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173989 06/24/2009 a CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1 ONE CIVIC SQUARE PEERLESS MIDWEST, INC CHECK AMOUNT: $30,516.40 CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY MISHAWAKAIN 46545 CHECK NUMBER: 113989 CHECK DATE: 6/24/2009 DEPA ACCOUNT PO NUM INVO NUMBER AM DESCRIPTION 601 5023990 26070 186.00 OTHER EXPENSES 601 5023990 W08780 26072 3,240.00 WELL CLEANING i01 5023990 W08780 26191 7,200.00 WELL CLEANING 601 5023990 W08780 26192 1,705.40 WELL CLEANING =501 5023990 W08780 29073 18,185.00 WELL CLEANING emu, Peerless Midwest Inc. 55860 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 29073 SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH 3450 W 131 st St MONTH THEREAFTER. A lien will be filed for unpaid invoices after 45 days. Westfield, IN 46074 Invoice Date Proi Mgr. 4/30/2009 TTH S. O. No. Your Order No. 23183 Rob Lovell Tax Exempt? Reason Tax Exempt SHIP TO Yes Fx No Pol. Sub. Labor Cost Material Cost Tax Well 14 Material 1) New, 3 Stage, 12 JKH pump bowl, rated for 870 GPM 186' TDH 1) New 1 3/16" Stainless steel head shaft 1) New 1 3/16" Stuffing box bushing New 1 3/16" Stainless steel shaft couplings New 1 3/16" Rubber bearings for the shafting 60' of 8" Schedule 80 column pipe 10' of 8" Schedule 80 suction pipe 1) 160 PSI Pressure gauge 3/4" Black plastic for water probe 1.25" Water slinger 8" Discharge flange pack New Packing for the stuffing box Recondition discharge head Total for Material, As Quoted------ 18,185.00 TOTAL AMOUNT OF THIS INVOICE------ 18,185.00 RECEIVED BY�/ DATE c l 1 ACCT# z USE rti 27 THANK YOU We Accept American Express, Visa and MasterCard Call 574- 254 -9050 FILE: 17746 F Peerless Midwest Inc. 55860 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 26072 SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH 3450 W 131 st St MONTH THEREAFTER. A lien will be fled for unpaid invoices after 45 days. Westfield, IN 46074 Invoice Date Proj Mgr. 4/30/2009 TTH S. O. No. Your Order No. 23183 Rob Lovell Tax Exempt? Reason Tax Exempt SHIP TO Yes ❑X No Pol. Sub. Labor Cost Material Cost Tax Well 14 Pulled and inspected Well Pump 14 Reinstalled pump and flow tested Labor and Equipment v V 3/19/09 Pulled Pump 8 hours $180.00 per hour 1,440.00 4/21/09 Reinstalled pump and flow tested 10 hours $180.00 per hour 1,800.00 Total for Labor and Equipment------ 3,240.00 TOTAL AMOUNT OF THIS INVOICE------ 3,240.00 RECEIVE D B.� ngTE U AC c THANK YOU! We Accept American Express, Visa and MasterCard Call 574- 254 -9050 FILE: 17746 f Peerless Midwest Inc. 55860 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 26191 SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH 3450 W 131 st St MONTH THEREAFTER. A lien will be filed for unpaid invoices after 45 days. Westfield, IN 46074 Invoice Date Proj Mgr. 5/22/2009 TTH S. 0. No. Your Order No. 23277 Rob Lovell Tax Exempt? Reason Tax Exempt F_] SHIP To Yes OX No Pol. Sub. Labor Cost Material Cost Tax Labor for Cleaning Well 14� Labor and Equipment �A 5/8/09 Set up, Flow test, Surge in Chlorine and Soak 5/12/09 Surge, Neutralize, Acid surge, Neutralize, Chlorine surge 5/13/09 Surge, Neutralize, Acid surge, Neutralize, Chlorine surge 5/14/09 Surge, Neutralize, Pump Test, Leave pump -off equipment Pick up equipment Total 40 crew hours $180.00 Total for Labor and Equipment------ 7,200.00 TOTAL AMOUNT OF THIS INVIOCE------ 7,200.00 RECEIVED BY DATE PO# ACCT# USE THANK YOU We Accept American Express, Visa and MasterCard Call 574 254 -9050 FILE: 17746 (0) GROPeerless Midwest Inc. 55860 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 26192 SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH 3450 W 131 st St MONTH THEREAFTER. A lien will be fled for unpaid invoices after 45 days. Westfield, IN 46074 Invoice Date Proj Mgr. 5/22/2009 TTH S. O. No. Your Order No. 23277 Rob Lovell Tax Exempt? Reason Tax Exempt SHIP TO Yes ❑X No Pol. Sub. Labor Cost Material Cost Tax Material to Clean Well 14 Chemicals 330 Gallons of Hydrochloric Acid $2.75 per gallon �,J 907.50 110 Gallons of Sodium Hypochlorite $3.24 per gallon 356.40 250 lbs. of Sodium Bicarbonate $0.65 per lb 162.50 300 lbs. of Sodium Metabisulfate $0.93 per lb 279.00 Total for Chemicals------ 1,705.40 TOTAL AMOUNT OF THIS INVOICE------ 1,705.40 RFCrIVED BG g l5L DATE G P AC( is E THANK YOU! We Accept American Express, Visa and MasterCard Call 574 254 -9050 FILE: 17746 (0) (OftPeerless Midwest Inc. 55860 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 26070 SOLD TO Accounts Payable TERMS- NET 30 DAYS. 1.5% SERVICE CHARGE (18% ANNUAL RATE) EACH 3450 W 131 st St MONTH THEREAFTER. A lien will be filed for unpaid invoices after 45 days. Westfield, IN 46074 Invoice Date Proj Mgr. 4/30/2009 TTH S. 0. No. Your Order No. 22946 P.O. Dan Tax Exempt? Reason Tax Exempt SHIP TO Yes 0 No Pol. Sub. Labor Cost Material Cost Tax Material 15' of 3/8" Packing 15' of 7/16" Packing 79.00 107.00 TOTAL AMOUNT OF THIS INVOICE------ 186.00 RECEIVED BY DATE PO# ACCT# 4 Z USE THANK YOU! We Accept American Express, Visa and MasterCard Call. 574- 254 -9050 FILE: 16528 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, 0 price per unit, etc. p Payee /J 350268 PEERLESS MIDWEST, INC Purchase Order No. 55860 RUSSELL INDUSTRIAL PARKWA Terms MISHAWAKA, IN 46545 Due Date 6/2/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/2/2009 29073 $18,185.00 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 091965 WARRA ALLOWED 1 350268 e�� IN SUM OF PEERLESS- MIDWEST, INC 0 O 55860 RUSSELL INDUSTRIAL P!40w, MISHAWAKA, IN 46545 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 29073 01- 6200 -02 $18,185.00 SAL 4 a�b�o oi. h2�p Obi. �l�•oe of •b3�o bz, alb ?Z ►f�3t,?a•bz 3a4pt� Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund