HomeMy WebLinkAbout215204 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
4 CARMEL, INDIANA 46032 PO Box 4737 CHECK AMOUNT: $284.19
EVANSVILLE IN 47724-0737 CHECK NUMBER: 215204
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 524061 284 . 19 OTHER EXPENSES
TRI-STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218
PH317-924-3287 FX317-924-3561
Remit to: Numtiei` 524061
P.O. Box 4737 11/19/2012
Evansville, IN 47724-0737 � •
DLS Phone: 812-425-1336 Fax: 812-421-6788
'Rage _ 1
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 .` I. Terms I Tax,Code Doc# VVh Freight Ship+Via
513385 11/13/12 ZI House Indi NET 30 DAYS X 149371 07 PRE/ADD UPS
Item Description Ordered Shipped _ Backordrd UM Price UM Extension
ATTN: BLAINE MALLABER
MORNP31 PILLOW BEARING BEARI 2.00 2.00 .00 EA 136.83 EA 273.66
UPS TRK No:I Z466E460350289235
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j',' sY—' lag rc:" r' iMT'.' �j'%'�:lx - .""�,n. 4 Y+, .'gib ... M r ',�,�y..F £N,
d, Merchandise. . Misc Discount £ ,Tax ,- Freight �Total:Due
=.M Iq KU.
273.66 .00 .00 10.53 284.19
WE APPRECIATE YOUR BUSINESS
Customer Copy ... Last Page
VOUCHER # 126207 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
524061 01-7202-06 $284.19
Voucher Total $284.19
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 11/27/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/27/201,' 524061 $284.19
1 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
i'G
Date Officer