220136 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 355155 Page 1 of 1
ONE CIVIC SQUARE ENGINEERED AIR
CARMEL, INDIANA 46032 PO BOX 801618 CHECK AMOUNT: $76.26
KANSAS CITY MO 64108-1618 CHECK NUMBER: 220136
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 DS118229 76 .26 OTHER EXPENSES
i
NUVEM INVOICE NUMBER
11,w ENGINEERED AIR DS1 18229
INVOICE DATE PAGE
DIVISION OF AIRTEX MANUFACTURING INC.
32050 WEST 83rd STREET,DESOTO, KANSAS 66018 05/02/2013 1
PHONE:(913)583-3181 FAX:(913)583-1406 EMAIL:accounting.desoto @engineeredair.com
REMIT TO: DIV#:
ENGINEERED AIR JOBM
c/o COMMERCE BANK MFG#:
P.O. BOX 801618
KANSAS CITY, MO 64180-1618
S CITY OF CARMEL S CITY OF CARMEL
O 3450 W 131ST ST H 3450 W 131 ST ST
L WESTFIELD, IN 46074 F CARMEL, IN 46074
T T
O O
CUSTOMER: 102401 TERRITORY: 712 ShipperlD: S118895 alesperson: Richard Ramsburg
Returns are not accepted without prior authorization and subject to a 25%charge.
YOUR ORDER NUMBER SHIP DATE - - SHIP VIA F-.O.B. -"J
PLANT 5 05/0212013 1 UPS GROUND
SHIP QTY DESCRIPTION AMOUNT
2 LC1 D12G7 Contactor 12 Amp 120V coil (LC1 D1 2G7) 61.26
I
FREIGHT 15.00
SALES TOTAL BEFORE TAX 76.26
Sales Tax 0.00
INVOICE TOTAL $76.26
No Statement issued-Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 1.5%PER MONTH(18%PER ANNUM)ON OVERDUE ACCOUNTS
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
355155
ENGINEERED AIR Purchase Order No.
PO BOX 801618 Terms
KANSAS CITY, MO 64108-1618 Due Date 5/13/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/2013 DS118229 $76.26
I 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
VOUCHER # 131585 WARRANT # ALLOWED
355155 IN SUM OF $
ENGINEERED AIR
PO BOX 801618
KANSAS CITY, MO 64108-1618
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
DS118229 01-6200-04 $76.26
Voucher Total $76.26
Cost distribution ledger classification if
claim paid under vehicle highway fund