175676 08/06/2009 z
CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE
e 11404 CENTRAL DRIVE EAST CHECK AMOUNT: $117.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 175676
CHECK DATE: 8/6/2009
DEPA RTMEN T ACCOUNT PO NUMBER INV OICE NUMBER AMOU DESCRIPTION
1120 4350000 29131 117.00 EQUIPMENT REPAIRS M
01,/ DUNCAN APPLIANCE SERVICE
11404 Central Drive East 2 9131
CARMEL, INDIANA 46032.
(317) 8440420
RVICE PICK UP PHONE REPAIR IN Q ATE OF RDER
INSTALL ❑DELIVER [j.HAAAf ❑SHOP /JJ•""®
NAME DATE PROMISED
1 F
ADDRESS APARTMENT
CITY DATE OF ORIG, INSTAL.
=a il�p M E� SERIAL NO. ESTIMATE
l v(,t,�i�C WARRANTY
[_1 CONTRACT
NATURE O F CASH
SERVICE
REQUEST CHARGE
1 `�J
C.O.D.
OUAN. PART NY. DESCRIPTION PRICE AMOUNT
3 106 sR
a -a6
NE:
Payments past due after 15 days.
i -J IL� l TOTAL.
MATERIAL y(f
v� TECHNICAL
SERVICE
TIME
r
J f
TA
CASH OF WORK TOTAL 1
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
factory and acknowledge that equip an as been left in good con ion.
Technician Customer's Signature
r
Prescribed by State Board of Accounts a 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))
29131 Repair Sta. 43 Ice Maker $117.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$117.00
ON ACCOUNT" OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 29131 43- 500.00 $117.00 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
AUG -3 2009
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund