HomeMy WebLinkAbout205618 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $20.08
f'sr CARMEL, INDIANA 46032 PO BOX 4737
EVANSVILLE IN 47724 -0737 CHECK NUMBER: 205618
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 467902 20.08 OTHER EXPENSES
TRI -STATE BEAMING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317 -924 -3287 FX317 -924 -3561
Remit to: Num6eM. 467902
P.O. Box 4737 Date. 01/09/2012
CW Evansville, IN 47724 -0737 Page. 1
Phone: 812- 425 -1336 Fax: 812 -421 -6788
BilhTo: Carmel Utilities 5tiip To Carmel Was tewater Treatment PI
7930 760 3rd Ave SW Ste 110 1' �':'i 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
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Reference Shrpped.. Salesperson tl Terms, aTax.';Code Doc Wh ":Frerghf Shrp Via
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JEFF C 01/05/12 ZI House Indi NET 30 DAYS X 105904 07 P REPAI D PU
Item Description Ordered Shipped Backordrd UM Price UM Extension
SKF7627 OIL SEAL 2.00 2.00 .00 EA 5.05 EA 10.10
SKF9998 OIL SEAL 2.00 2.00 .00 EA 4.99 EA 9.98
Merchandise ca Mrsc, 3 Discount t y Y r; Taxi r Freight Tofal Due
20.08 .00 .00 .00 20.08
WE APPRECIATE YOUR BUSINESS
Customer Copy East Page
VOUCHER 116600 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
467902 01- 7202 -06 $20.08
Voucher Total $20.08
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 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 1/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/2012 467902 $20.08
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
113 ftAt-�
Date Officer