225421 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 00353200 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS RACK AND AXLE
CARMEL, INDIANA 46032 2301 E 44TH STREET CHECK AMOUNT: $495.00
INDIANAPOLIS IN 46205 CHECK NUMBER: 225421
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 143988 495 . 00 OTHER EXPENSES
INVOICE
INDIANAPOLIS RACK & AXLE
2301 E.44TH STREET
INDIANAPOLIS,IN 46205
(317)546-1140 • (800)733-0215
SALESPERSON DATE OF INVOICE
To: SHIP TO
CARMEL. WATER 0TTI...-ITT ES . G"ARMf=I.." "wA,r'ER ;()TTI....T,TIES .'
34�4 T. W 131ST !.3
., 51 ( .. ,
C:ARMEL TN 46074 CARMEI... TN 46-074
ACCOUNT.NO. DATE SHIPPED, °":SHIPPED VIA co P.P. FO.B.POINT.:• TERMS YOUR ORDER NUMBER
843 10/07/20.13 NIE"r 3o oi..jE
i QUANTITY DESCRIPTION UNIT PRICE = AMOUNT
'. PART NUMBER SUG4 I...I.ST COP.= VA'L.
'
1 .1.00 DRI:V SHAF=T REPAIR 00 0 .00 495.00 495,,00 �
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TOTAL-,. 4c1 tl
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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
00353200
INDIANAPOLIS RACK&AXLE Purchase Order No.
.2301 E 44TH STREET Terms
INDIANAPOLIS, IN 46205 Due Date 10/14/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/201: 143988 $495.00
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
is 713
Date Officer
VOUCHER # 133020 WARRANT # ALLOWED
00353200 IN SUM OF $
INDIANAPOLIS RACK & AXLE
2301 E 44TH STREET
INDIANAPOLIS, IN 46205
Carmel Water Utility ?
ON ACCOUNT OF APPROPRIATION FOR
Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
143988 01-6500-04 $495.00
Voucher Total $495.00
Cost distribution ledger classification if
claim paid under vehicle highway fund