171116 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351747 Rage 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
CARMEL, INDIANA 46032 PO BOX 4737 CHECK AMOUNT: $254.38
EVANSVILLE IN 47724 -0737 CHECK NUMBER: 471116
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 291993 161.88 OTHER EXPENSES
651 5023990 293246 92.50 OTHER EXPENSES
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I
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customdr Copy
PH317 -924 -3287 FX317- 924 -3561
Remit to: Number 293246
P.O.Box.4737
Evansville, IN 47724 -0737 Date 04/02/09
DLS Phone: 812 -425 -1336 Fax: 812 -421 -6788 Page 1
Bi11. To: Carmel Utilities Ship To: Carmel Wastewater Treatment PI
7930 760 3rd Ave SW Ste 110 "1 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
Reference Shipped Saiespeison Terms Tax Code Doc Why Freight Ship Via
VERBAL -JEFF 03/26/09 ZI House lndi NET 30 DAYS X 970667 07 PRE /ADD FED X GRND DIR
item Description Ordered Shipped Backordrd UM F81.50 .UM Extension
NRD 16333300 *B END BELL FOR 132 1.00 1.00 .00 EA EA 81.50
Merchandise Misc '.'Discount Tax Freight, Total Due
81.50 .00 .00 11.00 92.50
WE APPRECIATE YOUR BUSINESS
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TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Cop
PH317 -924 -3287 FX317- 924 -3561
Remit to: Number 291993
P.0.8ox 4737
Evansville, IN 47724 -0737 Dare: 03/26/09
DLS Phone: 812 425 -1336 Fax: 812 -421 -6788 Page 1
Bill To: Carmel Utilities Ship To: Carmel Wastewater Treatment PI
2930 760 3rd Ave SW 1. 9609 hazel Dell Pkwy
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032
Reference Shipped Salesperson Terms Tax:Code Doc Wh Freight Ship Via
VERBAL -JEFF 03/25/09 ZI House lndi NET 30 DAYS X 970628 07 PRE /ADD UPS
Mein Description Ordered Shipped. Backordid UM Price UM Extension
CHI 40X52X7DL SEAL;METRIC [158011[ 3.00 3.00 .00 EA 4.64 EA 13.92
CHI 40X62X8DL SEAL;METRIC [159611[ 3.00 3.00 .00 EA 5.48 EA 16.44
N f'N 6308 BALL BEARING 4.00 4.00 .00 EA 31.06 EA 124.24
UPS TRK 1 244483 9035 565 8977
Merchandise Misc Discount Tax Freight TO t,
154.60 .00 .00 7.28 161.88
WE APPRECIATE YOUR BUSINESS
Prescribed by State Board of Accounts City Form No. 201 (Rey 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 4/7/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2009 291993 $161.88
hereby certify that the attached invoice(s), or bili(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095407 WARRANT ALLOWED
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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
291993 01- 7202 -06 $161.88
�13a`f D o 6 q.Sd
Voucher Totalj61
Cost distribution ledger classification if
claim paid under vehicle highway fund