220701 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 194313 Page 1 of 1
ONE CIVIC SQUARE MAI PRIME PARTS INC
CHECK AMOUNT: $34.95
CARMEL, INDIANA 46032 5736 N MICHIGAN ROAD
`<o� INDPLS IN 46208 CHECK NUMBER: 220701
CHECK DATE: 6/412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14624 34 . 95 OTHER EXPENSES
Invoice
MAi/1'rinte farts
Invoice Number:
5736 North Michigan Road 14624
Invoice Date:
Indianapolis, IN 46228-1729 May 17. 2013)
I
Voice: 317-257-681 1 Dupl is ate
F" 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 1D Shipping Method Ship Date Due Date
OREN Cust. Pickup 5/17/13 6/16/13
Quantity Item Description Unit Price Extension
1.00 split loom 25.00 25.00
1.00 , 088 crimper 9.95 9.95
Ul
MAY 2 8 L0.3 i 1
ey —
Thank you for allowing us to serve vml!
Subtotal 34.95
Sales Tax
Frei-ht
Total Invoice AmOlmt 34.95
Check No: Payment Received 0.00
TOTAL
34.95
VOUCHER # 135634 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
i
PO# INV# ACCT# AMOUNT Audit Trail Code
14624 01-7202-06 $34.95
Voucher Total $34.95
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 5/29/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/29/2013 14624 $34.95
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 A/
Date Off er