216383 01/15/2013 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: $23.98
CARMEL IN 46032 CHECK NUMBER: 216383
CHECK DATE: 1/1512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 9745 23 . 98 EQUIPMENT REPAIRS & M
Duncan Appliance Service
3 1 7-844-04205 11404 Central Dr E, Carmel, IN 46032
Thank You For Your Business!!
Cfd/Carmel fire #43 117113, # 09745
3242 E 106th St Washer, LG
Carmel, IN 46033 WM0642HW101 , 902KVVSB00374
Installed part on washer and tested, all ok.
1 13523ER1001C lid assembly 23.98
I
by Steve d Parts Total 23,98
Labor
S.Call
Sales Tax 0.00
Total Ticket 23.98
—4p I have 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 attorneys fees, plus interest at the rate 1.5 percent per month). Balance due = $23.98
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))
09745 Sta. 43 Washer $23.98
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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF $ i
11404 Central Drive East
Carmel, IN 46032
$23.98
ON ACCOUNT OF APPROPRIATION FOR
i
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members ,
1120 I 09745 I 43-500.00 I $23.98 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
AN :14
t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund