246776 06/30/15 a'.//® �� CITY OF CARMEL, INDIANA VENDOR: 355155
`'i; ONE CIVIC SQUARE ENGINEERED AIR CHECK AMOUNT: $*****2,535.00*
s CARMEL, INDIANA 46032 PO BOX 801618 CHECK NUMBER: 246776
9M,.__��_ KANSAS CITY MO 641 08-1 61 8 CHECK DATE: 06/30/15
fTON GO'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 DS122838 2,535.00 OTHER EXPENSES
INVOICE NUMBER
En A ENGINEERED AIR
®
INVOICE DATE PAGE
DIVISION OF AIRTEX MANUFACTURING INC.
32050 WEST 83rd STREET,DESOTO,KANSAS 66018 05/21/2015 1
PHONE: (913)583-3181 FAX:(913)583-1406 EMAIL:accounting.desoto@engineeredair.com
REMIT TO: MFG#:
ENGINEERED AIR
c/o COMMERCE BANK
P.O. BOX 801618
KANSAS CITY, MO 64180-1618
S CARMEL WASTEWATER UTILITIES S CARMEL WWTP
O 9609 HAZEL DELL PARKWAY H 9609 HAZEL DELL PARKWAY
L INDIANAPOLIS, IN 46280 F INDIANAPOLIS, IN 46280
T T
O O
CUSTOMER: 105302TERRITORY: 799 ShipperlD: S123699 salesperson:Richard Ramsburq
Returns are not accepted without prior authorization and subject to a 25%charge.
YOUR ORDER-NUMBER'— --SH P-DATE.— SHIP VIA—�— -- - - - --F.O.B. l— -
S15138 05/21/2015
SHIP QTY DESCRIPTION - AMOUNT
24 101814 Plate Ceramic Ozone 5.00 x 7.00 x 0.40 Coorstek#102477 2,520.00
FREIGHT 15.00
SALES TOTAL BEFORE TAX 2,535.00
Sales Tax 0.00
INVOICE TOTAL $2,535.00
No Statement issued-Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 1.5%PER MONTH(18%PER ANNUM)ON OVERDUE ACCOUNTS
f
VOUCHER # 155772 WARRANT # ! ALLOWED
355155 IN SUM OF $
Engineered Air
PO BOX 801618
Kansas City, MO 64180-1618
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
DS122838 01-7202-06 $2,535.00
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Voucher Total $2,535.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
355155
Engineered Air Purchase Order No.
PO BOX 801618 Terms
Kansas City, MO 64180-1618 Due Date 6/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2015 DS122838 $2,535.00
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