177641 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 355155 Page 1 of 1
ONE CIVIC SQUARE ENGINEERED AIR
CARMEL, INDIANA 46032 PO BOX 801618 CHECK AMOUNT: $230.55
KANSAS CITY MO 64108 -1618
CHECK NUMBER: 177641
CHECK DATE: 9/29/2009
DEPAR ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIP
601 5023990 DS110801. 230.55 OTHER EXPENSES
ENGINEERED AIR INVOICE NUMBER
E n
D S
DIVISION OF AIRTEX MANUFACTURING INC.
INVOICE DATE PAGE
32050 WEST 83rd STREET, DESOTO, KANSAS 66018 09/10/2009 1
PHONE: (913) 583 -3181 FAX. (913) 583 -1406 EMAIL: accounting .desoto@engineeredair.com
REMIT TO: DIV
ENGINEERED AIR JOB
c/o COMMERCE BANK MFG
P.O. BOX 801618
KANSAS CITY, MO 641 b8-1618
S CITY OF CARMEL S CITY OF CARMEL
0 3450 W 131 ST ST H 5484 E 126TH ST
L WESTFIELD, IN 46074 P CARMEL, IN 46033
T T
0 O
CUSTOMER: 102401 TERRITORY: 712 ShipperID: S110892
Returns are not accepted without prior authorization and subject to a 25% charge.
YOUR ORDER NUMBER SHIP DATE SHIP VIA F. 0.
PLANT 5A 09/10/2009 UPS GROUND
SHIP QTY DESCRIPTION AMOUNT
5 TE6000 EA3 Sensor Temperature 213.55
FREIGHT 17.00
SALES TOTAL BEFORE TAX 230.55
Sales Tax 0.00
INVOICE TOTAL $230.55
No Statement issued Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 2.0% PER MONTH (24% PER ANNUM) ON OVERDUE ACCOUNTS
VOUCHER 093025 WARRANT ALLOWED
355155 c/o cc mm�� IN SUM OF
ENGINEERED AIR
O BOX 'EG1 O `i f
RAV
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
DS110801 01- 6200 -04 $230.55
Voucher Total $230.55
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts 4 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 650 Terms
DESOTO, KS 66018 Due Date 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009 DS 110801 $230.55
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
q/_ s,9
Date Officer