213628 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 255850 Page 1 of 1
ONE CIVIC SQUARE QUALITY REPAIR SERVICE, INC
i? CARMEL, INDIANA 46032 411 KNIGHT DRIVE CHECK AMOUNT: $842.78
GREENWOOD IN 46142 CHECK NUMBER: 213628
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20402 842 . 78 MATERIALS & SUPPLIES
Quality Repair Service, Inc. Invoice
4.1.1.Knight Drive Date Invoice#
Greenwood IN 46142
9/7/2012 20402
Phone# 317-881-0205
Fax# 317-881-0294
Bill To
CITY OF CARMEL
760 3rd AVE. S.W. # 110
CARMEL, IN 46032
P.O. No. Terms Due Date Rep Project
S13218 Net 30 10/7/2012 TAS 20402
Description Amount
ONE(1)#SAK-SRW6 PARTS KIT FOR FLOWSERVE PUMP MODEL D824 837.00
FREIGHT 5.78
Subtotal $842.78
1.5 %FEE PER MONTH ON UNPAID INVOICES Wou
Sales Tax (7.0%)
Total $842.78
Balance Due
Web-Site -
t
www.qualityrepair serviceinc.com
VOUCHER # 125831 WARRANT # ALLOWED
255850 IN SUM OF $
QUALITY REPAIR SERVICE
411 Knight Drive
GREENWOOD, IN 46142
I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
20402 01-7202-06 $842.78
Voucher Total $842.78
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
255850
QUALITY REPAIR SERVICE Purchase Order No.
411 Knight Drive Terms
GREENWOOD, IN 46142 Due Date 10/3/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2012 20402 $842.78
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