225040 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 00350268 Page 1 of 1
ONE CIVIC SQUARE PEERLESS-MIDWEST, INC
CARMEL, INDIANA 46032 55860 RUSSELL INDUSTRIAL PARKWAY CHECK AMOUNT: $2,722.00
MISHAWAKA IN 46545 CHECK NUMBER: 225040
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 37529 2, 722 . 00 OTHER EXPENSES
KRUM
55860 Russell Industrial Parkway/Mishawaka, Indiana 46545/574.254.9050/Fax 574.254.9650
Federal ID#35-1284374
8135 INVOICE NO. Vendor#
Carmel Utilities
37529
SOLD TO O kloveall@carmel.in.gov TERMS- NET 30 DAYS. 1.5%SERVICE CHARGE(18%ANNUAL RATE)EACH
(Kerri Lovea ) MONTH THEREAFTER.A lien will be filed for unpaid invoices after 45 days
Invoice Date Proj Mgr.
9130/2013 TTH
S. 0. No. Your Order No.
8135 26245
Carmel Utilities Tax Exempt? Reason Tax Exempt 2013
ATTN:Accounts Payable
3450 W 131 st Street Yes QX No Pol. Sub.
Carmel, IN 46074 Labor CosF Material Cost Tax
WATER PLANT No. 4; HIGH SERVICE PUMP No. 1
Replaced drive couplings and guard; aligned pump after work completed
Labor and Equipment
818 Replaced couplings and aligned pump
Two man crew; 9 hours at $200 per crew hour ��-A Total for Labor and Equipment------$ 1,800.00 ke
Material
(1) Coupling guard assembly 150.00
(2) Sure flex flanges at $114 each 228.00
(2) Orange, heavy duty centers for flanges at $272 each 544.00
Total for Material------$ 922.00 I N
TOTAL AMOUNT FOR THIS INVOICE------$ 2,722.00
I
WE APPRECIATE YOUR BUSINESS. THANK YOU !
We Accept American Express, Visa and MasterCard. Call 574/254-9050 for details.
We only accept credit cards within 30 days of invoice date.
- FILE:— -25356-(6)- - (Carmel Plant4; HS 1) -
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
An invoice or bill to be properly itemized must show, kind of service, where
f 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 10/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/2/2013 37529 $2,722.00
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
Date Officer
VOUCHER # 132967 WARRANT # ALLOWED
350268 IN SUM OF $
PEERLESS-MIDWEST, INC .
55860 RUSSELL INDUSTRIAL PARKW)
MISHAWAKA, IN 46545
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
37529 01-6200-04 $922.00
37529 01-6360-04 $1,800.00
I
I
{
Voucher Total $2,722.00
Cost distribution ledger classification if
claim paid under vehicle highway fund