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235490 07/30/14
1 u�"4,Agl / \ CITY OF CARMEL, INDIANA VENDOR: 356869 ,; 31• ONE CIVIC SQUARE SEEPEX INC CHECK AMOUNT: $****10,154.14* ,. ?a CARMEL, INDIANA 46032 PO BOX 951454 CHECK NUMBER: 235490 �ljiroe�� CLEVELAND OH 44193 CHECK DATE: 07/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 30428025 10,154.14 OTHER EXPENSES seepex seepex©c®m Inc. 511 Speedway Drive Enon, Ohio 45323 USA Phone (937)864-7150 Invoice Fax (937)864-7157 BILL TO: www.seepex.com Carmel WWTP No. 30428025 sales@seepex.net Attn: Paul Arnone / PO S14080 Date 07/03/2014 9609 Hazel Dell Parkway Delivery Note No. 1314097 INDIANAPOLIS IN 46280 Delivery Date 07/03/2014 USA Our Order No. 2255673 Page 1( 1) Your P.O. No. S14080 SHIP TO: dated 06/24/2014 Carmel WWTP Your Customer No. 204168 Attn: Blaine Malla-ber / PO S14080 9609 Hazel Dell Parkway INDIANAPOLIS IN 46280 USA Terms of delivery FOB Shipping Point Enon REMIT TO: Shipping terms: seepex Inc. Fed Ex FEDEX FREIGHT P.O. Box 951454 Weight total(KG) Cleveland, OH 44193 135.0 USA Tracking No. 3110754220 Item Material Qty. Price p. unit Discount Total(USD) 10 SGTF006007000XN612 2 EAC 1,214.10 20.00-% 1,942.56 Single Set Joint Parts 060/70 NBR 30321 30 STAH5060035OCNNX00 1 EAC 9,949.35 20.00-% 7,959.48 — -stator-60,35-12 -FPP`•-I specia; 0677 - — - _ -- - -- Items --Items total 9,902.04 Freight/Insurance 252.10 Net value 10,154.14 Final amount (USD) 10,154.14 Terms of payment within 30 days net Please note: These commodities, technology, or software were exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to U.S. law prohibited. VOUCHER # 145179 WARRANT# ALLOWED 356869 IN SUM OF $ SEEPEX INC PO BOX 951454 CLEVELAND, OH 44193 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 30428025 02-2308-00 $10,154.14 Depreciation Voucher Total $10,154.14 Cost distribution ledger classification if claim paid under vehicle highway fund 64 7as)q 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 356869 SEEPEX INC Purchase Order No. PO BOX 951454 Terms CLEVELAND, OH 44193 I Due Date 7/24/2014 P f Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/24/2014 30428025 $10,154.14 f 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 -7/7- Date ZDate Officer