217731 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1
ONE CIVIC SQUARE MAI PRIME PARTS INC
h CHECK AMOUNT: $32.15
CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD
INDPLS IN 46208 CHECK NUMBER: 217731
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14247 32 . 15 OTHER EXPENSES
Invoice
MAI/Prime Parts Invoice Number:
McLeanParts.net 14247
5736 North Michigan Road Invoice Date:
2012 19,
Indianapolis, IN 46228-1729 Dec Page:
Voice: 317-257-6811 1
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 Days
Sales Rep ID Shipping Method Ship Date Due Date
OREN Cust. Pickup 12/19/12 1/18/13
Quantity Item Description Unit Price Extension
2.00 3/16 cdw shrink 4.80 9.60
2.00 1/4 cdw shrink 5.80 11.60
1.00 1/2 cdw shrink 7.00 7.00
1.00 4 pin xlr 3.95 3.95
JAN 2 201
By
Thank you for allowing us to serve you!
Subtotal 32.15
Sales Tax
Freight
Total Invoice Amount 32.15
CheckNo: Payment Received 0.00
TOTAL 32.15
VOUCHER # 126702 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
14247 01-7202-06 $32.15
Voucher Total $32.15
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
194313
MAI PRIME PARTS INC Purchase Order No.
5736 N MICHIGAN ROAD Terms
INDIANAPOLIS, IN 46228-1729 Due Date 2/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/20/2013 14247 $32.15
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 Officer