HomeMy WebLinkAbout203833 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE
CHECK AMOUNT: $271.79
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032 CHECK NUMBER: 203833
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 04699 117.77 EQUIPMENT REPAIRS M
1120 4350000 05807 154.02 EQUIPMENT REPAIRS M
Duncan Appliance Service
11404 Central Drive East
Carmel, IN 46032 -4510
317- 844 -0420 Voice, 833 -847 -01173 Fax
;Name, Address and Telephone Numbers for the Paying Party Invoice Number
I
CARMEL FIRE DEPARTMENT 04699
2 CIVIC SO Date Order Taken and Completed
CARMEL, IN 46032 06/23/11
317 -571 -2600 06/28/11
;Name, Address and Telephone Numbers for the Service Location (if different from above) Item Make and Type
CARMEL FIRE #42 42 WHIRLPOOL
3610 W 106TH ST [12 171 WASHER
CARMEL. IN 46032 Purchase Date
j 317 733 -1480 317- 371 -3140
SCCLLU'sECP.ME
'Description of Symptoms and /or Customer's Request Model and Serial Numbers
WASHER IS CONSISTENTLY SHOWING F21 CODE WFW8300SW05
HLY21 40757
.Service Performed
REPLACED DRAIN PUMRUNIT TESTS OK., JOB CMPLTD, O -EMLD TCKT [SDLINK \4699A.PNG] (VIA SDM)
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'Parts Used
1 W10130913 W10130913, wtr pump [TO -6/281 97.77 97.77
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Record of Times at Location Payments Received Parts Total
TO 6/28 TUE 17:23 17:55 00:32 97.77
Service Call
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Labor
Technician's Signature Customer Signature 20.00
Sales Tax
i TONY 0. Invoice Total
117.77
Duncan Appliance ,service
317-844-0420, www. duncanappliance. corn
91404 Central Drive East, Carmel, IN 46032
Carme /Carmel fire #4 1114111, 05807
10701 College Ave N Washer, Maytag
Indianapolis, IN 40280 MAH22PRAV'rIWO, HLW2084261
Removed and replaced defective thermistor on washer. Reprogrammed unit and
tested. all electrical functions ok. Unit may have some mechanical trouble coming.,
customer should call if problems arise. Some noises noted at time of service.
1 8181705 negative ticontrol 26.02
r by Steve D Parts Total 26.02
Labor 40.00
S.Call 88.00
Sales Tax 0.00
Total Ticket 154.02
1 have reviewed this form and approve its contents. Acting for myself (or as agent for the listed party)
I agree to make timely payment of all sums owed (and, if I fail in that, to pay all associated collection costs, Total Monies Received: $0.00
including attorneysfees, plus interest at the rate 1.5 percent per month). Balance due $154.02
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))
04699 Sta. 42 Washer $117.77
05807 Sta. 45 Washer $154.02
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF$
11404 Central Drive East
Carmel, IN 46032
$271.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 04699 43- 500.00 $117.77 1 hereby certify that the attached invoice(s), or
1120 05807 43- 500.00 $154.02 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 21 2091
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund