HomeMy WebLinkAbout191789 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1
ONE CIVIC SQUARE PEERLESS- MIDWEST, INC
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY CHECK AMOUNT: $2,668.50
MISHAWAKA IN 46545 CHECK NUMBER: 191789
CHECK DATE: 1111012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 29393 2,668.50 EQUIPMENT REPAIRS M
Ao Peerless Midwest Inc.
IOWA* 55860 Russell Industrial Parkway 1 Mishawaka, Indiana 465451574 -254 -90501 Fax 574 254 -9650
Federal ID 35- 1284374
INVOICE NO. Vendor#
7036
Brookshire Golf Club 29393
Payable SQLD TO Accounts Pa Y TERMS- NET 30 DAYS. LS %n SERVICE CHARGE (18% ANNUAL RATE) EACH
12120 Brookshire Parkway MONTH THEREAFTER A LIEN WILL BE FILED FOR ALL UNPAID INVOICES AFTER
45 DAYS.
Cannel, IN 46033 Invoice Date Proj Mgr.
9/15/2010 TTH
S. O. No. Your Order No.
24232 Bob Higgins
10" Well Tax Exempt? Reason Tax Exempt
SHIP To IYes U No 0
Labor Cost Material Cost Tax
Troubleshoot 10" supply well. Found hole in 6" steel drop pipe. Replaced drop pipe with 6"
certa -lok PVC drop pipe, Set back in well and tested. Pump bowls are getting soft and will need replacing
in the future.
Labor and Equipment
819 Pull, inspect, get parts and reinstall pump
3.5 crew hours $225.00/hr 787.50
4 overtime crew hours $310.00 /hr 1,240.00
Total Labor and Equipment 2,027.50
Materials
20' of 6" Certa -lok PVC drop pipe
(2) 6" Certa -lok male adapters
(1) 6" Certa -lok coupling
(2) 6" Certa -lok spline
Total Materials... 641.00
7% Indiana Sales Tax on Materials
TOTAL AMOUNT OF THIS INVOICE
We accept American Express, Visa and Mastercard. Call 574.254.9050
FILE: 24232
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Peerless Midwest Inc.
IN SUM OF
it
Mishawaka, IN 46545
$2,668.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #rFITLE AMOUNT Board Members
1207 28393 43- 500.00 S2,668.50 I 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
Wednesday, October 27, 2010
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
or cill to 5e properly itcir,ized nrust shcv kind ct service, where peiiormed, 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))
09/15/10 29393 Repair Well$2,668.50
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