170056 03/18/2009 *f CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1
ONE CIVIC SQUARE PEERLESS MIDWEST, INC CHECK AMOUNT: $656.00
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY
MISHAWAKA IN 46545 CHECK NUMBER: 170056
s CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT
601 5023990 W08649 25573 302.00 PARTS FOR PUMP
601 5023990 W08649 25672 354.00 PARTS FOR PUMP
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 25573
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.
2/19/2009 TTH
S. O. No. Your Order No.
22946 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Yes ❑X No
Pol. Sub.
Labor Cost Material Cost Tax
West Booster Station
Z
Material
One (1) Shim Kit W 302.00
RECEIVED
DATE 3 L
PO#
ACCT#
TOTAL AMOUNT OF THIS INVOICE------ 302.00
We accept American Express, Visa and MasterCard
FILE: 22258
P11 Midwest Inc.
1 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 25672
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.
3/4/2009 TTH
S. 0. No. Your Order No.
22946 Rob Lovell
Tax Exempt? Reason Tax Exempt
SHIP TO Yes No
Pol. Sub.
Labor Cost Material Cost Tax
Plant 4 High Service Pump rr11 Q r
Patterson Pump Parts
Material
2) Lantern Rings $54.00 each 108.00
2) Sets of Packing for Pump $123.00 each 246.00
Total Amount for Material------ 354.00
RECEIVED BY
DATE 1 9' 9
PO#
ACCT# TOTAL AMOUNT OF THIS INVOICE------ 354.00
USE
We Accept American Express, Visa and MasterCard Call 574- 254 -9050
FILE: 22946 -1
Prescribed by State Board of Accounis 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,
price per unit, etc.
Payee
350268
PEERLESS MIDWEST, INC Purchase Order No.
55860 RUSSELL INDUSTRIAL PARKWA Terms
MISHAWAKA, IN 46545 Due Date 3/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/11/2009 25672 $354.00
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 091294 WARRANT ALLOWED
350268 IN SUM OF
PEERLESS- MIDWEST, INC K�r��ar
55860 RUSSELL INDUSTRIAL RKK,O
MISHAWAKA, IN 46545
s,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
25672 01- 6200 -04 $354.00
1
Voucher Total 3 57 t,�0
Cost distribution ledger classification if
claim paid under vehicle highway fund