208375 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1
Q� ONE CIVIC SQUARE MAI PRIME PARTS INC CHECK AMOUNT: $67.60
CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD
y offo INDPLS IN 46206 CHECK NUMBER: 208375
CHECK DATE: 4125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 13389 67.60 MATERIALS SUPPLIES
Invoice
MAI /Prime Parts ORIGINAL Invoice Number:
McLeanParts.net 13389
5736 North Michigan Road Invoice Date:
2012
Indianapolis, IN 46228 -1729 Feb 2,
Page:
Voice: 317- 257 -6811 1
Duplicate
Fax: 317- 257 -1590
Sold To: Ship to:
Carmel Utilities Carmel Utilities
760 3rd Avenue South West 760 3rd Avenue South West
Suite 110 Carmel, IN 46032
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CARULT -ON Net:30
Sales Rep ID Shipping Method Ship Date Due Date
OREN Cust. Pickup 2/2/12 2/29/12
Quantity Item Description Unit Price Extension
2.00 4 pin XLR 3.95 7.90
2.00 4 pin XLR chassis 2.95 5.90
2.00 67- 05CI -9S connector 12.95 25.90
2.00 67- 63E14 -9S chassis 9.95 19.90
4.00
strain relf 2.00 8.00
Thank you for allowing us to serve you!
Subtotal 67.60
Sales Tax
Freight
Total Invoice Amount 67.60
CheckNo: Payment Received 0.00
TOTAL 67.60
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
194313
MAI PRIME PARTS INC Purchase -Order No.
5736 N MICHIGAN ROAD Terms
INDIANAPOLIS, IN 46228 -1729 Due Date 4/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2012 13389 $67.60
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 icer
VOUCHER 117191 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
13389 01- 7202 -06 $67.60
Voucher Total $67.60
Cost distribution ledger classification if
claim paid under vehicle highway fund