247434 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 368601
® I ONE CIVIC SQUARE PEERLESS MIDWEST INC CHECK AMOUNT: S"".....328.20'
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY CHECK NUMBER: 247434
MISHAWAKA IN 46545 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 42254 328.20 OTHER EXPENSES
PEERLESSd
Federal ID#35-1284374
REMIT TO: 55860 Russell Industrial Parkway INVOICE NO. Vendor#
Mishawaka, IN 46545 42254
Phone: 574.254.9050/Fax: 574.254.9650
TERMS-NET 30. 1.5%SERVICE CHARGE(19%ANNUAL RATE)EACH MONTH
THEREAFTER-AFTER 45 DAYS A LIEN WILL BE FILED.
SOLD TO Invoice Date Proj Mgr.
8135 3/31/2015 TTH
CARMEL UTILITIES
ACCOUNTS PAYABLE S.O. No. Your Order No.
3450 W 131ST STREET 28136 PO DAN31115A
CARMEL IN 46074
Tax Exempt? Reason Tax Exempt
Yes No ❑
Pol.Sub.
Labor Cost Material Cost Tax
Email to Kerri Loveall:
SHIP TO kloveall@carmel.in.gov
Materials:
(1)5" x 4" flange reducer
(2)4" flange packs
(4)6" flange packs
(1)4" uniflange
(1)5" flange pack
TOTAL AMOUNT OF THIS INVOICE........................ $ 328.20
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WE APPRECIATE YOUR BUSINESS. THANK YOU !
We accept American Express,Visa and MasterCard. Please call 574.254.9050 for details.
We only accept credit cards within 30 days of invoice date.
File:
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
350268
PEERLESS-MIDWEST, INC Purchase Order No.
55860 RUSSELL INDUSTRIAL PARKWA Terms
MISHAWAKA, IN 46545 Due Date 7/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2015 42254 $328.20
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 # 152414 WARRANT # ALLOWED
350268 IN SUM OF $
PEERLESS-MIDWEST, INC
55860 RUSSELL INDUSTRIAL PARKW)
MISHAWAKA, IN 46545
Carmel Water Utility_
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
42254 01-6200-04 $328.20
Voucher Total $328.20
Cost distribution ledger classification if
claim paid under vehicle highway fund