223839 09/10/2013 "*F CITY OF CARMEL, INDIANA VENDOR: 00350868 Page 1 of 1
ONE CIVIC SQUARE BEARINGS HEADQUARTERS CO CHECK AMOUNT: $463.09
CARMEL, INDIANA 46032 PO BOX 6267
BROADVIEWIL 60153-6267 CHECK NUMBER: 223839
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4732944 463 . 09 OTHER EXPENSES
Bearing Headquarters Company
3199 North Shadeland Avenue INVOICE
P O Box 26188
Indianapolis IN 46226 tNVOic,E No. 4732944
Phone: 317-545-2411
P.O. Box 6267
Fax: 317-549-6228 Remiffo• Broadview, Illinois 60155-6267 1NVOicEDATE;1 8/26/13
F—C15369 F003 "The Service First Company"
S CARMEL UTILITIES s CARMEL WASTE WATER PLANT
L 760 THIRD AVENUE SW STE 110 I 9609 HAZEL DALE PARKWAY For Terms And Conditions Please Visit Below:
D P ATTN: BLAINE MALLABER
CARMEL, IN 462809999 http://www.bearingheadquarters.com/custonler_ternis.asp
0 CARMEL, IN 460320000 0
L— L—
'CUSTOMER PURCHASE'ORDER:s': e SHIP VIA >TERMS DATE SHIPPED SLMN ORDER NUMBER.::
S13699 UPS Ground Prepaid & Add Net 30 8/26/13 2424 8947637-000
SPECIAL INSTRUCTIONS >
TY:.ORDERED: i.QTY..:SHIPPED.,:::.: TY.BA K' IT M N J:D P I AMOUNT":<'
Q . C ORDERED:<::U7M'. E O ESCRIPTION::. »: R CE :> .. ..
1.00 1.00 .00 EA U15NS000163405 113.70 113.70
8020 X 2.500" FINISH BORE
CHAIN COUPLING HALF
1.00 1.00 .00 EA U15NS000163407 113.70 113.70
8020 X 2.125" FINISH BORE
CHAIN COUPLING HALF
1.00 1.00 .00 EA U15ZI32019 74.16 74.16
% 802OCC UST
1.00 1.00 .00 EA U15ZI32020 137.02 137.02
% 80 COVER UST
DELIVERY 4-5 DAYS
DIRECT UST 2595540 8/22/13
PO 494793
SUB-:TOTAL
TAX. SHIPPING:&<HANDLING:: SUB-TOTAL DEPOSIT BALANCE?DUE.;:...
438.58 .00 24.51 463.09 .00 463.09
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
350868
BEARINGS HEADQUARTERS CO Purchase Order No.
PO BOX 6267 Terms
BROADVIEW, IL 60155 Due Date 9/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2013 4732944 $463.09
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 # 136304 WARRANT # ALLOWED
350868 IN SUM OF $
BEARINGS HEADQUARTERS CO
PO BOX 6267
BROADVIEW, IL 60155
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4732944 01-7202-06 $463.09
Voucher Total $463.09
Cost distribution ledger classification if
claim paid under vehicle highway fund