HomeMy WebLinkAbout218768 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 364797 Page 1 of 1
QJ� ONE CIVIC SQUARE BAILEY TOOLS&SUPPLY CHECK AMOUNT: $424.32
CARMEL, INDIANA 46032 PO BOX 17526
LOUISVILLE KY 40217 CHECK NUMBER: 218768
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1195352 424 . 32 REPAIR PARTS
0312BI13 12: 52 PH 502-635-6470 via VSI—FAX Page 1 of 2 #67660 Of
INV®ICE
Bailey Tools & Supply, Inc. INVOICE
Branch: 04 Bailey Tools-Indianapolis 1195352
P.O.Box 17526 Invoice Date. Page
Louisville,KY 40217 3/27/2013 16:12:57 1 oft
USA ORDER NUMBER
1212278
502-635-6348
Bill To: Ship To:
Carmel Street Dept Carmel Street Dept
3400 W 131st St Will Call
Westfield,IN 46074 Indianapolis,IN 46268
Ordered By:Mr.Jeff Stewart
Customer ID: 6925
PO Number Terms Description fret Due Date Disc Due Date Discount Amount
VER JEFF S. Net 30 04/26/13 04/26/13 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
3/21/2013 13:55:17 1197096 Keith Burgess M TERNET
Ottantities
Pricing
Item ID UOM Unit Extended
Ordered Shi d Remaining UOM 4 Item Description Price Price
P� g Unit Size q Unit Size
Carrier: Tracking#:
1 1 0 EA PARTS 6703 EA 43.890 43.89
1.0 Repair Parts 1
#176028 REAR AXLE SHAFT
2 2 0 EA PARTS 6703 EA 58.000 116.00
1.0 Repair Parts 1
# 176025 PIVOT BLOCK
2 2 0 EA PARTS 6703 EA 0.990 1.98
1.0 Repair Parts 1
4020553 SET SCREW NEW 542 020 553
4 4 0 EA PARTS 6703 EA 5.490 21.96
1.0 Repair Parts 1
#539 300 123 COLLAR ASSY
4 4 0 EA PARTS 6703 EA 1.580 6.32
1.0 Repair Parts 1
#542 046 402 WASHER
2 2 0 EA PARTS 6703 EA 99.000 198.00
1.0 Repair Parts 1
#043280 WHEEL 8"
1 1 0 EA PARTS 6703 EA 18.800 18.80
1.0 Repair Parts 1
#542 044 181 WHEEL DRIVE
2 2 0 EA PARTS 6703 EA 0.690 1.38
1.0 Repair Parts 1
#020643 ROLL PIN
REPRINT�` �:
03/20/13 12: 52 PM 502-635-6470 via VSI-FAX Page 2 of 2 #67660 0=
INV®ICE
Bailey Tools & Supply, Inc. INVOICE
Branch: 04 Bailey Tools-Indianapolis 1195352
Invoice Date Page
P.O.Box 17526
Louisville,KY 40217 3/27/2013 16:12:57 2 oft
USA ORDER NUMBER
1212278
502-635-6348
Total Lines:8 SUB-TOTAL: 408.33
TAX. 0.00
FREIGHT: 15.99
AMOUNT DUE: 424.32
REPRINT
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/27/13 1195352 $424.32
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bailey Tools and Supply, Inc.
IN SUM OF $
P. O. Box 17526
Louisville, KY 40217
$424.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1195352 I 42-370.001 $424.32 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Th r day it 04, 2013
Street Commissi
Street fNmssloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund