231280 04/08/2014 1ij1'c�M�,t
CITY OF CARMEL, INDIANA VENDOR: 00353200
;; ® it ONE CIVIC SQUARE INDIANAPOLIS RACK AND AXLE CHECK AMOUNT: $r .....245.00'
s. i° CARMEL, INDIANA 46032 2301 E 44TH STREET CHECK NUMBER: 231280
�4j,�T.oN�.`9 INDIANAPOLIS IN 46205 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT. DESCRIPTION
2201 4237000 147889 245.00 REPAIR PARTS
'tt,
"INVOICE .14 8,89,
INDIANAPOLIS RACK & AXLE
2301 E.44TH STREET `> l
INDIANAPOLIS,IN 46205
(317)546-1140 • (800)733-0215
SALESPERSON DATE`OF INV.OICE,.
To: SHIP TO
C:AR.ME:I... STREET DEPARTMENT CARMEL STREET DEPARTMENT
A100 W 1;3.1_S T,. S T „ ',Q1 i�0 IN 13.1.S T„ :",`f,.
WESTFIELD IN 46074 WEST FIELD TN 46074
ACCOUNT NO' DATE SHIPPED em, gSHIPPED'UI4k - 0 PP FOB POINT TERMS �' e l'OUR,ORDER`NUMBER'
�., , ..
nl
_.
.3.1.41.0 03 i.1.0,f 203 4 NET 710 DIJE
OIJANTiTY DESCRIPTION ' UNIT PRICE4' aAMOUN7 r`
W .. ,
PART Nt.)IvIRER. St_►r 4..:.ST CORE VA1_.
1 t; .100 DR:CVFSHAFT REPAIR 0. 00 0.00 :?..;'1` .00 24.5.00
Sales Tax 0„00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indianapolis Rack & Axle, Inc.
230 ( e L / • �;}- IN SUM OF $
Indianapolis, IN.46229-
$245.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 147889 I 42-370.001 $245.00 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
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Sma rr ��l�r
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))
03/10/14 147889 $245.00
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