184885 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 355789 Page 1 of 1
s' ONE CIVIC SQUARE PEERLESS PUMP
-,i CARMEL, INDIANA 46032 P 0 BOX 644419 CHECK AMOUNT: $9,047.24
PITTSBURG PA 15264 -4419 CHECK NUMBER: 184885
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 9924010382 9,047.24 OTHER EXPENSES
Invoice 9924010382
Page 1 3 PEERLESS
PRMA
Remit To: Peerless Pump Company
P.O. Box 644419
PITTSBURGH, PA 15264
Customer no.: 600008104 Phone: 317 925 -9661
CITY OF CARMEL FAX: 317 -924 -7388
2450 W. 131 ST STREET www.peerlesspump.com
WESTFIELD IN 46074
Date 04/15/2010
Delivery /installation address Invoice ref.
CITY OF CARMEL Payment terms 30 days net
2450 W. 131 ST STREET Delivery terms
WESTFIELD IN 46074
Shipping cond. Truck
Sales Person Gary Saferight
Delivery note
Order 9922000231 03/16/2010
Our reference
Your PO W0910V
Your Reference
Item Material I description Cust. mat. Quantity Price Amount in USD
30 Z9999870 1 577.00 577.00
Locally bought parts Iconsumables!
Serial No.: 9922000231 -30
40 96830237 1 336.76 336.76
COLUMN ;BTTM;8 "Dx6O.00 "L;FBE;056
Serial No.: 9922000231 -40
50 96672539 4 49.75 199.01
IMPELLER; 14MC;LC;1.94 "D SFT ;SFISH ;023
Serial No.: 9922000231 -50
60 96813398 1 2,057.88 2,057.88
BOWL;DISCH;I4MC;1.94 "D SFT;FL;OLS;041
Serial No.: 9922000231 -60
70 96702417 i 2.73 2.73
0- RING;0.210x8.225 ID;AS568A -370 ;116
Serial No.: 9922000231 -70
80 96860011 4 19.40 77.58
COLLET; IMP LOCK; 1.94 "D SFT;444
Serial No.: 9922000231 -80
90 96672451 3 920.69 2,762.07
BOWL;INTMD;I4MC;1.94 "D SFT;041
Serial No.: 9922000231 -90
100 96788214 1 375.42 375.42
SHAFT; LINE; 1.5O; 60.00;THDxTH D; 093
Serial No.: 9922000231 -100
110 96880405 1 103.12 103.12
RETAINER ;BRG; B.00LM;1 .50 -2.19S FT;01 1
Serial No.: 9922000231 -110
Invoicd 9924010382 0
Page 2 3 PEERLESS
PUMP
Item Material description Cust. mat. Quantity Price Amount in USD
120 96857916 2 36.62 73.23
COLLAR;PROT; 1 .94 ""SFT;2.56 ""OD;444
Serial No.: 9922000231 -120
130 96666762 12 0.62 7.44
SCREW;HX HD CAP ;0.50 13UNCx3.00 "LG;64
Serial No.: 9922000231-130
150 96672251 1 3.82 3.82
GASKET;BOWL;14LCI14MC;1 22
Serial No.: 9922000231 -150
170 96672554 4 42.31 169.23
RING;BOWL LATL WEARJ4MC;118
Serial No.: 9922000231 -170
180 96800800 1 14.57 14.57
BRG; SLV ;1.501Dx2.500Dx4.12LG;DGBONE;1 18
Serial No.: 9922000231 -180
200 96861164 3 95.75 287.24
COUPLING ;SFT;1.50- 10NS- LH;TTYP;CU CT;454
Serial No.: 9922000231 -200
210 96666753 48 1.09 52.22
SCREW;HX HD CAP ;0.50 13UNCx1 .50 "LG;64
Serial No.: 9922000231 -210
220 96673461 2 65.71 131.41
BRG;SLV;1.94 ""IDx2.31 'ODx5.00 "LG ;186
Serial No.: 9922000231 -220
230 96670222 1 6.06 6.06
FITG; PLUG; PIPE; SQ;2.00 -1 1 .5NPT;CORED;038
Serial No.: 9922000231 -230
240 96667699 20 1.09 21.76
NUT;HEX;0.50 -13 UNC;642
Serial No.: 9922000231 -240
250 96669288 8 1.64 13.09
SCREW;HX HD CAP ;0.50 13UNCx2.75 "LG ;64
Serial No.: 9922000231 -250
260 96774166 1 328.31 328.31
SHAFT; PMP;1 .94x1.50;71.10;THD;093
Serial No.: 9922000231 -260
270 96782633 1 418.33 418.33
SHAFT; LINE; 1 .50;69.00 ;THDxTHD;093
Serial No.: 9922000231-270
280 96673088 1 1,028.96 1,028.96
BELL;SUCT;14MC;1.94 "D SFT;040
Serial No.: 9922000231 -280
Items total 9,047.24
Sales Tax
Total in USD
Net Total due by 05/15/2010 Q
Please remit payment with reference to invoice number: 9924010382 l 77
Invoice subject to Peerless Pump Terms and Conditions.
Invoice 9924010382
Page 3 3 PEERLESS
PUMP
Available on Peerless Pump website or by request. www.peeriesspump.com /terms.aspx
Goods and services invoiced were produced in accordance with the Fair Labor Standards Act of 1938,
as amended.
Claims must be made within 10 days of receipt.
Visa, MasterCard, and American Express accepted.
Interest of 1 1/2% monthly will be charged for overdue accounts.
VOUCHER 101367 WARRANT ALLOWED
355789 IN SUM OF
P LERLESS PUMP
P.O. BOX 644419
p TTSBURG, PA 15264 444150 q e�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
Cx
9924010382 02- 2308 -00 $9,047.24
Depreciation
Voucher Total $9,047.24
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
355789
PEERLESS PUMP Purchase Order No.
P.O. BOX 644419 Terms
PITTSBURG, PA 15264 -4441 Due Date 4/21/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/21/2010 9924010382 $9,047.24
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
Date Officer