231213 04/08/14 9-- )
CITY OF CARMEL, INDIANA VENDOR: 356597
ONE CIVIC SQUARE DEZURIK WATER CONTROLS CHECK AMOUNT: $"""118,644.00'
CARMEL, INDIANA 46032 NW 5520 PO BOX 1450 CHECK NUMBER: 231213 MINNEAPOLIS MN 55485-5520 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 60002279 87,844.00 OTHER EXPENSES
609 5023990 60003738 30,800.00 OTHER EXPENSES
250 Riverside Ave N 320-259-2000 p
DeZURK Sarfell MN 56377 USA 320-259-2227 f
L;zl��jfl I M 0 ao a]1;0 INVOICE
Customer/ Original/ Page 1
Date Ship Date Customer PO No. Agent Ref . No. Invoice No.
03-12-2014 03-11-2014 W09885 911300 RPI/60003738
SOLD TO 122163 SHIPPED TO
CARMEL UTILITIES CARMEL WATER TREATMENT PLANT # 1
3450 WEST 131ST STREET 4915 EAST 106TH STREET
CARMEL, IN CARMEL, IN
46074 46033
DEL.TERMS: Prepaid and Allow TERMS: Net 30 Days
ORDER NO. : 921685 DUE DATE: 04-11-2014
Dez ICustomer I Quantityl. Part Number I Revision I Price (Unit I Amount
ItemlItem
I I I I I I I
Reference A 807369
Reference B ; TAS Project Name CARMEL WTP # 1 PH 2
IF PRODUCTS LISTED BELOW REQUIRE MATERIAL SAFETY
DATA SHEETS IN ACCORDANCE WITH OSHA (1910.1200
(B) (5) IV, (C) ) THEY WILL ACCOMPANY PRODUCT
SHIPMENT.
4 3a 2.00 9638666 15400.00 ea 30800.00
DeZURIK - BAW,12,F1,CI,NBRN-NBR,150B,DI-S1*X*A25461
TAG: B-209; B-210
Goods
Total USD
30800.00 30800.00
PLEASE REFERENCE OUR'INVOICE NO. RPI/60003738 WHEN REMITTING PAYMENT.
REMIT TO:DeZURIK, Inc. COURIER TO:DeZURIK, Inc. WIRE TO:DeZURIK, Inc.
NW 5520 Lockbox NW 5520, Account Number 4121081996
PO BOX 1450 1801 Parkview Drive ABA #121000248 ,Wells Fargo Bank
Minneapolis, MN -55485-5520 Shoreview, MN -55126 San Francisco, CA
1685-0612
250 Riverside Ave N 320-259-2000 p
DeZURIK Bartell MN 56377 USA 320-259-2227 f
1fl M INVOICE
Customer/ Original/ Page 1
Date Ship Date Customer PO No. Agent Ref . No. Invoice No.
02-14-2014 02-13-2014 W09885 911300 RPI/60002279
SOLD TO 122163 SHIPPED TO
CARMEL UTILITIES CARMEL WATER TREATMENT PLANT # 1
3450 WEST 131ST STREET 4915 EAST 106TH STREET
CARMEL, IN CARMEL, IN
46074 46033
DEL.TERMS: Prepaid and Allow TERMS: Net 30 Days
ORDER NO. : 921685 DUE DATE: 03-16-2014
Dez (Customer I Quantityl Part Number I Revision I Price (Unit I Amount
ItemlItem
I I I I I I I
Reference A 807369
Reference B TAS Project Name CARMEL WTP # 1 PH 2
IF,.PRODUCTS. LISTED BELOW REQUIRE MATERIAL SAFETY
DATA SHEETS IN ACCORDANCE WITH OSHA (1910.1200
(B) (5) IV, (C) ) THEY WILL ACCOMPANY PRODUCT
SHIPMENT.
1 1 8.00 9638664 7487.00 ea 59896.00
DeZURIK - BAW,16,F1,CI,NBRN-NBR,150B,DI-S1*X*A25459
TAG: B-205; B-205A; B-205C; B-205D; B-206;
B-206A; B-206C; B-206D
2 1 2.00 9638664 7487.00 ea 14974.00
DeZURIK - BAW,16,F1,CI,NBRN-NBR,150B,DI-S1*X*A25459
TAG: B-205B; B-206B
3 2 2.00 9638665 6487.00 ea 12974.00
DeZURIK - BAW,10,F1,CI,NBRN-NBR,150B,DI-S1*X*A25460
TAG: B-205E; B-206E
Goods Total USD
87844.00 87844.00
PLEASE REFERENCE OUR INVOICE NO. RPI/60002279 WHEN•REMITTING PAYMENT.
REMIT TO:DeZURIK, Inc. COURIER TO:DeZURIK, Inc. WIRE TO:DeZURIK, Inc.
NW 5520 Lockbox NW 5520, Account Number 4121081996
PO BOX 1450 1801 Parkview Drive ABA #121000248 ,Wells Fargo Bank
Minneapolis, MN -55485-5520 Shoreview, MN -55126 San Francisco, CA
1685-0612
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
356597
DeZURIK WATER CONTROLS Purchase Order No.
250 Riverside Avenue North Terms
Sartell, MN 56377 Due Date 3/19/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2014 60003738 $30,800.00
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 O er
I
VOUCHER # 134510 WARRANT # ALLOWED
356597 IN SUM OF $
DeZURIK WATER CONTROLS
250 Riverside Avenue North
Sartell, MN 56377
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
t
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
60003738 07-1052-14 $30,800.00
oe
Voucher Total 0.
Cost distribution ledger classification if
claim paid under vehicle highway fund