HomeMy WebLinkAbout329367 08/27/18 y�r-c+q�,
a`! CITY OF CARMEL, INDIANA VENDOR: 00351747
+' ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $********91.48*
9 �a�; CARMEL, INDIANA 46032 PO BOX 4737 CHECK NUMBER: 329367
�'�iioN'�°' EVANSVILLE IN 47724-0737 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I04248500 91.48 OTHER EXPENSES
VOUCHER NO. 186242 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 351747 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
TRI-STATE BEARING CO., INC. CITY OF CARMEL
P.O. BOX 4737 An invoice or bill to be properly itemized must show: kind of service,where performed,
EVANSVILLE, IN 47724-0737 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
91.48 351747 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR TRI-STATE BEARING CO.,INC. Terms
Carmel Wasterwater Utility P.O. BOX 4737 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice EVANSVILLE, IN 47724-0737
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1042485-00 01-7202-06 $91.48 and received except 8/15/2018 1042485-00 $91.48
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_
Clerk-Treasurer
TRI-STATE BEARING CO., INC. INVOICE
Initiating Warehouse
II I l l Il lI I I II l Il I'll I Il I l ll I II I Il III I 'll 2Indianapolis,sIN 46218 c
Phone: 317-924-3287 Fax: 317-924-3561 kumber 1042485-00
Remit To Date'.`: --�'. 08/06/18
PO Box 4737 Fa •e�._:•-:� 1
Evansville, IN 47724-0737 9
P: 812-425-1336
F: 812-421-6788
Phone:812-425-1336 Fax:812-421-6788
ei//To Carmel Wastewater Treatment "Ship.To, Carmel Wastewater Treatment
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
7927Indianapolis,IN 46280-2935 Indianapolis, IN 46280-2935
Orden-Taker._ Qrde'red'° Shipped S%sp r, - Terms - -Wh Shrp;Via
kjp 07/27/18 07/27/18 ZI Net 30 � 07 _ Pick Up _
Instructions .' .Caller
S18721 DEWAYNE
Ln Product Quantity Quantity Quantity. Qty Unit Price Amount
#' And Description Ordered Shipped Backordered UM '', Price UM (Nett
1 LOUL11011/8 2 2 0 EA 45.74 EA91.48
HUB/L110 1 1/8-1/4X1/8 KW
1 Lines Total Qty Shipped Total 2 Total 91.48
Invoice Total 91.48
Cash Discount 0.00 If Paid By 08/06/18
Print Time: 08/06/18 19:20* Customer Copy Page 1 of 1
3} t
TRI-STATE BEARING PICK TICKET/PACKING LIST
Initiating Warehouse
II I I I II II LI II I II I III i II I I I'I II I'I'I' I III 22ndianapEnterprise
Indianapolis,IN 46218e
1
i Phone: 317-924-3287 Fax: 317-924-3561 Number 1042485-00
** DO NOT PAY **** DO NOT PAY **** DO NOT PAY ** Date 07/27/18
Page 1
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Ship To Carmel Wastewater Treatment € Bill To Carmel Wastewater Treatment
9609 Hazel Dell Pkwy 7927 9609 Hazel Dell Pkwy
Indianapolis,IN 46280-2935 Indianapolis,IN 46280-2935
Order_-Taker Ordered I Shipped. Slsp Terms Wh Ship Via
kip 07/27/18 07/27/18 ZI Net 30 07 Pick Up
PO# Instructions Caller
S18721 DEWAYNE
Line Product Quantity Quantity Quantity Oty Bin unit Amount
# And Description Ordered Shipped Backordered LIM Location Amount (Net)
1 LOV L11011/8 12.00 2.00 0.00. EA IR2 .45.74 91.48
HUB/L1101 1/8-1/4X1/8
KW
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i
Tota/ 91.48
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1 Lines Total **#of Lines Not Printed 0 Qty Shipped Total 2.00 Total
Picked By Packed By Checked By Cube Ej��A�ges Total Net(less tax and freight)0.00000
Received By Date Received
i
Page 1 of 1
Print Time: 07/27/18 12:47* Customer Copy