HomeMy WebLinkAbout219378 04/24/2013 ^�E CITY OF CARMEL, INDIANA VENDOR: 367083 Page 1 of 1
ONE CIVIC SQUARE JARRETT APPLIANCE PARTS
`f CARMEL, INDIANA 46032 139 CREEKSIDE DRIVE CHECK AMOUNT: $725.00
�? KOKOMO IN 46901 CHECK NUMBER: 219378
OM�
CHECK DATE: 4124/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 36N1197758 725 . 00 APPLIANCES
NAME NO.
bkymed V ' ^I4� M 36N 1197758
ADDRESS 1� APT. DATE RECEIVED ' Q FIN,
CITY/ , e 1' AREA CODE DA,tTE�LPROMISED ❑A.M.�V►V'� �a PHONE ❑P.M.
STATE ZIP 03 BRAND/PRODUCT
CUSTOMER REQUEST MODEL NO.
SERIAL NO.
DESCRIBE WORK DONE DATE INSTALLED OR SOLD
DATE FAILED
SOLD TO FAILURE A B I C I D I.E I F I H I I I J I K WARRANTY SERVICE CHARGE
CODE
QTY. PART NO. DESCRIPTION PARTS UNIT PRICE AMOUNT
AM 3. . P 1 UTW 1 -7
TECHNICIAN NO. I certify that I have performed ser- TOTAL z �..
vices indicated and installed parts MATERIAL
listed. TRIP
TECHNICIAN SIGNATURE ` CHARGE
CUSTOMER SIGNATURE ` SERVICE '
I acknowledge that repairs have
X been performed in a manner satis SUB TOTAL
aotory to me.
DATE ,O;nME BEGIN TIME END STATE TAX
LOCAL TAX
DATE TIME BEGIN TIME END
TOTAL
Not Home❑ Lack Part❑ Call Back❑
Demand ❑-Wan: ❑-Other Warr. ❑-Cont• ❑-ales ❑-Mist. ❑-
_ W
JARRETT APPLIANCE PART'S M
SALES&SERVICE, INC. F
139.CREEKSI®E DRIVE c
KOKOMO. IN 46901 M
(765)452-4465 OR(765)963-2948 =
Dealer's Signature O
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))
36N1197758 Washer-Sta.46 $725.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jarrett Appliance Parts
IN SUM OF $
139 Creekside Drive
Kokomo, IN 46901
$725.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120_ 36N1197758 1 102-633.00 I $725.00 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
APR 2 2 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund