217119 02/13/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $88.00
CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
;roe CARMEL IN 46032 CHECK NUMBER: 217119
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 10019 88 . 00 EQUIPMENT REPAIRS & M
Duncan Appliance Service
11404 Central Drive East
Carmel, IN 45032-4510
317-844,-0420 Voice, 888-847-0173 Fax
,Name,Address and Telephone Numbers for the Paying Party — Invoice Number
I CARMEL FIRE HQRTS 10019
2 CIVIC SQUARE Date Order Taken and Completed
CARMEL. IN 46032 2/1/13
317-571-2609 2/5/13
Name,Address and Telephone Numbers for the Service Location (if different from above) Item Make and Type
CARMEL FIRE#45 GE
10701 COLLEGE AVE N [16"171 DISHWASHER
INDIANAPOLIS, IN 46280 Purchase Date
317-818-3400 317-590-3628
Description of Symptoms and/or Customer's Request Model and Serial Numbers
(ON RIGHT)THE LATCH IS NOT CATCHING PROPERLY GLD686ON20SS
VR792770B
Service Performed
REPAIRED LATCH ASSEMBLY AND TESTED UNIT,ALL FUNCTIONS OK.,JOB CMPLTD
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(Parts Used
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Record of Times at Location Payments Received Parts Total
SD 215 TUE 9:04 18:23 09:19 0.00
I
Service Call
Labor
echnician's Signature Customer Signature 88.00
Sales Tax
I
j STEVE D. Invoice Total
88. D
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Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
I` 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))
10019 Dishwasher 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 43-500.00 i hereby certify that the attached invoice(s), or
1120 10019 43-500.00 $88.00 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
FEB 1 1 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund