160022 05/28/2008 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: $270.00
MISHAWAKA IN 46545 CHECK NUMBER: 160022
CHECK DATE: 5/28/2008
DEPARTMENT ACC OUNT PO NUMBER INV OICE NU MBER AMOUNT DESCRIPTION
601 5023990 W08194 23649 270.00 HSP REPAIR
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Peerless Midwest Inc.
55860 Russell Industrial Parkway Mishawaka, Indiana 46545 574 254 -9050 Fax 574 254 -9650
Federal ID 35- 1284374
8135 INVOICE NO. Vendor#
City of Carmel Water Dept. 23649
SOLD TO Accounts Payable TERMS- NET30DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
4/30/2008 TTH
S. O. No. Your Order No.
22056 g
Tax Exempt? Reason Tax Exempt
SHIP TO Water Plant 4 Yes OX No 0
Pol. Sub.
Labor Cost Material Cost Tax
Laser Alignment of High Service Pump at Water Plant 4 sv
High Service Pump #4
Labor and Equipment
3 hours $90.00 per hour 270.00
TOTAL AMOUNT OF INVOICE------ 270.00
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FILE: 22056
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.
e
Payee
350268
PEERLESS- MIDWEST, INC Purchase Order No.
55860 RUSSELL INDUSTRIAL PARKWA Terms
MISHAWAKA, IN 46545 Due Date 5/14/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/14/2008 23649 $270.00
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
VOUCHER.# 081832 WARR ALLOWED
350268 Z IN SUM OF
PEERLESS- MIDWEST, INC p
55860 RUSSELL INDUSTRIAL AR1
IM MISHAWAKA,.IN 46545
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
23649 01- 6360 -04 $270.00
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Voucher Total $270.00,
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Cost distribution ledger classification if
claim paid under vehicle highway fund