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HomeMy WebLinkAbout188559 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1 ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $26.36 CARMEL, INDIANA 46032 PO BOX 4737 EVANSVILLE IN 47724 -0737 CHECK NUMBER: 188559 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 366128 26.36 BUILDING REPAIRS MA TRI -STATE BEARING INVOICE Shipped from: 2205 ENTERPRISE PARK PLACE INDIANAPOLIS, IN 46218 PH317 -924 -3287 FX317- 924 -3561 y... 6�', r. Remit to: 'Number; 4 366128 P.O.Sox 4737 Evansville, IN 47724 -0737 Date 06 /O1 /10 Phone: 812 -425 -1336 Fax: 812- 421 -6788 Cw IPage, 1 BX To Carmel Utilities Ship To' Carmel Wastewater Treatment PI 7930 y 760 3rd Ave SW Ske ]10 1 9609 Hazel Dell Pkwy Carmel, IN 46032 Indianapolis, IN 46280 4a. a I'b Shipped Salesperson Terms Tax' Code`- Doc, wh Frerghr Ship 'Via Reference 05/24/10 ZI House Indi NET 30 DAYS X 025849 07 PREPAID PU Item Description Ordered Shipped Backordrd UM Price um Extension FOR CIVIC SQUARE FOUNTAI PAS 201 PUMP SEAL;PAC -SEAL 2.00 2,00 .00 EA 6.43 EA 12.86 PAS P80 LUBRICANT; PAC -SEAL 1.00 1.00 .00 EA 13.50 EA 13.50 s.M�Fr'",�e,t�,r", 2 �Y rt fy s i r r w Merchandise r.x P ash M,sc Y� T t Discount a y I Xa fi -I r a i r jTotaYQue� ..Y 26.36 .00 .00 .00 26.36 WE APPRECIATE YOUR BUSINESS VOUCHER NO. WARRA NO. ALLOWED 20 Tri -State Bearing IN SUM OF P'. O. Box 4737 Evansville, IN 47724 -0737 $26.36 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# dept. INVOICE NO. ACCT #/TITLE AMOUNT Board MemberE 2201 366128 43 501.00 $26.36 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except n �Tuesd 'Jul 27, 2010 d A .Ill k�vff V u j. S e U� i c': sc��ie r Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/01/10 366128 $26.36 1 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 20 Clerk Treasurer