HomeMy WebLinkAbout202262 09/27/2011 \,f CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1
ONE CIVIC SQUARE PEERLESS MIDWEST, INC CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY
MISHAWAKAIN 46545 CHECK NUMBER: 202262
<ION GO
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3,000.00 OTHER EXPENSES
PEERLESSd
MIDWESTE
55860 Russell Industrial Parkway Mishawaka, Indiana 46545 574.254.9050 Fax 574.254.9650
Federal ID 35- 1284374
INVOICE NO. Vendor#
21171
City of Carmel 31034
SOLD TO 3450 W. 131 st St.
Carmel, IN 46074 TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH MONTH
THEREAFTER A Lien will be filed for unpaid invoices after 45 days.
Invoice Date roj Mgr.
6/13/2011 TTH
S. O. No. Your Order No.
24954
Tax Exempt? Reason Tax Exempt
SHIP TO Yes El No �X
Labor Cost Material Cost Tax
TWO TEST HOLES AT RIVER ROAD AND 131 ST STREET
Drilled two test holes
Test Hole 1 to 57 feet total depth 3,000.00
Test H
TOTAL AMOUNT OF THIS INVOICE------ -b,AB
3 a
ol, �3tio,0�
WE APPRECIATE YOUR BUSINESS. THANK YOU
We Accept American Express, Visa and MasterCard. Call 574 254 -9050
FILE: 24954 (G)
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) 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
1 19
Signature Title
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.
C"
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
eel P5 5 Favor Of
Total Amount of Voucher
Deductions
3113
C 63 ocb od
Amount of Warrant
Month of 19
VOUCHER RECORD Acct.
No.
Source of Su pply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General O eration- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325