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207846 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1 ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST CHECK AMOUNT: $198.78 CARMEL IN 46032 CHECK NUMBER: 207846 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350000 07090 198.78 EQUIPMENT REPAIRS M Duncan Appliance Service 317-844-0420 www.duncanappll*a,nce.com 11404 Central Drive East, Carmel, IN 46032 Cfd/Carmel fire #45 3/29/12, 07090 10701 College Ave N Washer, Maytag Indianapolis, IN 46280 MHWZ600TWO1. HLW3934634 Removed locked pump assembly and replaced. Tested unit all functions off:. 1 W10130913 pump 110.778 I by Steve D Parts Trtl 110,78 Labor S.'Call 88.00 Sales Tax 0,00 Tctal Ticket 198.78 I n-=VE rsviswmzt i� for m isr as f r i Total Received 'S0.00 msly AY, c-'.' =11 3,-rn- sw� f=nd if I fail in 'c' �S --H a a— s-acciC Judir"-' C'jL-': �-1 7- s r E 1— -1-3— Balance clue S198,78 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)) 07090 I Sta. 45 Washer I $198.78 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 S 11404 Central Drive East Carmel, IN 46032 198.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 07090 I 43- 500.00 $198.78 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 APR 9 2012 b Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund