HomeMy WebLinkAbout204420 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
i CHECK AMOUNT: $259.01
CARMEL, INDIANA 46032 PO BOX 4737
EVANSVILLE IN 47724 -0737 CHECK NUMBER: 204420
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 459738 259.01 TRANSPORTATION EXPENS
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Cop
PH317 -924 -3287 FX317 -924 3561 q a
Remit to: Num6erk .a 459738
P.O.Box 4737 11 /14 /11
Evansville, IN 47724 -0737
BKM Phone: 812 425 -1336 Fax: 812- 421 -6788 Page, 1
Bill To: Carmel Utilities Ship To: Carmel Wastewater Treatment PI
7936 760 3rd Ave SW Ste 110 1 9609 Hazel Dell Pkwy
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Carmel, IN 46032 �rG` n' Indianapolis, IN 46280
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,Reference �'Shrpped Salesperson i �;FTerms `,Tax Go de Doc Wh �Fre�ght ShrpVia
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TRUCKIOC 11!10/11 ZI House Indi NET 30 DAYS X 098669 07 PRE /ADD FED X PRI I DIR
Item Description. Ordered Shipped Backordrd UM Price UM Extension
MAR 80BB12H3 /4 *IDLER SPROCKET BA 1,00 1.00 .00 EA 52.78 EA 52.78
MAR 60BS301 112 SPROCKET 1.00 1.00 .00 EA 76 EA 76.39
MAR 60BTB20 SPROCKET 12012 1.00 1.00 .00 EA 60.32 EA 60.32
MAR 20122 TAPER LOCK BUSHING 1.00 1.00 .00 EA 24.32 EA 24.32
'vq�',
,k ,��ershandrse ����.rA� �Msc�,�'�� �D�scount �a ��`�t Tax, a�t� �Freighi' aTatal�Due
213.81 .00 .00 45.20 259.01
WE APPRECIATE YOUR BUSINESS
i
VOUCHER 116284 WARRANT ALLOWED
351747 IN SUM OF
TRI -STATE BEARING CO., INC.
P.O. BOX 4737
EVANSVILLE, IN 47724 -0737
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
459738 01- 7502 -06 $259.01
Voucher Total $259.01
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARAMEL
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 11/28/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/201' 459738 $259.01
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
a-- L/
Date Officer