170006 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1
ONE CIVIC SQUARE MAI PRIME PARTS INC
CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD CHECK AMOUNT: $43.06
y� >on INDPLS IN 46208 CHECK NUMBER: 170006
CHECK DATE: 311812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 140398 43.06 MATERIALS SUPPLIES
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MAI/PRIME PARTS
10 2 www.primeparts.net
5736 N. Michigan Road
INDIANAPOLIS, INDIANA 46228 -1729
(317) 257 -6811
CUSTOMER'S ORDER NO. PHONE DATE
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NAME hi9
ADDRESS o9
SOL Y CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT
QTY DESCRIPTION PRICE AMO
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Please Pay from This
Invoice
TAX 6:� Y
=IVED TOTAL q? pro
All claims and returned goods Tha nk You!
140398 MUST be accompanied by this bill.
PRODUCT 2531
Prescribed by State'Board of Accounts City Form No. 201 (Rev 1995) r
ACCOUNTS PAYABLE VOUCHER xt
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 3/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/2009 140398 $43.06
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 095250 WARRANT ALLOWED
7
0- IN SUM OF
MAI PRIME PARTS INC
5736 N MICHIGAN ROAD
INDIANAPOLIS, IN 46228 -1729
r
'Carmel Wastewater Utility
�C ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
140398 01- 7202 -06 $43.06
l'
Voucher Total $43.06
Cost distribution ledger classification if
claim paid under vehicle highway fund