HomeMy WebLinkAbout174832 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE
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`j CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST CHECK AMOUNT: $88.
CARMEL IN 46032 CHECK NUMBER: 174832
CHECK DATE: 7/2212009
DEPARTMENT ACCO PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1120 4350000 29255 88.00 EQUIPMENT REPAIRS M
DUNCAN APPLIANCE SERVICE
1 1404 Central Qdue East 29255
CARMEL, INDIANA 46032
(317) $440420 I
C S e -3 �ZL
5LW.RVICE PICKUP PHONE ,R- EP,AIIR^IN DATE OF ORDER
INSTALL L DELIVER �.�Z E ❑SHOP
NAME DATE PROMISED
ADDRESS 12 6 APARTMENT
CITY DATE OF ORIG. INSTAL_
TW
v
MAKE MODEL SERIAL NO. ESTIMATE
r�� f J ,r CONTRACT
NATURE OF /�'J, J i I /4& 1 ❑CASH
SERVICE
REQUEST CHARGE
r
❑C.O.D.
QUAN. PART NO. DESCRIPTION -PRICE AMOUNT
Paymrft past due after 15 days.
TOTAL
MATERIAL
�l TECHNICAL
SERVICE
TIME
TAX
ION
'7 E �C! CASH OF WORKLE TOTAL 9 L
INVOICE COPY I hereby accept above performed service, and charges, as being satis-
factory and acknowledge ItAt equipment has been left in good condition.
i�
S
Technician Customer's Signature
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
7a'e Vum�
or n ote a t t ached irvoice(s) or bill(s))
29255 $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
VOUCHER NO. WARRANT N
ALLOWED 20
Duncan Appliance Service
IN SUM OF S
11404 Central Drive East
Carmel, IN 40032
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
?0 2:' DcrEt Ii V010= NO. ACCT# /TIT__ AMOUNT `lv 11 v ml rS
1 120 I 29255 I 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
4111 9f1f1�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund