163711 09/17/2008 F CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE
CARMEL, INDIANA 46032 CHECK AMOUNT: $88.00
11404 CENTRAL DRIVE EAST
CARMEL IN 48032 CHECK NUMBER: 163711
CHECK DATE: 911712008
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1120 4350000 26764 88.00 EQUIPMENT REPAIRS M
DUNCAN APPLIANCE SERVICE
11404 Central D&e East
CARMEL, INDIANA 46032 26764
(317) 844 -0420
7F 6 3U
SERVICE PICKUP PHONE REPAIR IN DATE F ORDER
INSTALL DELIVER �"I 7 vv HOME SHOP r Q
NAME DATE PROMISED
A "i &i_ L&e D&
ADDRESS nn APARTMENT
CITY DATE OF ORIG. INSTAL.
MAKE c MOD�E+ L SERIAL NO. ESTIMATE
(�Vif IM (�tJ 2 O #1- WARRANTY
[]CONTRACT
NATURE OF J ❑CASH
SERV _E
REQUEST U,�T_� a( CHARGE
C OIJ� C.O.D.
OUAN. PART NO. DESCRIPTION PRICE AMOUNT
raw, Ar f0 701 A! &-re
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Payments past due after 15 days.
G SERVICE PERFORMED TOTAL
MATERIAL
/(i�
D/' TE CHNICAL
SERVICE W
'/t)/� TIME
TAX
ON 67" DATE OMP TED CASH OF WORK TOTAL 60
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
Prescribed by State Board of Accounts City Form No. 20': iRev. 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))
08118/08 26764 Repair Sta. 45 Washer $88.00
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
VOUCF�ER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 26764 43- 500.00 $88.00 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
SEP 15 2008
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund