155931 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
CARMEL, INDIANA 46032 PO Box 4737 CHECK AMOUNT: $55.00
EVANSVILLE IN 47724 -0737 CHECK NUMBER: 155931
CHECK DATE: 1/23/2008
p EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 212336 55.00 MATERIALS SUPPLIES
i
T
TRI -STATE BEARING INVOICE
Shipped from:
d 2205 ENTERPRISE PARK PLACE
!OR INDIANAPOLIS, IN 46218
IN PH317- 924 -3287 FX317- 924 -3561
1 Remit to: Num b6 i 212336
P.O.Box 4737
Evansville, IN 47724 -0737 Date 01 103 108
DLS Phone: 812 425 -1336 Fax: 812 421 -6788 Page 1
`Bill To: Carmel Utilities Ship To: Carmel Wastewater Treatment PI
7930 760 3rd Ave SW 1 9609 I3azel Dell Pkwy
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032
Shi d Sales s
Reference
pp person Terms.; Tax Code. Do'c'# Wh Ship Via Freight
a
VERBAL -JEFF 12/19/07 ZI House Indi NET 30 DAYS X 907218 07 PRE /ADD FED X GRND DIR
Item Description, Ordered Shipped Backordrd UM Price :Urvl Extension
NRD 1405500 T -FAN COVER;SK90 S/4 2.00 2.00 .00 EA 22.00 EA 44.00
Merchandise Misc Discount Tax Freight Total Due
44.00 .00 .00 11.00 55.00
WE APPRECIATE YOUR BUSINESS
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
c�
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 12/29/2007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/200 212336 $55.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
ii
Date Officer P
VOUCHER 077045 WARRANT ALLOWED
351747 IN SUM OF
U
"FRI -STATE BEARING CO., INC.
f ?.O. BOX 4737
EVANSVlLLE, IN 47724 -07
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
212336 01- 7202 -05 $55.00
Voucher Total $55.00
1, ost distribution ledger classification if
q]aim paid under vehicle highway fund
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