220296 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1
4 � ONE CIVIC SQUARE PEERLESS-MIDWEST,INC
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY CHECK AMOUNT: $10,286.30
MISHAWAKA IN 46545 CHECK NUMBER: 220296
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 36153 5, 442 . 00 OTHER EXPENSES
601 5023990 36154 4, 844 . 30 OTHER EXPENSES
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INVOICE NO. Vendor 1
Camiel Water t
SOLD 1-0 Payable
Carmel, IN 116074 Proj M91.
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VVEST-5D0ETER PUMP 3
Ro6ui|d RotatingAssemb|y
Labor and Equipment
(20) Hoursof Machine Work atS100 per hour
Total Amouotfo, Labo, and Equipment------ 2.080.00
Material
(2) Bronze Wear Rings 733,80
(2) Shaft Sleeves 1'292.00
(2) Shaft NNs 733.00
pV0 Rings and Keys 56.00 '
(V Inboard Bearing 90.00
(DOutboa^d Bearings 466.00
(U Casing Gasket 72�OO
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Total AnIOUnt f01- Material------------ 3.442.00
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TOTAL AMOUNT DF THIS INVOICE------------$ 5'442.00
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WE APPRECIATE YOUR BUSINESS. ZHAy0Ky0V /
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VVe Accept American Express, Visa and MasterCard. Call 574/254-9O50 for details.
VVe only accept credit cards within J0 days of invoice date.
FILE: 22258_(B)
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Department 36154 |
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WEST BOOSTER PUMP
Rebuilt Rotating Assembly
Lvhm-anJ Equipmeot
(20) flours of Machine Work at$l0O per hour
Total Amoont [orLabor and Eqvipmeoi------' 2.000.00 �
Mn1ada �
(2) Bronze Wear Rings 270.30 �
(2) Shaft Sleeves 8O40U �
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(2) Shaft Nuts 309.40 '
(4)[) Rings and Keys 8O18 {
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(1) Inboard Bearing 71.40 ,
(2)Outboard Bearings 71.40 '
[0 Grease Seals 62.90
(1)Casing Gasket 57.80 /
(1) Inboard Bearing Housing 282.20 /
(1)Oothoa,6 Bearing Housing 28220 !
(V Bearing Housing Covers 472.60 |
Total Amount for Material------------ 2'844.30
TOTAL AMOUNT OF THIS INVOICE------------g 4.844.30
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WE APPRECIATE YOUR BUSINESS. THANK YOU /
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We Accept American Express,Visa arid MasterCard. Call 574/254-9050 for details. �
VYe only accept credit cards within 30 days of invoice date. i
FILE: 22258(8)
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
350268
PEERLESS-MIDWEST, INC Purchase Order No.
55860 RUSSELL INDUSTRIAL PARKWA Terms
MISHAWAKA, IN 46545 Due Date 5/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/11/2013 36153 $5,442.00
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 # 131571 WARRANT # ALLOWED
350268 IN SUM OF $
PEERLESS-MIDWEST, INC
55860 RUSSELL INDUSTRIAL PARKWY
MISHAWAKA, IN 46545
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
ny
36153 01-6200533' $3,442.00
Dy
36153 01-6360-0 . $2,000.00
31e)54 bt.67_m,aF ,
Stet ok.(D3(ab ljE a�ob.C�
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund