172434 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1
0 ONE CIVIC SQUARE MAI PRIME PARTS INC CHECK AMOUNT: $22.75
CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD
INDPLS IN 46208 CHECK NUMBER: 172434
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CHECK DATE: 5/13/2009
'DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 140941 22.75 OTHER EXPENSES
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NIAPPRIME PARTS
t www.primeparts.net
5736 N. Michigan Road
INDIANAPOLIS, INDIANA 46228 -1729
(317) 257 -6811
CUSTOMER'S ORDER NO. PHONE DATE
L4 2
NAME
ADDRESS
SOL Y CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT
CITY AMO
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22
Please Pay from This
Invoice
TAX e
RECEIVED BY
TOTAL
All claims and returned goods Th a n k You!
14 0 41 MUST be accompanied by this bill.
PRODUCT 2531
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER :1
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 5/4/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2009 140941 $22.75
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095555 WARRANT ALLOWED
`194313 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
140941 01- 7202'06 $22.75
P
Voucher Total $22.75
Cost distribution ledger classification if
claim paid under vehicle highway fund