249391 09/09/15 �'C,p f
°' CITY OF CARMEL, INDIANA VENDOR: 368601
;; b `il ONE CIVIC SQUARE PEERLESS MIDWEST INC CHECK AMOUNT: $**.....700.00*
i., _� CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY CHECK NUMBER: 249391
< _a��°, MISHAWAKA IN 46545 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 43161 700.00 OTHER EXPENSES
PEERLESSd
MIDWEST!
Federal ID#35-1284374
REMIT TO: 55860 Russell Industrial Parkway INVOICE NO. Vendor#
Mishawaka, IN 46545 43161
Phone: 574.254.9050/Fax:574.254.9650
TERMS-NET 30. 1.5%SERVICE CHARGE(18%ANNUAL RATE)EACH MONTH
THEREAFTER-AFTER 45 DAYS A LIEN WILL BE FILED.
SOLD TO Invoice Date Proj Mgr.
8135 6/24/2015 TTH
CARMEL UTILITIES
ACCOUNTS PAYABLE S. O. No. Your Order No.
3450 W 131 ST STREET 28572
CARMEL IN 46074
Tax Exempt? Reason Tax Exempt
Yes ❑X No
Pol.Sub.
Labor Cost Material Cost Tax
SHIP TO jduffy@carmel.in.gov
PRAIRIE VIEW SUBDIVISION
Hooked up temporary pump & generator; ran hose;set flow; ensured working
Labor and Equipment
5/28 Set up equipment
Total for Labor and Equipment------ $ 700.00
TOTAL AMOUNT OF THIS INVOICE------ $ 700.00
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: 27807(G)
I
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 9/3/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/2015 43161 $700.00
1 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 # 152986 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
43161 07-1051-85 $700.00
C.OtJNeC_�d N
Voucher Total $700.00
Cost distribution ledger classification if
claim paid under vehicle highway fund