163349 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1
ONE CIVIC SQUARE PEERLESS- MIDWEST, INC CHECK AMOUNT: $1,800.00
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY
MISHAWAKA IN 46545
CHECK NUMBER: 163349
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
601 5023990 W08376 24326 1,800.00 REPAIR PUMP
I
4
CA
rl,J� Incorporated
17707 Sun Park Drive, Westfield, Indiana 46074 317 896 -2987 Fax 317 -896 -3748
WORK ORDER W08285
CARMEL WEST BOOSTER STATION
Repairs to Booster Pump #3
W®g37�
SCOPE OF WORK
Remove old bearings from old rotation assembly; install your new bearings,
replace bearing assemblies, laser align pump and test.
LABOR
7/11/08 Disassemble and inspect. Install your new bearings 2 crew hours
8/7/08 Disassemble pump and replace bearings onsite 8 crew hours
10 hours $180.00 /hr $1,800.00
Dated: 8/18/2008
PEERLESS MIDWEST, INC. CITY OF CARMEL UTILITIES
By: By:
Tim Hill Rob Lovell
RECEIVED BY
DATE 6 2 7 g
PO#
ACCT#
USE ZgUO "'12
"When it comes to Water Supply Contracting and Hydrogeological Services... WERE PEERLESS!"
e fflxn Peerless Midwest Inc.
X 55860 Russell Industrial Parkway Mishawaka, Indiana 46545 574 254 -9050 Fax 574 254 -9650
Federal ID 35- 1284374
INVOICE NO. Vendor#
8135 24326
SOLD TO City of Carmel Utilities TERMS NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
Attn: Accounts Payable MONTH THEREAFTER. A Lien will be filed for unpaid invoices after 45 days.
3450 W. 131 st St. Invoice Date Proj Mgr.
Westfield, IN 46074 8/18/2008 TTH
S. O. No. Your Order No.
22577 PO# W08285
Tax Exempt? Reason Tax Exempt
SHIP TO West Booster Station Yes ❑X No
Pump 3 Pol. Sub.
Labor Cost Material Cost Tax
West Booster Station Pump 3
Removed old bearings from old rotation assembly
Installed your new bearings.
Replaced bearing assemblies
Laser align pump and tested
Labor and Equipment
7/11 Disassembled and inspected. Installed your new bearings
4 man hours 2 crew hours)
8/7 Disassembled pump and replaced bearings onsite
8 crew hours
Total 10 crew hours $180.00 per hour 1,800.00
TOTAL AMOUNT OF THIS INVOICE------ 1,800.00
RECEIVED BYE I
DATE 2 �2 -0 2
PO#
ACCT#.
USE-
11 Accept Azitericama BA.vAu•ess. i'isa aiiiii 1'I:llisterCils-
1 11574/254-9050
FILE: 22258
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
350268
PEERLESS- MIDWEST, INC Purchase Order No.
55860 RUSSELL INDUSTRIAL PARKWA Terms
MISHAWAKA, IN 46545 Due Date 8/27/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2008 24326 $1,800.00
v_.
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
Ze P',_'
Date Officer
VOUCHER 082790 WARRANT ALLOWED
.'350268 IN SUM OF
PEERLESS- MIDWEST, INC
55860 RUSSELL INDUSTRIAL P i
i'.M1SHAWAKA, IN 46545 x P
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
24326 01- 6360 -04� $1,800.00
Voucher Total $1,800.00
Cost distribution ledger classification if
claim paid under vehicle highway fund