155856 01/23/2008 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: $96,353.96
MISHAWAKA IN 46545 CHECK NUMBER: 155856
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 22808 15,940.00 OTHER-EXPENSES
pl 5023990 22809 330.75 OTHER EXPENSES
X601 5023990 22810 3,796.72 OTHER EXPENSES
Wol 5023990 22857 16,120.00 6360.02
-601 5023990 22858 703.25 CHEMICALS
j 601 5023990 22 11,169.46 MATERIALS SUPPLIES
601 5023990 22860 11,800.00 OTHER EXPENSES
601 5023990 22861 238.50 CHEMICALS
601 5023990 22862 11,769.46 OTHER EXPENSES
601 5023990 22863 15,400.00 6360.02
601 5023990 22864 569.25 OTHER EXPENSES
601 5023990 22865 8,516.57 OTHER EXPENSES
01/22/2008 12:35 3175712265 CARMEL UTILITIES PAGE 02/02
Peerless Midwest Inc.
55860 Russell Industrial Parkway Mishawaka, Indiana 46545 574- 254 -9050 !Fax 574 2549650
Federal I D 35- 1284374
INVOICE NO. Vendor#
8135 22861
City of Carmel Utilities
SOLD TO Accounts Payable TERMS NET 30 DAYS. 1.5% SERVICE GHARGE 91 A ANNUAL RATE) =ACH
3450 W 131st St MONPATHEKEAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TT H
S. 0. No. Your Order No.
21900 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIPTO Well #1l3 Yes f No
rt Pot. Sub.
Labor Cost Material Cost Tax
WELL #18 CHEMICALS 1
30 gal. sodium hypochlorite $2.45/gal. 73.50
55 gal, hydrochloric acid with inhibitors $3.001gal. 165.00
TOTAL AMOUNT OF THIS INVOICE FOR CHEMICALS 238.50
RECENT HY
SAM y
PC#
ACCT# f X
USE
FILE' 14146 (0) Well 18
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 Utilities 22862
SOLD TO 10 Accounts Payable TERMS- NET 30 DAYS, 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
34 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. 0. No. Your Order No.
21900 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO 14 Well Pump #18 Yes No
Pol. Sub.
Labor Cost Material Cost Tax
WELL #18 -PUMP REPAIR MATERIALS bN J
Rebuild pump bowls, including bearings L- shaped wear rings 2,230.28
New head shaft 375.00
N 1- 3/16" Goulds stuffing box bushing 48.00
New 1- 3/16" stainless steel couplings 368.00
New stainless steel shaft sleeves 296.94
New stainless steel bearing retainers w /rubber bearings 709.80
1 top 5' section new 10" Sch 80 column pipe 600.00
4 intermediate 10' sections new 10" Sch 80 column pipe 5,733.00
2 bottom 5' sections new 10" Sch 80 column pipe 665.44
New 5' Section 10" Sch 80 suction pipe 600.00
1 lot Misc. parts supplies including 1" water slinger, 8" flange pack, 160# pressure
gauge, new packing, 1" poly for well 143.00
TOTAL AMOUNT OF THIS MATERIAL INVOICE 11,769.46
RECEIVED By /f
DATE
PO#
ACCT 6. z o z
USE
FILE: 14146 (8) Well 18
AS Peerless Midwest Inc.
55860 Russell Industrial Parkway Mishawaka, Indiana 46545 574 254 -9050 Fax 574 254 -9650
I
Federal ID 35- 1284374
8135 INVOICE NO. Vendor#
City of Carmel Utilities 22860
SOLD TO 0 Accounts Payable Y TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. O. No. Your Order No.
21900 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well #18 Yes OX No
Pol. Sub.
Labor Cost Material Cost Tax
WELL #18 LABOR 3�` t Il� cI/a
Tj
Pre cleaning flow test
Pull pump
Disassemble and Inspect pump
Double disk surge well cleaning
Repairs to pump in our repair facility
Reinstall repaired pump back in well
Post cleaning flow test
60 total crew hours 180.00/ hour 10,800.00
Pre cleaning video inspection of well 1,000.00
Post cleaning video inspection of well N/C
TOTAL AMOUNT OF THIS LABOR INVOICE 11,800.00
RECEIVED BY
DATE 4 '0 7
PO#
ACCT# J
USE
FILE: 14146 (13 O)
aftm 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 Utilities 22858
SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. 0. No. Your Order No.
21899 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well #17 Yes F No
Pol. Sub.
Labor Cost Material Cost Tax
WELL #17 CHEMICALS
85 gal. sodium hypochlorite $2.45/gal. 208.25
165 gal. hydrochloric acid with inhibitors $3.00 /gal. 495.00
TOTAL AMOUNT OF THIS INVOICE FOR CHEMICALS 703.25
RECEIVED BY
DATE
PO#
ACCT# 6 USE
FILE: 14146 (0)
&Rolz 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 Utilities 22857
SOLD TO 14 Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. 0. No. Your Order No.
21899 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well #17 Yes OX No
Pol. Sub.
Labor Cost Material Cost Tax
I
WELL #17 LABOR b 3(
Pre cleaning flow test
Pull pump
Disassemble and Inspect pump
Double disk surge well cleaning
Repairs to pump in our repair facility
Reinstall repaired pump back in well
Post cleaning flow test
84 total crew hours 180.00/ hour 15,120.00
Pre cleaning video inspection of well 1,000.00
Post cleaning video inspection of well N/C
TOTAL AMOUNT OF THIS LABOR INVOICE 16,120.00
RECEIVED BY
DATE �-0
PO# n
ACCT#
USE
FILE: 14146 (B 0)
Peerless Midwest Inc.
55866 Russell Industrial Parkway Mishawaka, Indiana 46545 574 -254 -9050 Fax 574- 254 -9650
Federal ID 35- 1284374
INVOICE NO. Vendor#.
8135
City of Carmel Utilities 22$59
SOLD TO Accounts Payable TERMS- NET 36 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. O. No. Your Order No.
21899 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well Pump #17 Yes aX No 0
Pol. Sub.
Labor Cost Material Cost Tax
WELL #17 -PUMP REPAIR MATERIALS 1
Rebuild pump bowls, including bearings L- shaped wear rings 2,230.28
New head shaft 375.00
N 1- 3/16" Goulds stuffing box bushing 48.00
New 1- 3/16" stainless steel couplings 368.00
New stainless steel shaft sleeves 296.94
New stainless steel bearing retainers w /rubber bearings 709.80
1 top 5' section new 10" Sch 80 column pipe 600.00
4 intermediate 10' sections new 10" Sch 80 column pipe 5,733.00
2 bottom 5' sections new 10" Sch 80 column pipe 665.44
1 lot Misc. parts supplies including 1" water slinger, 8" flange pack, 160# pressure
gauge, new packing, 1" poly for well 143.00
TOTAL AMOUNT OF THIS MATERIAL INVOICE 11,169.46
RECEIVER BYR'�_/
BATE r
PO#
ACCT#
USE
FILE: 14146(0)
dRa Peeriess 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 Utilities 22863
SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. O. No. Your Order No.
21901 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well #22 Yes OX No
Pol. Sub.
Labor Cost Material Cost Tax
I
WELL #22 LABOR (1.
Pre cleaning flow test
Pull pump
Disassemble and Inspect pump
Double disk surge well cleaning
Repairs to pump in our repair facility
Reinstall repaired pump back in well
Post cleaning flow test
80 total crew hours 180.00/ hour 14,400.00
Pre cleaning video inspection of well 1,000.00
Post cleaning video inspection of well N/C
TOTAL AMOUNT OF THIS LABOR INVOICE 15,400.00
RECEIVED BYL�
DATE
PO#
ACCT#
USE
FILE: 18127 (B O)
i
fto 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 Utilities 22864
SOLD TO 14 Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450. W 131 St St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. 0. No. Your Order No.
21901 Rob Lovell
Tax Exempt? Reason Tax Exempt
Well #22
SHIP TO Yes FX NO
Pol. Sub.
Labor Cost 7 terial Cost Tax
WELL #22 CHEMICALS I d
165 gal. sodium hypochlorite $2.45 /gal. 404.25
55 gal. hydrochloric acid with inhibitors $3.00 /gal. 165.00
TOTAL AMOUNT OF THIS INVOICE FOR CHEMICALS 569.25
RECEIVED BY
DATE l 7
PO#
ACCT# 6
USE
FILE: 18127 (0)
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 Utilities 22865
SOLD TO 14 Accounts Payable TERMS- NET 30 DAYS, 1.5% SERVICE CHARGE ('16% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
12/10/2007 TTH
S. O. No. Your Order No.
21901 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well Pump #22 Yes FX No
Pol. Sub.
Labor Cost Material Cost Tax
WELL #22 PUMP REPAIR MATERIALS 17
New head shaft 375.00
N 1- 3/16" Peerless stuffing box bushing 48.00
New 1- 3/16" stainless steel couplings 604.80
New stainless steel shaft sleeves 254.52
New 1 -1/4" stainless steel shafting 1,373.55
New stainless steel bearing retainers w /rubber bearings 540.00
1 New 5' top section Sch 80 column pipe 482.00
5 New 10' intermediate sections Sch 80 column pipe 3,534.40
1 New 5' bottom section Sch 80 column pipe 525.30
New 10' Sch 80 suction pipe 636.00
1 Lot miscellaneous parts supplies, including 1" water slinger, 8" flange pack,
new packing, 1" poly for well 143.00
TOTAL AMOUNT OF THIS MATERIAL INVOICE 8
RECEIVED BYA
DATE L 0 -d 7
PO#
ACCT# 6
USE
FILE: 18127(B)
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 Utilities 22808
SOLD TO 14 Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
11/30/2007 TTH
S. 0. No. Your Order No.
21898 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well Pump #15 Yes EX No
Pol. Sub.
Labor Cost Material Cost Tax
tt II
Carmel Well and Pump #15 3� 'YV 01410
Labor
Pre cleaning flow test
Pull pump
Disassembly and inspection of pump
Double disk surge well cleaning
Repair pump in our Pump Repair Facility
Reinstall pump back in well
Post cleaning flow test
Total crew hours 83 $180.00 /hr. 14,940.00
Pre cleaning video inspection of well 1,000.00
Post cleaning video inspection of well N/C
TOTAL AMOUNT OF THIS LABOR INVOICE 15,940.00
RECEIVED BY 1 '�X/
DATE
PO#
ACCT#
USE
FILE: 20052 (0) (B)
Peerless Midwest Inc.
55860 Russell Industrial Parkway Mishawaka, Indiana 46545 574 254 -9050 Fax 574 254 -9650
Federal ID 35- 1284374
8135 INVOICE NO. Vendor#
City of Carmel Utilities 22809
SOLDTO Accounts Payable TERMS -NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 st St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
11/30/2007 TTH
S. O. No. Your Order No.
21898 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well Pump #15 Yes FX No
Pol. Sub.
Labor Cost Material Cost Tax
Carmel Well and Pump #15 U'X$
Chemicals
135 gal. Socium Hypocylorite 2.45/gal. 330.75
TOTAL AMOUNT OF THIS LABOR INVOICE 330.75
RECEIVED BY
3r..= 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 Utilities 22810
SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH
3450 W 131 St St MONTH THEREAFTER
Westfield, IN 46074 Invoice Date Proj Mgr.
11/30/2007 TTH
S. O. No. Your Order No.
21898 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Well Pump #15 Yes ❑X No
Pol. Sub.
Labor Cost Material Cost Tax
Carmel Well and Pump #15 7
Materials
Rebuild pump bowls, including bearings L- shaped wear rings 2,214.00
New 1- 3/16" Peerless stuffing box bushing 48.00
New 1- 3/16" stainless steel couplings 604.80
New 1- 3/16" stainless steel shaft sleeves 254.52
New rubber bearing inserts 50.40
New 8" Schedule 80 column pipe, 1 top 5' section 482.00
1 Lot miscellaneous parts supplies 143.00
TOTAL AMOUNT OF THIS LABOR INVOICE 3,796.72
Prescribed by State Board of Accounts
Porm "o.3o,(Re ".'995' :ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) tr co r ct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
Mo. Day Yr. Q Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANO.
CARMEL, INDIANA
p Favor Of
��ePPI255
I
Total Amount of Voucher
Deductions
gb 6 AD•o I/ 76
6we).0A Ii $00 00
1 851 o." 03
S o b360.oa /6 /2U ob
62 p0•
aZKo tt of dCrrani a
12�F63 0 1,06 15 YPO oa
2 565 6 6 Acct.
UCHER RECO D N S� 6 7
S r t�pl 0 .6NO- 0a 5 4 q a
W nt C>), 6 36, 75
Tr i and is 7
Customer ccounts
Administrative and General 35 d
Operation Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits 11 Y V i
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325