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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