207244 03/13/2012 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: $689.16
EVANSVILLEIN 47724 -0737
CHECK NUMBER: 207244
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 476145 689.16 KATERIALS SUPPLIES
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317- 924 -3287 FX317- 924 -3561
Remit to: Numtier 476'1
P.O. Box 4737 Date 0 2!2712012
CW Evansville, IN 47724 -0737 Page 1
P 425 -1336 Fax: 812-421-6788
BrU To.. Carmel Utilities Ship To' Carmel Wastewater Treatment Pl
7930 760 3rd Ave SW Ste 110 ri =�1 itr�tt'' 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
I�I��LII�JI��r�rlli�rl�I�I�I�I
Reference Shrppedl Salesperson Terms Tax -Code Doc Wh Freight Ship:Via
S13000 02122!12 ZI House Indi NET 30 DAYS X 112009 07 PREPAID D BRIAN
Item Description Ordeed Shipped Backordrd :UM Price UM I Extension
MRC5208CZZ BALL BEARING 2.00 2.00 .00 EA 83.04 EA 166.08
NTN22207 22207CD1C3 SPHER. 2.00 2.00 .00 EA 99.59 EA 199.18
IRR3100 -100 RET.RING;EXT. 1" 1.00 1.00 .00 EA .83 EA .83
IRR3100 -137 RET.RING;EXT. 13(8 6.00 6.00 .00 EA 1.17 EA 7.02
EIAR80X125X12ADL SEAL;METRIC;DBL.LIP 2.00 2.00 .00 EA 17.73 EA 35.46
IRR3100 -156 RET:RING;EXT. 19116 6.00 6.00 .00 EA 1.38 EA 8.28
PTIRVFW21OX50MM *PILOTED 4 -BOLT FLAN 2.00 2.00 .00 EA 74.62 EA 149.24
50MM BORE WITH ECCE
ZZZFREIGHT INCOMING FREIGHT CHA 1,00 1.00 .00 EA 123.07 EA 123.07
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d Merchandise t r r Misc a count Taira Freigh To
Dis t fa! Due
�P, c i fc y,., a "i: c i l'�C 1� r� Y F t sa l.ao r r ..a 4a.i i s i' aat r •3F�,.
689.16 .00 .00 .00 689.16
WE APPRECIATE YOUR BUSINESS
Last Page
VOUCHER 116915 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
476145 01- 7202 -06 $689.16
Voucher Total $689.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board or 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 3/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/512012 476145 $689.16
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