HomeMy WebLinkAbout302701 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 00351747
j ® ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $*******649.19*
CARMEL, INDIANA 46032 PO BOX 4737 CHECK NUMBER: 302701
EVANSVILLE IN 47724-0737 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 759584 649.19 OTHER EXPENSES
VOUCHER # 166026 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
759584 01-7202-06 649.19
6 /3 Jlt,
Voucher Total 649.19
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 8/29/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/29/2016 759584 649.19
hereby certify that the attached invoice(s), or bill(s) is (are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
TRI-STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317-924-3287 FX317-924-3561
Remit to: Num_tier ' .759584_
P.O. Box 4737 Date "T08/23/2016
Evansville, IN 47724-0737 ----
DLS Phone: 812-425-1336 Fax: 812-421-6788 J,page. Tl
B0,ToCarmel 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
S16413 08/19/16 ZI House Indi NET 30 DAYS X 334688 07 PRE/ADD, TRUCK DIRECT
Item Description Ordered Shipped. Backordrd UM Price UM Extension
MARCSW12026X25 *WING CONY.PULLEY; 1.00 1.00 .00 EA 568.00 EA 568.00
CROWN FACE, XT25 1-1
R&L CARRIERS
TRACKING#{:70502774-4
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Merchandise Misc Discount ;, Taz:: Fierght Tota/Due;
I
568.00 .00 .00 81.19 649.19
WE APPRECIATE YOUR BUSINESS
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