168722 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
0 ONE CIVIC SQUARE TRI STATE BEARING CO INC
+a CARMEL, INDIANA 46032 PO Box 4737 CHECK AMOUNT: $401.54
EVANSVILLEIN 47724 -0737
CHECK NUMBER: 168722
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 281126 37.80 MATERIALS SUPPLIES
651 5023990 282311 363.74 MATERIALS SUPPLIES
cj
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Cop
PH317- 924 -3287 FX317- 924 -3561
Remit to: Number 281126
P.O.Box 4737 Date 01/19/09
Evansville, IN 47724 -0737
CW Phone: 812- 425 -1336 Fax: 812- 421 -6788 Rage 1
Bilf'To: Carmel Utilities Ship To Carmel Wastewater Treatment PI
7930 760 3rd Ave SW 1 9609 Hazel Dell Pkwy
Suite 11.0 Indianapolis, IN 46280
Carmel, IN 46032
Reference Shipped,. Salesperson Terms 'Tax Code Doc Wh Freight Ship Via
JEFF 01/12/09 ZI House Indi NET 30 DAYS X 961.329 07 PREPAID PU
Item Description Ordered Shipped Backordrd UM Price UM Extensfon
CHI40X72X7DL SEAL;METRIC [1.59851[ 4.00 4.00 .00 EA 9.45 EA 37.80
Merchandise Misc Discount Tax Freight Total Due
37.80 .00 .00 .00 37.80
WE APPRECIATE YOUR BUSINESS
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 1/26/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/26/2009 281126 $37.80
�E
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 is
VOUCHER 087163 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
281126 01- 7202 -06 $37.80
I:
Voucher Total $37.80
Cost distribution ledger classification if
claim paid under vehicle highway fund
TRI -STATE REARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Cop
PH317 -924 -3287 FX317- 924 -3561
Remit to: Numbbr 282311
P.O.Box 4737
Evansville, IN 47724 -0737 Dare 01/26/09
CW Phone: 812 -425 -1336 Fax: 812 -421 -6788 Page 1
Bill To: 'i Carmel Utilities Ship To: Carmel Wastewater Treatment Pl
7930 760 3rd Ave SW 1 9609 Hazel Dell Pkwy
Suite 110 Indianapolis, W 46280
Carmel, IN 46032
Reference Shipped Salesperson Terms Tax Code Doc wh Freight Ship Via'
JEFF COOPER 01/23/09 ZI House Indi NET 30 DAYS X 962864 07 PREPAID PU
Item Description Ordered Shipped Backordrd uiO Price .UM Extension
MOR SOC -10 80 COT. CHAIN [LOFT] 10.00 10.00 .00 FT 20.71 FT 207.10
ITW 114 SQ STEEL KEYSTOCK 1 /4 "S 1.00 1.00 .00 EA 1.65 EA 1.65
ITW 3/8 SQ STEEL KEYSTOCK 3/8 "S 1.00 1.00 .00 EA 3.18 EA 3.18
MAR 8OBS161 1/4 *FINISHED BORE SPROC 1.00 1.00 .00 EA 43.93 EA 43.93
MAR SOBS281 3/4 *FINISHED BORE SPROC 1.00 1.00 .00 EA 87.52 EA 87.52
ZZZ FREIGHT INCOMING FREIGHT CHA 1.00 1.00 .00 EA 20.36 EA 20.36
Merchandise Misc Discount Tax Freight Total Due
363.74 .00 .00 .00 363.74
WE APPRECIATE YOUR BUSINESS
r+
Drescribed 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 1/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/2009 282311 $363.74
iereby certify that the attached invoice(s), or bill(s) is (are) true and
)rrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Off' er
j
/CQUCHER 08720-6 WARRANT ALLOWED
IN SUM OF
51747
RI -STATE BEARING CO., INC.
'.O. BOX 4737
:-VANSVILLE, IN 47724 -0737
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
r
i
'0 INV ACCT AMOUNT Audit Trail Code
282311 01- 7202 -06 $363.74
3
S
3
d
Voucher Total $363.74 I
c
'ost distribution ledger classification if
;laim paid under vehicle highway fund