213430 10/09/2012 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: $131.96
CARMEL IN 46032 CHECK NUMBER: 213430
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 08703 131 . 96 EQUIPMENT REPAIRS & M
Duncan Appliance Service
317-844-0420, www.duncanappliance.corn
91404 Central Drive East , Carmel, IN 46032
Carme/Carmel fire #4 9/25/12, # 08703
2 Civic Sq Refrigerator, Whirlpool
Carmel, IN 46032 GX5FHDXVQ02, K03938399
Installed new drain tube grommetts and tested unit. Thawed frost and ice from
freezer to allow proper door closing. Tested units, all ok.
2 VV10309238 grommet 18.95
by Steve D Parts Total 18.95
Labor 25.00
S.Call 88.00
Sales Tax ��,_��.-a--3-
��
Total Ticket 339
I ha reviewed this form and approve its contents. Acting for myself(or as agent for the listed party)
I agree to make timely payment of all sums owed(and, if I fail in that.to pay all associated collection costs. Total Monies Received: $0.00
including attorneVs fees. plus interest at the rate 1.5 percent per month). Balance due = $133.29
)rescribed 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
vhom, 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))
08703 $131.96
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF $
11404 Central Drive East
Carmel, IN 46032
$131.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 08703 I 43-500.00 I $131.96 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
PICT ° 8 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund