234886 07/16/14 CITY OF CARMEL, INDIANA VENDOR: 00353200
i; ® I ONE CIVIC SQUARE INDIANAPOLIS RACK AND AXLE CHECK AMOUNT: $*'*'*'*105.00*
CARMEL, INDIANA 46032 2301 E 44TH STREET CHECK NUMBER: 234886
INDIANAPOLIS IN 46205 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 151110 105.00 OTHER EXPENSES
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INVOICE
INDIANAPOLIS,RACK,& AXLE _
2301 E.44TH STREET
INDIANAPOLIS; IN 46205
(317)546-1140 • (800)733-0215
SALESPERSON DATE OFJNVOI E
07/01,/2014
TO: -SHIP TO
clAR.11EL. WATER I1TTl_,TTIFS CARMEL WATER LIT IL-:C-i'.IEs
CARMEL T: ! 4 6-0.74i..Ahi�l l... :f.�i 4.6(7''4
ACCOUNT NO "DATE SHIPPED` SHIPPED Vl 0 ,P.P. FO B:'POINT TERMS„” << YOUR ORDER NUMBER
134 3 07/C)]./20..4 NET (} D TRi..1CY, 16
QUANTITY DSGRIPTION UNIT-('RIOE `AMOUNT :e
1. _1.04- REPL.. ,,CAFhF :CI=(R BRG., 0:,00 0 .00 - 1.Q5.0U .10:5.. 00
Freight. 0x00
TOTAL
f : ,
VOUCHER # 141016 WARRANT# ALLOWED
00353200 IN SUM OF $
INDIANAPOLIS RACK &AXLE
2301 E 44TH STREET i
INDIANAPOLIS, IN 46205
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
151110 01-6500-04 $105.00
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j Voucher Total $105.00
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Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00353200
INDIANAPOLIS RACK&AXLE Purchase Order No.
2301 E 44TH STREET Terms
INDIANAPOLIS, IN 46205 Due Date 7/7/2014
Invoice Invoice Description
Date Number (or note attached-invoice(s) or bill(s)) Amount
7/7/2014 151110 $105.00
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I 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
Date Officer