177187 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 355155 Page 1 of 1
ONE CIVIC SQUARE ENGINEERED AIR
CARMEL, INDIANA 46032 PO BOX 801618 CHECK AMOUNT: $163.32
KANSAS CITY MO 64108 -1618 CHECK NUMBER: 177187
CHECK DATE: 9/15/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
601 J 5023990 DS110779 163.32 OTHER EXPENSES
i
`5 En ENGINEERED AIR INVOICE NUMBER
1 0 9
DIVISION OF AIRTEX MANUFACTURING INC. INVOICE DATE PAGE
32050 WEST 83rd STREET, DESOTO, KANSAS 66018 09/04/2009 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 =301618
t KANSAS CITY, MO 64108 -1618
S CITY OF CARMEL S CITY OF CARMEL
O 3450 W 131 ST ST H 5484 E 126TH ST
WESTFIELD, IN 46074 P CARMEL, IN 46033
T T
0 0
CUSTOMER: 102401 TERRITORY: 712 ShipperlD: 5110853
Returns are not accepted without prior authorization and subject to a 25% charge.
YOUR. -ORDER NUMBER- SHIP DATE- SHIP VIA
PLANT 5A 09/04/2009 UPS GROUND
SHIP QTY DESCRIPTION AMOUNT
1 T920D -F02 Controller Temperature Fahrenheit 151.32
39042 HVAC1
FREIGHT 12.00
SALES TOTAL BEFORE TAX 163.32
Sales Tax 0.00
INVOICE TOTAL $163.32
No Statement issued Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 2.0% PER MONTH (24% PER ANNUM) ON OVERDUE ACCOUNTS
VICUCHER 092926 WARRANT ALLOWED
.355155 IN SUM OF
A�
ENGINEERED AIR
PO BOX 650
DESOTO, KS 66018
Carmel Water utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
DS 110779 01- 6200 -04 $163.32
Voucher Total $163.32
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 650 Terms
DESOTO, KS 66018 Due Date 9/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/9/2009 DS110779 $163.32
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 Offi ee r