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Home My WebLink About214278 11/07/2012 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: $346.02 CARMEL IN 46032 CHECK NUMBER: 214278 CHECK DATE: 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350000 08918 138 .30 EQUIPMENT REPAIRS & M 1120 4350000 09076 207 . 72 EQUIPMENT REPAIRS & M Duncan Appliance Service 397-844-0420, www.duncanappliance.com 11404 Central Drive East , Carmel, IN 46032 Carme/Carmel fire #4 1111/12, # 09076 3242 E 106th St Washer, LG Carmel, IN 46033 WM0642HW/01 , 902KWSB00374 Installed new rotor and tested unit. Installed lock tight on rotor bolt all ok. 1 4413ER1003A rotor assy 99.72 by Steve D Parts Total 99.72 Labor 20.00 S.Call 88.00 Sales Tax 0.00 Total Ticket 207.72 1 have reviewed this form and approve its contents. Acting for myself for as agent for the liste-d party) Total Monies Received: 50.00 I agree to ma}e timely payment of all sum owed(and, if I fail in that,to pay all associated collection costs, including attorneys fees, plus interest at the rate 1.9 peroent per month). Balance due = $207.72 ER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev. 1995) ,,- ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Appliance Service IN SUM OF $ CITY OF CARMEL entral Drive East An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by IN 46032 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $207.72 Payee Purchase Order No. CCOUNT OF APPROPRIATION FOR Terms Carmel Fire Department Date Due Invoice Invoice Description Amount t. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 09076 43-500.00 $207.72 1 hereby certify that the attached invoice(s), or 09076 $207.72 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 trnr _ r 2012 v d Fire Chief Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance -laim paid motor vehicle highway fund with IC 5-11-10-1.6 20 Clerk-Treasurer Duncan Appliance Service 317-844-0420, www.duncanappliance.com 11404 Central Drive East , Carmel, IN 46032 Carme/Carmel fire ##4 10/22/12, # 08918 5032 E Main St Washer, Whirlpool Carmel, IN 48032 WFW8500SR01 , HLU0336112 Removed and replaced defective pans on dispensor assembly to allow proper operation of washer. Tested unit, all ok. J18:540394 10143586 sMich-dis 35.30 lever 5.00 5.00 1 8540395 lever 5.00 1 8540393 cam 50.30 pads Total Labor 88.00 S.Call 0.00 e a Sales Tax 138.30 \ Total Ticket , A a?"> \ysel a�e�\dot\he\s�\\e�o�GO�'• G4 `� •�\�a\ �5 pet\ � mo��bl _ ,; w� ,�� " °w, prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Nhom, 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)) 08918 $138.30 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. Duncan Appliance Service ALLOWED 20 IN SUM OF $ 11404 Central Drive East Carmel, IN 46032 $138.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 08918 ( 43-500.00 I $138.30 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 NOV - 5 Y 17 r--� s Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund