HomeMy WebLinkAbout225345 10/23/2013 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: $223.20
�+ CARMEL IN 46032
CHECK NUMBER: 225345
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 12286 223 . 20 EQUIPMENT REPAIRS & M
Duncan Appliance Service
11404 Central Drive East
Carrel, 1 45032-4510
317-844-0420 Voice, 838-847-0173 Fax
Name,Address and Telephone Numbers for the Paying Party Invoice Number
CARMEL FIRE DEPARTMENT 12286
2 CIVIC SQUARE Date Order Taken and Completed
CARMEL, IN 46032 9/12/13
317-571-2600 10/7/13
Name, Wdress and Telephone Numbers for the Service Location (if different from above) Item Make and Type
CARMEL FIRE#44 #44 GE
5032 E 131ST ST[19-14] RANGE ELECTRIC
CARMEL IN 46033 Purchase Date
1 317-511-2632 317-409-0909 317-459-5635
Description of Symptoms and/or Customer's Request Model and Serial Numbers
THE SMALLEST RING OF THE MULTI-RING BURNER DOES NOT COME ON PB975SM2SS
i
SR2505220
Service Performed
SPECTED UNIT SMALL BURNER FAILED NEED TO REPLACED ORDERED ELEMENT., ORDRD 1 WB30T10126 (TRPL
BURNER); REPLACED FAILED LARGE ELEMENT AND TESTED.,JOB CMPLTD
Parts Used
1 W1330T10126 trpl burner[DB-10/7] 115.20 115.20
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Record of Times at Location ; Payments Received Parts Total
DB 9/23 MON 9:19 9:42 00:23 115.20
DB 1017 MON 10:39 11:01 00:22 ! Service Call
� 88.00
i I Labor
20.00
Technician's Signature Customer Signature
Sales Tax
i
I Invoice Total
Dave B-
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22 3.2 0
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Duncan appliance Service
317-844-042Q 11404 Central Dr E, Carmel, IN 46132
Thank You For Your Business!!
Cfd/Carmel 1OF113, # 12236
5032 E 131 st St Range Electric, GE
Carmel, IN 46033 PB975SM2SS, SR250522Q
Replaced failed large element and tested.
1 WBUT10126 trpi burner 115.20
by Dave B Parts Total 115.20
Labor 20.00
S.Call 0$.00
Sales Tax --
Total Ticket
�231-26-
I have reviewed this form and app ontents. Acting for myself(or as agent for the listed party)
1 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 attorneysfees, plus interest at the rate 1.5 percent per month). Balance due — $231 .26
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF $
11404 Central Drive East
Carmel, IN 46032
$223.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 12286 I 43-500.00 I $223.20 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
O T 2013
ev
000rlr
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12286 $223.20
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