HomeMy WebLinkAbout173063 05/27/2009 F CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
4 CHECK AMOUNT: $367.16
CARMEL, INDIANA 46032 Po BOX 4737
EVANSVILLE IN 47724 0737 CHECK NUMBER: 173063
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT P O NUMBER IN VOICE NUM BER DESC RIPTION
651 5023990 300564 367.16 OTHER EXPENSES
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317- 924 -3287 FX317- 924 -3561
Remit to: Number 300564
P.O.Box 4737
Evansville, IN 47724 -0737 Date 05/13/09
DLS 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 j1' 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
Reference Shipped Salesperson f' Terms Tax Code 1 'Doc Wh, Freight. Ship Via
511703 05/12/09 ZI House Indi NET 30 DAYS X 976522 07 PRE /ADD FED X GRND DIR
item Description Ordered Shipped Backordrd UM Price 'UM Extension
BRO 3H3V33 F- SHEAVE 2.00 .00 2.00 EA 54.64 EA .00
BRO HI 318 F- BUSHING -STD 5/16 K 2.00 .00 2.00 EA 8.16 EA AO
GOO 3VX950/3 BANDED V -BELT 4.00 4.00 .00 EA 90.34 EA 361.36
Merchandise 'Misc Discount Tax Freight Tote! Due
361.36 .00 .00 5.80 367.16
WE APPRECIATE YOUR BUSINESS
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
a
ACCOUNTS PAYABLE VOUCHER:
CITY OF CARMEL ,k
An invoice or bill to be properly itemized must show, kind 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 4772.4 -0737 Due Date 5119/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/2009 300564 $367.16
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 Officer
VOLYCHER 095686 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
300564 01- 7202 -06 $361.36
300564 01- 7202 -06 $5.80
Voucher Total $367.16
Cost distribution ledger classification if
claim paid under vehicle highway fund