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183379 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1 ONE CIVIC SQUARE MAI PRIME PARTS INC s{ CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD CHECK AMOUNT: $30.90 INDPLS IN 46208 CHECK NUMBER: 183379 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 143726 30.90 OTHER EXPENSES e� MAPPRIME PARTS M ww w.primeparts.net 5736 N. Michigan Road INDIANAPOLIS, INDIANA 46228 -1729 (317) 257 -6811 CUSTOMER'S ORDER NO. T 7HONE DATE NAME II ADDRESS S D Y CASH C.O.D. CHARGE O ACCT. MDSE. RET'D. PAID OUT DESCRIPTI AMO UNT 3 q0 Please Pay from This Invoice FEB 2 6 2 010 By TAX RECEIVED BY TOTAL All claims and returned goods Thank You! 143726 MUST be accompanied by this bill. PRODUCT 2531 VOUCHER 105011 WARRANT ALLOWED 194313 IN SUM OF MAI PRIME PARTS INC 5736 N MICHIGAN ROAD INI?IANAPOLIS, IN 46228 -1729 r S Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Boars! members PO INV ACCT AMOUNT Audit Trail Code 143726 01- 7202 -06 $30.90 Voucher Total $30.90 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. L Payee 194313 MAI PRIME PARTS INC Purchase Order No. 5736 N MICHIGAN ROAD Terms INDIANAPOLIS, IN 46228 -1729 Due Date 3/5/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/5/2010 143726 $30.90 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with I 5- 11- 10 -1.6 /.ixo/ Date Officer