HomeMy WebLinkAbout235219 07/22/14 Coq
CITY OF CARMEL, INDIANA VENDOR: 00351747
® �,• ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $******x 148.17
CARMEL, INDIANA 46032 PO BOX 4737 CHECK NUMBER: 235219
EVANSVILLE IN 47724-0737 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 624388 148.17 OTHER EXPENSES
TRI-STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH 317-924-3287 FX317-924-3561
P.ORBoxemitt4737 Number 624388,
Evansville, IN 47724-0737 Date 06%26/2014
DLS Phone: 812-425-1336 Fax: 812-421-6788 . Page T 1
'Bill To Carmel Utilities Ship To Carmel Wastewater Treatment PI
7930 760 3rd Ave SW Ste 110 -'1 9609 Hazel Dell Pkwy
Carmel,IN 46032 Indianapolis,IN 46280
Reference#'- Shippeo:. Salesperson Terms Tax-Code Doc #;;- Wh Freight Ship Mia
S14083 06/25/14 12 Meredith, NET 30 DAYS X 228829 07 PRE/ADD UPS
Item Descript/on Ordered Shipped Backoidid UM Price UM Extension
USSPS446 PUMP SEAL 2.00 2.00 .00 EA 68.56 EA 137.12
UPS TRK 12444839036069108
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_--- ` ;v 41Merchandise r � �1uMisci Discount; x TaX Freight Total Due.
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137.12 .00 .00 11.05 148.17
WE APPRECIATE YOUR BUSINESS
Customer Copy ... Last Page
VOUCHER # 145102 WARRANT # ALLOWED
IN SUM OF $
351747
TRI-STATE BEARING CO., INC.
II, P.O. BOX 4737
EVANSVILLE, IN 47724-0737
Carmel
Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
624388 01-7202-06 $148.17
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Voucher Total $148.17
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Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
351747
I
TRI-STATE BEARING CO., INC. Purchase Order No.
P.O. BOX 4737 Terms
EVANSVILLE, IN 47724-0737 Due Date 7/16/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/16/2014 624388 $148.17
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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