251470 11/18/15 °�-�4qb
CITY OF CARMEL, INDIANA VENDOR: 00350868
® ONE CIVIC SQUARE BEARINGS HEADQUARTERS CO CHECK AMOUNT: $ ....'100.75'
CARMEL, INDIANA 46032 PO BOX 6267 CHECK NUMBER: 251470
,,�,.,oN�, BROADVIEW IL 60153-6267 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5021226 100.75 OTHER EXPENSES
Bearing Headquarters Company
• INVOICE PAGE: 1
3199 North Shadeland Avenue
Indianapolis IN 46226 INVOICE I No*. 5021226
Phone: 317-545-2411
P.O. Box 6267
Fax: 317-549-6228 Remiffo: Broadview, Illinois 60155-6267 1 NVOICEDATE 10/14/15
FC15369 F003 "The Service First Company"
H
0
S CARMEL WASTE WATER TREATMENT s CARMEL WASTE WATER PLANT
L ATTN: ACCOUNTS PAYABLE I 9609 HAZEL DALE PARKWAY For Terms And Conditions Please Visit Below:
D 9609 HAZEL DELL PARKWAY P ATTN: DUANE JARVIS
CARMEL, IN 462809999 http://www.bearingheadquarters.com/customer_terms.asp
0
T T INDIANAPOLIS, IN 46280 0
L L
CUSTOMER PURCHASE ORDER :Rel ff- I ::SHIP VIA
:TERMS DATE SHIPPED SLMN ORDER NUMBER::::
S15505 UPS Ground Prepaid & Add Net 30 10/14/15 2411 9402040-000
SPECIAL INSTRUCTIONS >
QTY. ORDERED QTY. SHIPPED QTY.BACKORDERED .:::U/M ..�:;ITEM.NOJ DESCRIPTION
PRICE, AMOUNT
.... .......
1.00 1.00 .00 EA S37NS000239354 93.17 93.17
NU308ECP SKF BEARING
SKF DELIVERY 7-10 DAYS
SKF HAS A POLYMER CAGE
.... . . .....
SUB-..TOTAL, .. T :SHIPPING.&14 -TOTAL.,:: DEPOSIT." ......
. . . ANDLING . .... SUB BALANCE DUE
93.17 .00 7.58 100.75 .00 100.75
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
350868
BEARINGS HEADQUARTERS CO Purchase Order No.
PO BOX 6267 Terms
BROADVIEW, IL 60155 Due Date 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 5021226 $93.17
I hereby certify that the attached invoice(s), or bill(s) is(are) true and
correct and I have audited same in accordance with ICD 5-11-10-1.6
///3/S ✓n'a�
Date Officer
VOUCHER # 156606 WARRANT # ALLOWED
350868 IN SUM OF $
BEARINGS HEADQUARTERS CO
PO BOX 6267
BROADVIEW, IL 60155
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5021226 01-7200-04 $9 .
Voucher Total $93.17
Cost distribution ledger classification if
claim paid under vehicle highway fund