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HomeMy WebLinkAbout207631 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1 ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $75.58 CARMEL, INDIANA 46032 PO BOX 4737 EVANSVILLEIN 47724 -0737 CHECK NUMBER: 207631 ICON O CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 477533 75.58 OTHER EXPENSES TRI -STATE BEARING INVOICE Shipped from: 2205 ENTERPRISE PARK PLACE INDIANAPOLIS, IN 46218 PH317- 924 -3287 FX317- 924 -3561 Remit to: Number 4 77533 P.O. Box 4737 Dare. 03 /06/2012 CW Evansville, IN 47724 -0737 Phone: 812- 425 -1336 Fax: 812- 421 -6788 Page 1 Bill To:, Carmel Utilities Ship" To: Carmel Wastewater Treatment Pl 7930 760 3rd Ave SW Ste 110 1 9609 Hazel Dell Pkwy Carmel, IN 46032 Indianapolis, IN 46280 Reference Shipped Salesperson Terms Tax'Code Do, pp p ergh hip V c Wh Fi t. S is JEFF COOPER 03/02/12 ZI House Indi NET 30 DA YS X 112990 07 PRE(ADD UPS DIRECT ltem Description Ordered Shipped Back ordrd UM Price UM Extension NAC6203 BALL BEARING 1.00 .00 1.00 EA 5.81 EA .00 PTIRVFW207 -35MM *PILOTED 4 -BOLT FLAN 2.00 2.00 .00 EA 32.84 EA 65.68 *35MM BORE I a� r� pk" �,t n i r �o e^u r a q y w F d +r -.a. F t` 1" q f i arvr;�aY. aw s d3 c, t 58r f 'MerchandrseMisc k� °:Discount, r =flax �tFierght t g Tota/ DueF 1 eV �..6 *4�i'_. n"= -t �;a. 65.68 .00 .00 9.90 75.58 WE APPRECIATE YOUR BUSINESS Customer Copy Last Page 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 3/19/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/19/2012 477533 $75.58 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 116997 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 477533 01- 7202 -06 $75.58 Voucher Total $75.58 Cost distribution ledger classification if claim paid under vehicle highway fund