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182446 02/17/2010 CITY CIF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1 ONE CIVIC SQUARE MAI PRIME PARTS INC CHECK AMOUNT: $63.75 1 CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD INDPLS IN 46208 CHECK NUMBER: 182446 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 143505 63.75 OTHER EXPENSES 7 MAI /rte PARTS s www.primeparts.net 5736 N. Michigan Road INDIANAPOLIS, INDIANA 46228 -1729 (317) 257 -6811 CUSTOMER'S ORDER NO. PHONE DATE 2 -2. 10 NAME C� iLw,�� ADDRESS SO BY CASH I C.O.D. CHARGE ON_AC.CT. MDSE. RET'D. PAID OUT 6TY DESCRIPTION AMO DL GLOB[ 6 3 �s FEB 2010 PI By Invoice TAX RECEIVED BY TOTAL b 3 S All claims and returned goods 143505 MUST be accompanied by this bill. Thank Youl PRODUCT 2531 `CHER 097245- WARRANT ALLOWED 1`94313 IN SUM OF MAI PRIME PARTS INC 5736 N MICHIGAN ROAD INDIANAPOLIS, IN 46228 -1729 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 143505 01- 7202 -06 $63.75 4 Voucher Total $63.75 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 241 (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 194313 MAI PRIME PARTS INC Purchase Order No. 5736 N MICHIGAN ROAD Terms INDIANAPOLIS, IN 46228 -1729 Due Date 2/8/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/8/2010 143505 $63.75 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 a Date Officer