HomeMy WebLinkAbout174528 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
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ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $132.00
CARMEL, INDIANA 46032 PO BOX 4737
EVANSVILLE IN 47724 -0737 CHECK NUMBER: 174528
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
651 5023990 308025 132.00 MATERIALS SUPPLIES
11
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317- 924 -3287 FX317 -924 -3561
Remit to: Number 308025
P.O.Box 4737
Evansville, IN 47724 -0737 Date 06/23/09
DLL Phone: 812- 425 -1336 Fax: 812- 421 -6788 Page 1
Bill To: Carmel Utilities Ship To: Carmel Wastewater Treatment PI
.7930 760 3rd Ave SW Ste 1.10 1 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
A
Reference Shi ped Salespe {san
p Terms Tax Code Doc'# Wh Freight Ship Via
S11.703 05/11/09 ZI House Indi NET 30 DAYS X 976522 07 PRE /ADD FED X GRND DIR
hem Description Ordered. Shipped Backordrd um Price! UM Extension
BRO 3H3V33 F- SHEAVE 2.00 2.00 .00 EA 54.64 EA 109.28
BRO Itt 318 F- BUSHING -STD 5116 K 2.00 2.00 .00 EA 8.16 EA 16.32
Merchandise Misc Discount' Tax Freight Xota/Due
125.60 .00 .00 6.40 132.00
WE APPRECIATE YOUR BUSINESS
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) 5
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 6/30/2009
alt.
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2009 308025 $132.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date icer
VOUCHER 095946 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
308025 01- 7202 -06 $132.00
Voucher Total $132.00
Cost distribution ledger classification if
claim paid under vehicle highway fund