190188 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00350868 Page 1 of 1
ONE CIVIC SQUARE BEARINGS HEADQUARTERS CO CHECK AMOUNT: $193.63
CARMEL, INDIANA 46032 PO BOX 6267
BROADVIEW IL 60153 -6267 CHECK NUMBER: 190188
CHECK DATE: 9129/2010
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4318331 193.63 OTHER EXPENSES
Bearing Headquarters Company
3199 North Shadeland Avenue E I NV OICE PAGE 1
P O Box 26188
Indianapolis IN 46226 INVOICi No 4318331
Phone: 317 545 -2411 P.O. Box 6267 IwvoiCEi DATE'
Fax: 317 -549 -6228 RemitTo. Broadview, Illinois 60155 -6267 9/03/10
FC15369 F "The Service First Company"
p CARMEL UTILITIES s CARMEL UTILITIES
760 THIRD AVENUE SW STE 110
L 7 60 THIRD AVENUE SW STE 110 P The lnvoiced prndur if p urchased Prodculs from l learl indu5hies. Inc or any of its
Divisions or subsidiaries I'Seller are warranted against defects in workmanshlp and riarerials,
T T
CARMEL, IN 460320000 not due to Purchasers misuse or negIecl, for one year from the Invoice Uate. Within one year after
Invoiee Dele, yeller will repair er provide a repleaenient pioducl, without uiiarge, for any of the
O CARMEL r IN 460320000 Q Products for wirkh prompt mitten notice is given to Seller and defects as to workmanship or
materials is proven. No other warranty applies to Products unless made in writing and signi by
an officer of Seller or on or before the Invoice Date.
CUSTOMER''PURCHASEEORDER Rel SHIP VIA :TERMS... DtiTE sx[rrsD SLMN ORDER NUMBER
S12247 UPS Ground Service Net 30 9/03/10 2424 8377161 -000
SPECIAL INSTRUCTIONS
QTY. ORDERED QTY. SHIPPED QTY: BACK ORDERED', :U /M ITEM] NOY:DESCRIPTION PRICE AMOUNT(,
2.00 2.00 .00 EA H69BH52925 6.94 13.88
6204 C3E NSK
OPEN BRG BOTH SIDES /FIT
2.00 2.00 .00 EA H69BH53425 10.88 21.76
6205 C3E (UC3E) NSK
OPEN BRG BOTH SIDES /FIT
1,00 1.00 .00 EA H69BH53913 11.21 11.21
6206 C3E NSK
OPEN BRG BOTH SIDES /FIT
1.00 1.00 .00 EA H69BH68575 17.69 17.69
6305 C3E NSK
OPEN BRG BOTH SIDES /FIT
1.00 1.00 .00 EA C33NS000069694 1.62 1.62
25X4OX7 HMSA10 RG SEAL
1.00 1.00 .00 EA L60AL68860 11.72 11.72
39147 *NLA LOCTITE
QUICKSTIX 668 10 GRAM
RETAINING COMPOUND
5.00 5.00 .00 EA P99NS000069696 12.63 63.15
17605 ROLL BRASS SHIM STOCK
6" X 60" X .001 THICK
SUB :::TOTAL' TAX SIIIPPINGI,& HANDLING SUB TOTAL J;; DEPOSIT BALANCE DUE
Bearing Headquarters Company
3199 North Shadeland Avenue l�VOICE PAGE 2
P O Box 26188
Indianapolis IN 46226 1NUOICIE No: 4318331
I Phone: 317 -545 -2411
P.O. Box 6267
Fax: 317 549 -6228 Remlff o: Broadview, Illinois 60155 -6267 I NV 1 01 cE D�rE> 9/03/10
FC15369 "The Service First Company"
S CARMEL UTILITIES s CARMEL UTILITIES
0
H 760 THIRD AVENUE SW STE 110
D 760 THIRD AVENUE SW STE 110 P The Invoiced products, if purchased (�Predcmifrom I leadco Industries, Inc or anyof it:
Divisions or Subsidiaries I "Seller') are warranted against defects in wO mans hip and materials.
CARMEL, IN 460320000 not due to Purchaser's misuse or neglect, for one year from the Invoice Date. Within one year after
T T Invoice Date, Seller will repair ur provide a iapleuenrent pruduct, withuut charge, for any of the
O CARMEL, IN 460320000 0 Products for which prompt written notice is given to Seller and defects as to workmanship or
materials is proven. No other warranty applies to Products unless made in writing and signed by
an officer of Seller oron or before the Invoice Dale.
CUSTOMER!PURCHASE ORDER 'Rel SH[P VIA TERMS :DATE SHIEPED. SLMN ORDER NUMBER
S12247 UPS Ground Service Net 30 9/03/10 2424 8377161 -000
SPECIAL INSTRUCTIONS
QTX. -'ORDERED .:;',.QTY <SHIPPED, QrY. aACx OxDERED! U/M ITEPvI NO./ DESCRIPTION PRCCE! ANIOUNT<
SHIM STOCK MIN. ORDER 5 ROLLS
2.00 2.00 .00 EA K70AV30380 10.10 20.20
K -28 X 33 X 17H KOYO
DELIVERY APROX. 3 -4 DAYS
JIM SISIL BHQ
2.00 2.00 .00 EA FIOBH44038 16.20 32.40
6008.C3 FAG
OPEN BRIG BOTH SIDES /FIT
SUB TOTAL; :TAX SHIPPING HANDLING SUBTOTAL DEPOSIT. ANCE DUE
BAL
193.63 .00 193.63 .00 193.63
VOUCHER 106230 WARRANT ALLOWED
350868 IN SUM OF
BEARINGS HEADQUARTERS CO
PO BOX 6267
BROADVIEW, IL 60155
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO I NV ACCT AMOUNT Audit Trail Code
4318331 01- 7502 -06 $193.63
Voucher Total $193.63
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
350868
BEARINGS HEADQUARTERS CO Purchase Order No.
PO BOX 6267 Terms
BROADVIEW, IL 60155 Due Date 9/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2010 4318331 $193.63
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