308679 02/28/17 o%�4�p"�°. CITY OF CARMEL, INDIANA VENDOR: 00351747
'1 ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: S"••'"""55.34`
��� ,�%; PO BOX 4737 CHECK NUMBER: 308679
s•.� ,r. CARMEL, INDIANA 46032
v�'l�oN c�'�� EVANSVILLE IN 47724-0737 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 784725 55.34 OTHER EXPENSES
VOUCHER # 167109 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
784725 01-7202-06 55.34
Voucher Total 55.34 01
Cost distribution ledger classification if
claim paid under vehicle highway fund
TRI-STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317-924-3287 FX317-924-3561
Remit to: Number "�784725
P.O. Box 4737 Date"' 01/30/2017
CW Evansville, IN 47724-0737 Page 1
Phone: 812-425-1336 Fax: 812-421-6788
Bill To: Carmel 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
S16863 01/25/17 ZI House Indi NET 30 DAYS X 354616 07 PREPAID PU
Item :Description Ordered Shipped Backordrd UM Price UM Extension
MAR7JEM COUPLING SLEEVE 2.00 2.00 .00 EA 27.67 EA 55.34
I
I
I
I
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Merchandise Nlisc Discount 'Tax Freight, ;Tvta/,Due
55.34 .00 .00 .00 55.34
WE APPRECIATE YOUR BUSINESS
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