HomeMy WebLinkAbout247008 06/30/15 -
CITY OF CARMEL, INDIANA VENDOR: 00351747
t. ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $ "'"""63.93'
CARMEL, INDIANA 46032 PO BOX 4737 CHECK NUMBER: 247008
EVANSVILLE IN 47724-0737 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 685299 63.93 OTHER EXPENSES
TRI-STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317-924-3287 FX317-924-3561
Remit to: Number,;; 685299
P.O. Box 4737 Date-'-" 06/12/2015
DLS Evansville, IN 47724-0737 Page 1
Phone: 812-425-1336 Fax: 812-421-6788
Bill To: Carmel Wastewater Treatment Ship To: Carmel Wastewater Treatment
7927 9609 Hazel Dell Pkwy SAME 9609 Hazel Dell Pkwy
Indianapolis, IN 46280-2935 Indianapolis, IN 46280-2935
Reference # Shipped Salesperson Terms Tax Code Doc # Wh Freight Ship Via
UPS DIRECT
— -_ - --- - - - - - :- 07 PRE/ADD -- --
S15193 06/11/15 ZI House Indi NET 30 DAYS X 276822 -
: ltem__Description = - >;":_='; _-- Ordeied__ _.____Shipped=:_ =8ackordrd UM Price_ UM- Extension
MAR80BS1611/4 "SPROCKET 1.00 1.00 .00 EA 54.40 EA 54.40
REXR851JR *80 CHAIN;SELF-LUBE 5.00 .00 5.00 FT 66.74 FT 00
TRACKING#:1 Z4791620361685671
p 1- C�
Meicharidise :. ,-Misc Discount. ,Tax ^' AS _Freight Total-Due
54.40 .00 .00 9.53 63.93
WE APPRECIATE YOUR BUSINESS
Customer Copy ... Last Page
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
TRI-STATE BEARING CO., INC. Purchase Order No.
P.O. BOX 4737 Terms
EVANSVILLE, IN 47724-0737 Due Date 6/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2015 685299 $63.93
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 # 155748 WARRANT # ALLOWED
351747 IN SUM OF $
TRI-STATE BEARING CO., INC.
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
r
I
685299 01-7202-06 $63.93
j
Voucher Total $63.93
Cost distribution ledger classification if
claim paid under vehicle highway fund