209118 05/22/2012 �sf CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
s' 4� ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $123.65
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032 CHECK NUMBER: 209118
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 07559 123.65 EQUIPMENT REPAIRS M
Duncan Apphance Service
317-844-042 evvw uncanapp1jance. corgi
11404 Central Drive East Carme4 IN 46032
Carle /Fire station h 5/21/12 97559
2 Civic Square Dishwasher, Whirlpool
Carpel, IN 46032 V1DF5 0PAY 2, F20204377
Removed and replaced defective tvater valve. Tested unit, all functions ak.
1 J 10195047 valve 35.65
by Steve d Parts Total 35.55
Labor
S_Celi 58.00
Sales Tax 0.00
Total Ticket 123.65
l ha saw_ a th tofm a €s +s app;*va its o,oDtent :toting for m j -_-SEE (or is agent far free fisted pa€hf) n r
E a +.area t, e.. ter zely payra e l kit all Sun, S d (ands if i tail in that, to Pay all assorsaEad collection cosh, Ti-tat Monies Recel'w'ect $0.00
6reeie irec at+rne�p_ €eFs, Plus interest atthe rate e.5 perrent per cmth). Balance flue $123.65
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF
11404 Central Drive East
Carmel, IN 46032
$123.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 07559 I 43- 500.00 I $123.65 I 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
MAY
t
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))
07559 $123.65
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