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Home My WebLink About233141 05/28/14 9, �,q�f CITY OF CARMEL, INDIANA VENDOR: 366022 ONE CIVIC SQUARE - XYLEM WATER SOLUTIONS USA INC CHECK AMOUNT: 5""`"10,045.00' CHICAGO CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 233141 �"�TON�°` CHICAGO IL 60673-1267 CHECK DATE: 05/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350000 3556784788 1,170.00 EQUIPMENT REPAIRS & M 601 5023990 3556786444 8,875.00 OTHER EXPENSES Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET ................................................................................... YOUR PURCHASE ORDER INDIANAPOLIS IN 46214 Tel.(317)273-4470 Fax:(317)273-4480 Q `� 36677 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE 26717 Network Place 3556784788 952180 4/24/14 B57755 Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS 9 4/24/14 F1 123 NET 30 DAYS ................_............._. ......................... .......... .......... -.........._._..._......_............................. Sold To: Customer No 17056:8 snlP To: Global:Na 8 CARMEL-CLAY PARKS & RECREATION CARMEL-CLAY -PARKS & REC 1235 CENTRAL PARK DR E ATTN: DAWN KOEPPER 1235 CENTRAL PARK DRIVE E CARMEL IN 46032 CARMEL IN 46032 [NCO TERMS DELIVERY TERMS ORDER PROCESSED BY AP Jobsite No Freight Charge FLYGT-INDIANAPOLIS,,IN BRA ---SHIP-VIA — -- ORDER TEXT CUSTOMER TEXT MOBILE SERVICE TECH TOTALCARE BRONZE LGIBSON Ol1PiNTETY 5F41PPED U3UIT PRICE LINE ITEMf... C$. PT1O1.N NET PRICE EXTENDED AMOUNT UM DiSCOUNT/CHARG XYLEM/FLYGT SERVICE CONTRACT FOR FLO RIDER PUMPS PERFORMED ON 04/02/2014 . PUMP1: 7061. 665-S1041088 PUMP2 : 7061. 665-S1161078 001 1400000699759N 1 1, 170 . 00 1, 170 . 000 1, 170 . 00 TOTALCARE PM BRONZE-NO TAX EA 002 1400000699973A 10 117 . 00 LABOR,MOBILE-ININ EA Additional % Discount-Position 100 . 000 SUB-TOTAL OF POSITIONS 1, 170 . 00 ** ADD NO FREIGHT CHARGES ** NET AMOUNT BEFORI TAXES USD 1, 170 . 00 MAY 0- 7 '014 BY: ....................... ORDER TOTAL USD 7r(/Yn 1, 170 . 00 lD 9q _43,q-0 C)o� 'D T'r),D M P T1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Xylem Water Solutions USA, Inc. Terms 26717 Network Place Chicago, IL 60673-1267 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/24/14 3556784788 FLYGT Service for Flow Rider pumps 36677 $ 1,170.00 Total $ 1,170.00 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 20_ Clerk-Treasurer Voucher No. Warrant No. Xylem Water Solutions USA, Inc. Allowed 20 26717 Network Place Chicago, IL 60673-1267 j In Sum of$ I $ 1,170.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center i PO#or INVOICE NO. ACCT#frITLE AMOUNT Board Members Dept# 1094 3556784788 4350000 $ 1,170.00 1 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 i, i 22-May 2014 I Signature $ 1,170.00 i Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 'Xyl6m Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLI IN 4 2 4 S61 YOUR PURCHASE ORDER I I I W09954 Tel. 317 273 4470 Fax: 317 273_4480 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE 26717 Network Place 3556786444 954210 5/08/14 B60289 Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS 9 5/08/14 Cl 123 NET 60 DAYS Sold To: Customer No 20165:4 _....... .... ... . Ship To: Iola os ». ::>:::;: : .....................,..: :: ..... .. .. 8 2 7>1<8>1. .. CARMEL UTILITIES WTP CARMEL UTILITIES WTP 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 INCO TERMS DELIVERY TERMS ORDER PROCESSED BY AP Customer premise No Freight Charge FLYGT—INDIANAPOLIS,IN BRA SHIP VIA ORDER TEXT CUSTOMER-TEXT Branch Delivery RP#1167 3152.181 LGIBSON ..................... «; :.... GUANTtTY SHIPPED a3NIT PR:IOE LINE fT M D »s;»s>;:s>s>s::>: E ESCRkPTlQN;..;::>...... >:><:: ... .:::.::::::c>;:»»»::»>::>:>::>:;:::; :::. /.. ..::.,:. NET PR10E €XTENDED aM�UNT...... UM .:<>:«:»:::>>::....DISCOUNT/CHARGE >:. 001 0000006018921 1 1, 836. 00 1, 836 . 000 1, 836 . 00 KIT,REPAIR BASIC+ NI EA 3152 . 091, 181 STATE OF INDIANA SALEES TAX EXEMP ION CERT ON FILE 002 0000004268312 1 1, 402 . 00 1, 402 . 000 1, 402 . 00 STATOR, 25-11-4A 230/460V EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 003 0000003193800 1 395 . 00 395 . 000 395 . 00 RING,WEAR STATIONARY STE L/NBR EA STATE OF INDIANA SAL3S TAX EXEMP ION CERT ON FILE 004 0000003452502 1 349. 00 349 . 000 349. 00 RING,WEAR ROTATING 304 EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 005 0000000942109- 30 27 . 00 27 . 000 810 . 00 CABLE, SUBCAB AWG 6/3-2-1 GC+ FT 31MM STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE Cont on 2 'Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET ................................................................................... INDIANAPOLIS IN 46214 YOUR PURCHASE ORDER Tel. 317 273 4470 Fax: 317 273 4480 INVOICE N0. FUS NO. DATE SHIPPED DELIVERY NOTE 26717 Network Place 3556786444 954210 5/08/14 B60289 Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS 9 5/08/14 C1 123 NET 60 DAYS Page 2 Sold To: Customer No 2fl1&54 snlP To: TotialNo<< > »8f 27181«<>< »» � . CARMEL UTILITIES WTP CARMEL UTILITIES WTP 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 INCO TERMS DELIVERY TERMS ORDER PROCESSED BY AP Customer premise No Freight Charge FLYGT—INDIANAPOLIS,IN BRA SHIP VIA ORDER TEXT CUSTOMER TEXT Branch Delivery RP#1167 3152.181 LGIBSON »s>s;:;:a::.,:;.:: .. QUANTITY SHIPPED.: > .....::.UNIT PRICE t:fNE >sa:>: :::;....... M DESCRIPTION< sir.>cc»>:> ....: :.: NET PFBCE EXTJ NDEi3:AMOUNT. .::::::::t::::::::::...:.........,,...:,................................ ......................... _...._.._._..........: _................... __........ M:>:: >:<::>:. ::» . . U 1SCO.UNT.CHA:RGE::>::::>:_>:z:>:>s>:c: :<>.:<:>s:s:s: >::>:;::;::>::<:;: >:»::>:>::>:>: e»» >:>::>::> :>::»::;:»: 006 0000003809100 006 0000003809.100 1 422 . 00 422 . 000 422 . 00 BRACKET, SLIDING 2" CI EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 007 0000006065000 .1 2 , 304 . 00 2, 304 . 000 2 , 304 . 00 VOLUTE,MT 6" UNDR CI EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 008 1400000699973 13 97 . 00 97 . 000 1, 261. 00 LABOR, SERVICE-ININ EA STATE OF INDIANA SALE'S TAX EXEMP ION CERT ON FILE 009 1400000699834 1 55 . 00 55 . 000 55 . 00 ENVIRONMENTAL FEE 11-50H EA STATE OF INDIANA SALVES TAX EXEMP ION CERT ON FILE 010 140000'0699801 1 41. 00 41. 000 41.00 MAT'L,LUBES, SOLVENTS-MED PUMPS EA STATE OF INDIANA SAL33S TAX EXEMP ION CERT ON FILE Cont on 3 Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET I DIANAP YOUR PURCHASE R N OLIS IN 4 214 6 Tel.(317)273-4470 Fax:(317)273-4480 v I W09954 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 26717 Network Place 3556786444 954210 5/08/14 B60289 Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS 9 5/08/14 C111 NET 60 DAYS Page 3 Sold To: CIJS#omer Na: 20165:4 Ship To: Global t11q 8 027 181 CARMEL UTILITIES WTP CARMEL UTILITIES WTP 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 CARMEL IN 46074 ]NCO TERMS DELIVERY TERMS ORDER PROCESSED BY AP Customer premise No Freight Charge FLYGT-INDIANAPOLIS,IN BRA SHIP VIA, ORDER TEXT CUSTOMER TEXT Branch Delivery RP41167 3152.181 LGIBSON ifA T 5 ED it I 4 L#NE »>:';:::?:::<>>:,Li ,R....N..,ITY. HIPP N T PR C.E.::::::.:::. fM/DESGRfPTlON NET PRIDE fXTENDEb AMOUNT ;; UA& f�iSgOUNTtCHARGE 010 1400000699801 SUB- OTAL OF POS TIONS 8, 875 . 00 ** ADD NO FREIGHT CHAR ES ** NET AMOUNT BEFORI TAXES USD 8 , 875 . 00 ORDER TOTAL USD 8, 875 . 00 VOUCHER # 135180 WARRANT# ALLOWED 352772 IN SUM OF $ XYLEM WATER SOLUTIONS 26717 NETWORK PL CHICAGO, IL 60673-1267 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 3556786444 01-6200-04 $7,518.00 3556786444 01-6360-04 $1,357.00 I Voucher Total $8,875.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 352772 XYLEM WATER SOLUTIONS Purchase Order No. 26717 NETWORK PL Terms CHICAGO, IL 60673-1267 Due Date 5/21/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/21/2014 3556786444 $8,875.00 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