HomeMy WebLinkAbout204771 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
h ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $255.77
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032 CHECK NUMBER: 204771
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 04699 117.77 OTHER CONT SERVICES
1120 4350900 06069 138.00 OTHER CONT SERVICES
Dunc appliance Service
317-844-0420, r dun!canappliance. com
1140'4 ce a] Drive East Carmel, IN' 46032
Carmel` armel fire 4 1i 2C1 4/11, 06060
107 1 College Ave N: Washer, Maytag
Indianapolis, IN 46280 I IAH!22PR WWO H LW2084261
Ec angel unit for customer: es te new unit, all functions o,k.
by Steve D Parts Total
Labor 50.40
scan 88.04
Sales Tax 0.00
Total Ticket 138.00
1 have revis=ed this foam and appiove its contents, Acling for myself (or as agent for the tilted pa4)
l agree to make limelq payment of all sums owed (a d. if I fail in that, to pay all a�ociafed oollection costs Total lames Received: $0.00
including attooneysfees, plus interest at the late if 5 percent per month} Balance due $138.00
Duman Appliance Service
11404 Central Drive East
Carmel, IN 46032 -4510
317 844 -0420 Voice, 333 347 -0173 Fax
Name, Address and Telephone Numbers fnr the Paying Party Invoice Number
CARMEL FIRE DEPARTMENT 04699
2 CIVIC SO Date Order Taken and Completed
CARMEL, IN 46032 06/23111
317- 571 -2600 06/28/11
N6 me, Address and Telephone Numbers for the Service Location (if different from above) Item Make and Type
CARMEL FIRE #42 #42 WHIRLPOOL
361 G W 1 06TH ST [12"171 WASHER
CARMEL, IN 46032 Purchase Date
317 -733 -1480 317- 371 -3140
Description of Symptoms and /or Customers Request Model and Serial Numbers
WASHER IS CONSISTENTLY SHOWING F21 CODE WFW8300SW05
HLY21 40757
E
Service Performed
REPLACED DRAIN PUMP.UNIT TESTS OK.. JOB CMPLTD, O -EMLD TCKT [SDLINKk4699A.PNG] (VIA SDM)
Parts Used
1 W10130913 W10130913, Mr pump [TO -6/28] 97.77 97.77
i
Record of Times at Location Payments Received Parts Total
TO 6/28 TUE 17:23 17:55 00:32 97 -77
Service Call
Labor
dchnician's Signature Customer Signature
20.00
Sales Tax
TONY 0. Invoice Total
117.77
f nnulinH :fill hu Rr,, -,wArw r.rrrn1Ilinn (1AIIAR.F rF i:,tArF- r-iatl
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$255.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1120 06069 43- 509.00 $138.00 1 hereby certify that the attached invoice(s), or
1120 04699 43- 509.00 $117.77 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received excg@ 1 9
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))
06069 $138.00
04699 $117.77
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