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Home My WebLink About234435 07/01/14 �'�,q+, CITY OF CARMEL, INDIANA VENDOR: 366022 ..... .�= �• ONE CIVIC SQUARE XYLEM WATER SOLUTIONS USA INC CHECK AMOUNT. $ 6,857.00 t: :� 4 CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 234435 '�„�TON�r CHICAGO IL 60673-1267 CHECK DATE: 07/01/14 DEPARTMENT ACCOUNT PO NUMBER ' INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 3556790107 6,857.00 OTHER EXPENSES 'yle°n Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLIS,IN 46214 j XV-04'.: ►T �r T L� YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 j L�1 i 1 L KR50514 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 3556790107 957725 6/03/14 B65742 26717 Network Place INVOICE DATE TRN WHS PAYMENT TERMS Chicago, IL 60673-1267 6/03/14 C1 123 NET 60 DAYS __ ..... .............................................................................. ............................................................................... sold.To: Customer No 201654 Ship To: `Global Na- 8027181 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 Customer Pick Up 3152.181-9240067 RP##1220 LGIBSON c; . .........:..,:,:.: ***....... QUANTITY:SHIPPED :? <>>>'UN4T:PRtCE LINE ITEMfDESCRIPTION .: NET PRICE EXTENDED A:MQtlNT UISF DISCOUNT/CHARGE i. 001 0000006018921 1 1, 836 . 00 1, 836 . 000 1, 836 . 00 KIT,REPAIR BASIC+ NI EA 3152 . 091, 181 STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 002 0000003193800 1 395 . 00 395 . 000 395 . 00 RING,WEAR STATIONARY STE L/NBR EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 003 0000003809100 1 422 . 00 422 . 000 422 . 00 BRACKET, SLIDING 2" CI EA STATE OF INDIANA SALES 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 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 006 1400000699973 13 97 . 00 97 . 000 1, 261 . 00 Cont on 2 Tyle, Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET ( �+ INDIANAPOLIS,IN 46214 I LSI V I C li YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 KR50514 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 26717 Network Place 3556790107 957725 6/03/14 B65742 Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS 9 6/03/14 C1 123 NET 60 DAYS Sold To: CUstomerNo ZD1654 Page 2 . .. Ship To: .. G..lobal:.No...........::8.0 2?:1.81.::.::;.>.:::. 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 Customer Pick Up 3152.181-9240067 RP#1220 LGIBSON QUANTITY SHIPPED (UNIT PRICE L[NE STEM/DESCRIPTION:' NET PR10E EXTENDED AMQIJNT UM--- --- .. DISCOUNT/CHARGE 006 1400000699973 LABOR, SERVICE-ININ EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 007 1400000699834 1 55 . 00 55 . 000 55 . 00 ENVIRONMENTAL FEE 11-50H EA STATE OF INDIANA SAL7,S TAX EXEMP ION CERT ON FILE 008 1400000699801 1 41. 00 41 . 000 41 . 00 MAT'L,LUBES, SOLVENTS-MED PUMPS EA STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE 009 1400000699973 2 97 . 00 97 . 000 194 . 00 LABOR, SERVICE-ININ EA STATE OF INDIANA SAL3S TAX EXEMP ION CERT ON FILE SUB- OTAL OF POSITIONS 6, 857 . 00 ** ADD NO FREIGHT CHAR ES ** NET MOUNT BEFORI TAXES USD :6 , 657 .00 DISPATCH INFO: REPAIR TAG 1220 ORDER TOTAL USD 6, 857 . 00 VOUCHER # 135486 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 3556790107 01-6200-04 $5,402.00 3556790107 01-6360-04 $1,455.00 Voucher Total $6,857.00 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 6/21/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/21/2014 3556790107 $6,857.00 I I 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 /G7/. Gc�-�G✓3+.�Nl.a �T-- Date Officer