214278 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