HomeMy WebLinkAbout237066 09/10/14 +p,_CgF+I
�/ \f. CITY OF CARMEL, INDIANA VENDOR: 366022
ONE CIVIC SQUARE XYLEM INC CHECK AMOUNT: $*******819.98*
CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 237066
9MQlpy Gtr: CHICAGO IL 60673-1267 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3556800821 819.98 OTHER EXPENSES
Page 1 of 1
xylem
Let's Solve Water
Bill To: Ship To: Please include the invoice number on all
CITY OF CARMEL CITY OF CARMEL remittances and include remittance copy with
760 THIRD AVE SW 760 THIRD AVE SW postal payments.
CARMEL, IN 46032 CARMEL, IN 46032 I _ _ Invoice
3556800821
Remit To: .Billing bate Shipping Date
Xylem Inc. 08/15/2014
26717 Network Place
CHICAGO, IL 60673-1267 S14033 _
Sales Order +
3556-956907
Shipping Reference Ship Via
[_Customer Number ` :Customer`Location-_j
- 8022006
;Terms Due Date Salesperson. Customer Contact ,Contact Phone +,Contact Fax i
_��
NET 30 09/14/2014
Item Description ' - Quantity Shipp`edTax _ Unit Price Extended Amount
lurn
�1 :1400000658570 ORIGA-MAINTENANCE KIT 2,No 350 00. 700.00
2 1408152000477GORIGA END CAP',SCREW 1 8'No 6.00: • 48.00
3 1400000657165 COUNTERSINK SCREW - 4No 6 50 26:00'
Tax Summary
ax Code -.,'.,Tax, Inclusive Tax Tax Precedence Tax Extended Amount
'n Rate(%)
No data exists _
Special Instructions SubTotal 774.00
-N/A- Tax 0.00
-- Shipping 45.98
Total 819.98
Payments and 0.00
Credits
Financial Charges 0.00
Outstanding balance 819.98
as of 08/22/2014 in
USD
VOUCHER # 145469 WARRANT # ALLOWED
352772 IN SUM OF $
Xylem Water Solutions USA Inc (GODW
26717 Network Place
Chicago, IL 60673-1267
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
.00
� b I�
Voucher Total $---3�0
I
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 USA Inc(GODWIN PUMF Purchase Order No.
26717 Network Place Terms
Chicago, IL 60673-1267 Due Date 9/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 3556785018 $3,342.00
h
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