168220 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
CHECK AMOUNT: $13.74
�Q CARMEL, INDIANA 46032 PO BOX 4737
<<o �a EVANSVILLE IN 47724 -0737 CHECK NUMBER: 168220
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 279936 13.74 OTHER EXPENSES
c
i.
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Cop
PH317- 924 -3287 FX317- 924 -3561
Remit to: Number 279936
P.O.Box 4737
Evansville, IN 47724 -0737 Date 01/12/09
DLS 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 1 9609 Hazel Dell Pkwy
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032
Reference Shipped. Salesperson Terms Tax Code.- boc Wh Freight Ship Via
01/08 /09 ZI House Indi NET 30 DAYS X 960839 07 PREPAID PU
item Description Ordered Shipped Backordrd UM Price FEA Extension
CHI 13534 OIL SEAL 3.00 3.00 .00 EA 4.58 13.74
Merchandise Misc Discount Tax Freight Total Due
13.74 .00 .00 .00 13.74
WE APPRECIATE YOUR BUSINESS
Prescribed by State board of ACCOunts �.ny rvi ii i iw. cv i kr-,cv i vvaj t
ACCOUNTS PAYABLE VOUCHER 5
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 1/15/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2009 279936 $13.74
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
JOUCHER 087122 WARRANT ALLOWED
W747 IN SUM OF
f RI -STATE BEARING CO., INC.
O. BOX 4737
:VANSVILLE, IN 47724 -0737
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
?O INV ACCT AMOUNT Audit Trail Code
279936 01- 7202 -06 $13.74
Voucher Total $13.74
Cost distribution ledger classification if
-laim paid under vehicle highway fund