 ❑CONTRACT
NATURE OF CASH
SERVICE ishwasher doesn't drain, icemaker not operati g. CHARGE
REQUEST
C.O. D.
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
Property at: Station 943, 3242 E. 1.06`" St., Carmel 46033
W O
LL 1
Payments past due after 15 days,
SE RVICE j
PERF /J J TOTAL
.J✓i'4,L7�T(/'`CQ," /n{� y_,�`�//'A'-6°,If� MATEFtIAL
on r O� TESERTIME
SfC
TAX
ED GASH OF WORKL�T TOTAL
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
factory and acknowledge that equipment has been left in good condition.
Technician Customer's Signature
b
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))
04/10/08 25669 Repair Sta. 43 Icemaker $123.38
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carme:', IN 46032
$123.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 25669 43- 500.00 $123.38 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund