HomeMy WebLinkAbout214108 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
0 ONE CIVIC SQUARE TRI STATE BEARING CO INC CHECK AMOUNT: $120.31
CARMEL, INDIANA 46032 PO BOX 4737
EVANSVILLE IN 47724-0737 CHECK NUMBER: 214108
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 143910 33 . 67 OTHER EXPENSES
651 5023990 516596 86 . 64 OTHER EXPENSES
TRI-STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317-924-3287 FX317-924-3561
P.OR mit to: Number, 516596
Evansville, IN 47724-0737 Dated 10/04/2012
CW Phone: 812-425-1336 Fax: 812-421-6788 Page 1
B#176: 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
pp p.,.
Reference # Shipped Salesperson Terms Tax Code .Doc #. : Wh` Freight Ship Via
JEFF C 10/03/12 ZI House Indi NET 30 DAYS X 143909 07 PRE/ADD UPS
I -
Item., Description Ordered Shipped Backordrd UM Price UM Extension
CL12C-237 2 3/8"2pc SPLIT COLL 3.00 3.00 .00 EA 26.36 EA 79.08
UPS TRK 1Z4448390360333709
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�s Meichan se ¢g std ,� 'Disc"ount � h. Tax' r, *Fieight t Total Due;
w Misc
�. ".Ea,,
79.08 .00 00 7.56 86.64
WE APPRECIATE YOUR BUSINESS
Customer Copy ... Last Page
TRI-STATE BEARING INVOICE
Shipped from:
414 N. INGRAM ST
HENDERSON, KY. 42420
PH270-826-0617 FX270-826-0989
Remit to: �'
Nuinbe =.; 51_6931
P.O. Box 4737 Date. 10/05/2012
Cw Evansville, IN 47724-0737 Page;," 1
Phone: 812-425-1336 Fax: 812-421-6788
.' Bill.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 Salesperson Terms Tax Code Doc # Wh Freight Ship Via
JEFF 10/03/12 ZI House Indi NET 30 DAYS *9 143910 03 PRE/ADD UPS
Item Description Ordered Shipped Backordrd UM Price UM Extension
CLI2C-237 2 3/8"2pc SPLIT COLL 1.00 1.00 .00 EA 26.36 EA 26.36
UPS TRK 1 Z507E550349877513
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MG .� 4.4 sii"�' Sa:1,1, Merchandise f tM/SC 4 Discount � Y , Tax' , Freight q Tota/`Due,
W� �i3� �1r a Y Ira 'k
'4 A"t
26.36 .00 .00 7.31 33.67
WE APPRECIATE YOUR BUSINESS
Customer Copy ... Last Page
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 10/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/201: 516596 $86.64
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 125923 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
i
I
516596 01-7202-06 $86.64
i
!43910 01-7aag-oi6 33,(7
31
Voucher Total4
Cost distribution ledger classification if
claim paid under vehicle highway fund