215002 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
t' ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $88.00
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
yob�o CARMEL IN 46032 CHECK NUMBER: 215002
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 09265 88 . 00 EQUIPMENT REPAIRS & M
Duncan Appliance Service
3 1 7-844-0420, www.duncanappliance.com
11404 Central Drive East , Carmel, IN 46032
Carme/Carmel fire #4 11121112, # 09265
540 W 135th St Range Gas, Garland
Carmel, IN 45032 S-24G-6-2626, 0109SR011 R
Repositioned thermocouple bulb, unit tests ok.
by Tony O Parts Total
Labor
S.Call 88.00
Sales Tax 0.00
Total Ticket 88.00
Total Monies Received: $0.00
Balance due = $88.00
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
M 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))
09265 Sta. 44 $88.00
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
$88.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 09265 I 43-500.00 I $88.00 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
C.E 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund