166187 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $372.26
i•. >o CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMELIN 46032 CHECK NUMBER: 166187
CHECK DATE: 11124/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1,120 4350000 27072 257.26 EQUIPMENT REPAIRS M
1120 4350000 27304 115.00 EQUIPMENT REPAIRS M
DUNCAN APPLIANCE SERVICE
11404 Central Drive East 2 70 72
CARMEL, INDIANA 46032
(317) 844 -0420
FQ60T
VICE PICKUP PHONE REPAIR IN DATE OF ORDER
INSTALL [I DELIVER 571 -2600 HO SHOP
NA M €armel Fire Department DATE PROMISED
ADDRESS APARTMENT
2 Civic Square
CITY Carmel 46032 DATE OF ORIG. INSTAL.
MAK MODEL SERIAL NO. ESTIMATE
Whirlpool ice �achine GI1.500XH 2 WARRANTY
No ice production. CONTRACT
NATURE OF ❑CASH
SERVICE
REQUEST CHARGE
C.O.D.
OUAN. PART NO. DESCRIPTION PRICE AMOUNT
rPr perty at: Station #43, 3242 E. 1.06`' St., Carmel 46033
22 22d C
b
_u Ow
f'
Payments past di n e after 15 days
RVIC RFO D c TOTAL
MATERIAL
TECHNICAL
SERVICE
TIME
TAX
ON
-e-r CASH OF WORKLETION 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 /U�y�, Customer's Signature
0
DUNCAN APPLIANCE SERVICE
11404 Central Drive East 27304
CARMEL, INDIANA 46032
(317) 844 -0420
T
EL5& VICE PICKUP PHONE REPAIR IN DATE OF ORDER
INSTALL [:1 DELIVER 5// pZ�j�j CAME SHOP
NAME I DATE PROMISED
ADDRESS APARTMENT
C11 e
CITY C r /1i DATE OF ORIG. INSTAL.
MAKE ✓1• MODEL SERIAL NO. ❑ESTIMATE
]WARRANTY
CONTRACT
NATURE OF CASH
SERVICE 1116W- REQUEST �LL� CHARGE
C.O.D.
OUAN. PART NO. DESCRIPTION PRICE AMOUNT
Paymenft past due after 15 days.
PEE TOTAL
MATERIAL "-�1
T MATERIAL a.
7
T ECHNICAL
SERVICE
�T /pf/irf�f(J TIME y
Y
TAX
/A SH OF
COMP LETION TOTAL
INVOICE COPY s I hereby accep abov performed service, and charges, as being satis-
factory and acknowledge that equipment has been left in good cDRditio D
Technician Customer's Signal.
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))
27304 Repair Sta. 44 Oven $115.00
27072 Repair Sta. 43 Ice Maker $257.26
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. WA RRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$372.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 27304 43- 500.00 $115.00 1 hereby certify that the attached invoice(s), or
1120 27072 43- 500.00 $257.26 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
NOV 2 29na
r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund