HomeMy WebLinkAbout195683 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
0 ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $472.82
CARMEL, INDIANA 46032 PO BOX 4737
EVANSVILLE IN 47724 -0737
CHECK NUMBER: 195683
CHECK DATE: 311 6/2011
DEPARTMENT ACCOUNT PO 'NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 413102 472.82 OTHER EXPENSES
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Copy
PH317- 924 -3287 FX317- 924 -3561
Remit to: Number: "h' 413102
P.O. Box 4737
Evansville, IN 47724 -0737 Date yY 03/03/11
CW Phone: 812- 425 -1336 Fax: 812- 421 -6788 Page 1
Bill To Carmel Utilities Ship To 'r Carmel Wastewater Treatment PI
7930 760 3rd Ave SW Ste 110 1 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
a
Reference Shipped, Salesperson Terms'. Tax.Code Doc wtiI Frerght s Ship Via
S12419 02/25/11 ZI House Indi NET 30 DAYS X 062834 07 PRE /ADD UPS DIRECT
Item Description Ordered Shipped Backordrd UM Price. ''UM Extensiori
UST TSBSS05 ELECTRONIC SHEAR PIN 1.00 1.00 .00 EA 232.36 EA 232.36
MAX FULL LOAD AMPS 5
UST TSBSS30 ELECTRONIC SHEAR PIN 1.00 1.00 .00 EA 232.36 EA 232.36
MAX FULL LOAD AMPS 3
lLl f s t 'Mrsc T �Disco F
Tax Freight
erchandrse Total Due
464.72 .00 .00 8.10 472.82
WE APPRECIATE YOUR BUSINESS
VOUCHER 107278 WARRANT ALLOWED
351747 IN SUM OF
TRI -STATE BEARING CO., INC.
P.O. BOX 4737
EVANSVILLE, IN 47724 -0737
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
413102 01- 7202 -06 $472.82
Voucher Total $472.82
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
351747
TRI -STATE BEARING CO., INC. Purchase Order No.
P.O. BOX 4737 Terms
EVANSVILLE, IN 47724 -0737 Due Date 3/8/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2011 413102 $472.82
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