248724 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 00350868
ONE CIVIC SQUARE BEARINGS HEADQUARTERS CO CHECK AMOUNT: $********60.59
x. ?� CARMEL, INDIANA 46032 PO Box 6267 CHECK NUMBER: 248724
BROADVIEW IL 60153-6267 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 4976039 60.59 REPAIR PARTS
Bearing Headquarters Company
3199 North Shadeland Avenue INV®ICE PAGE:1
P O Box 26188
Indianapolis IN 46226 INVOICE riot' 4976039
Phone: 317-545-2411p (�, Box 6267
Fax: 317-549-6228 RemitT®: Broadview, Illinois 60155-6267 INVOICE DATE 6/15/15
F—C15369 F003 "The Service First Company"
ss CARMEL WASTE WATER PLANT
O CARMEL UTILITIES 119609 HAZEL DALE PARKWAY
L 760 THIRD AVENUE SW ST
D P CARMEL, IN 462809999
http://www.bearingheadquarters.com/customer_terms.asp
T CARMEL, IN 460320000 p
L L
CUSTOMER PURCHASE ORDER, Rel # I SHIP VIA TERMS DATE SHIPPED I SLMN ORDER NUMBER.
MIKE HENRICKS Pick Up Net 30 6/15/15 2411 9336953-000
SPECIAL INSTRUCTIONS >
QTY. ORDERED QTY. SHIPPED QTY.BACK ORDERED U%M ITEM NO./DESCRIPTION PRICE AMOUNT
1.00 1.00 .00 EA N04KX34250 60.59 60.59
UCFU-1-1/2 NTN
EQUIPMENT #402
SUB-TOTAL TAX SHIPPING&HANDLING SUB-TOTAL DEPOSIT BALANCE DUE ,
60.59 .60 .00 60.59 .00 60.59
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/15/15 4976039 $60.59
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bearing Headquarters Company
69'Wk
; nV7IN SUM OF $
�( 261 8
--k°rdtaMjMt;`ft-46226
$60.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 4976039 I 42-370.001 $60.59 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
hursd I , UA//")A
Str&tEftr6mi;ssiw;6Dner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund