HomeMy WebLinkAbout238550 10/21/14 ,J4���H4F(
CITY OF CARMEL, INDIANA VENDOR: 366022
ONE CIVIC SQUARE XYLEM WATER SOLUTIONS CHECK AMOUNT: $*****5,071.00*
:9® ?� CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 238550
M,iTON_�o, CHICAGO IL 60673-1267 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3556807015 5,071.00 OTHER EXPENSES
Xylmhm Wafter Solutions U.S.A., Inc.
7.615W. NEW YORK'STREET
INDIANAPQLISjN.4625.4 YOUR PURCHASE ORDER
IN�VQ.IC
Te1.(3,17)275 4470 Fax'(317)273-4480 S=1.4345
INVOICE NO. FUS NO'.: DATE SHlQPEO J'DELIVERY'NbTE
3556807015. 974168 9/24/:14 B9T027'
26.717 Network Place
Chicago, IL 60673-1267 INVOICE DATE TRN WHS' ,PAYNIENTTERMS
9 9%24/14 A3 11.5 NET 60 DAYS-
Sold To: Customer No: 201654 . Ship To:
:'0oal'No 8027181
CARMEL UTILITIES WTP CARMEL UTILITIES WTP
3450 W 131ST ST 3450 W 131ST :ST
CARMEL IN 4.6.074
CARMEL IN 46.074
INGO TEAMS DELIVERY TERMS ORDER PROCESSED BY.
OB@O US WH/'FktO.ry' PP./Add Order Pos t o FLYGT:INDIANAPOLIS„IN BRA
SHIP VIA ORDER.TEXT” CUSTOMER TEXT
OLD; 'DOMINION TRUCKING Cdr-m'el Waste Water Treatm Vicki.. ,LeFeber
QUANTITY:SHIPPED UNIT PRICE
ITEM/DESCRIPTION NET PRICE EXTENDED AMOUNT
UM DISGQIiNTlCIiARGE
Quote#' 20`14--IND-0431
00l' 00',00003812612 1 1, 568..00 1,5'68 :000 1,:568 ;.00.
S7ATOR;,_25-1;5-4A .23,0./480V .3;PH+ EA
23OV:,1PH
STATE OF INDIANA SALES TAX EXEMP ION CERT ON FILE
002 00'10000510-8`805 1 1, 958 ..00 1, 958 ..000. 1.;958-..00
ROTOR UNIT EA
STATE OF INDIANA SAL31S TAX EXEMP ION CERT ON' F L'E
00'13 00(6000.942109 50 27 .00 27.-000, 1,35`Q:,00.
'CABLE, SUBCAB AWG 6:/3-2-1 GC'+ FT
31MM
STATE OF INDIANA SAL3S TAX EXEMP. ION CERT ON FILE
004.:14'0.000.0.69.983ON 1 195 .:00 19.5.000 19!5 .00
FREIGHT CHARGE-NO: TAX EA;
STATE, OF INDIANA: SALES. `TAX EXEMP, I'ON 'CERT. ON- FILE
SUB OTAL -OF POS TIONS' 5.„•0 T.1,-0,0.
*FREIGHT .CHARGED AS LINE ITEM*
:Cont .on 2
Xylem Water Solutions U.S.A., Inc.
761.5W.,W'..NEW YORK-STREET
,INDIAN APQLI5,IN 46214 YOUR PURCHASE`�ORDER,
INVOICE
Tel.(317)273-4470 Fa(:(317)273-4480. S-14345'
INVOICE NO, FUS;NO. DAT.E:,SHIPPED. DELIVERY NOTE
35.56807015
INV . 974:16---8 9/24/14 B51;0'2.7
2671.7 Network Place
OICE DATE TAN WHS'; PAYMENT TERMS:
'Chicago, lL 69673=1267 5/'24/i4' A3 115 NET 6.0 ,DAYS
Page ;2.
Sold To:: Customer No _:2 01.6'54. .. .Ship To:
Global No 8 0 1718-1,
CARMEL UTILITIES< WTP CARMEL UTILITIES WT)
3450' W 181$' ST 3450 W '1-3139'± ST
CARMEL IN 48074
CARMEL IN 460.74
1NC0°TERMS: DELiVERX'TERMS OR DER,PROCESSED,.BY.
OB@O US WH/Factory. PP/Add; Order Posi.tiO FLYGT'-,INDIANAPOLIS,IN:BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
'bLD DOMINION TRUCKING_ Carmel Waste Water Treatm Uick LeFeber.
QUANTITY SHIPPED r, UNIT PRICE
LINE 17EMtDESCRIPTION NET PRICE EXTENDED AMOUNT
UM DISCOUNT/CHARGE : , , .
:TOTL WEIGHT ;2 8A . O Q
ALBS
NET MOUNT 'BEFORI TAXES' USD 5,oll-. 0:0
Dl S' PATCH INFO': '0622039969-2
'O ,DER ;TOTAL "USD.
5,071. 00.
VOUCHER # 145787 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
3556807015 01-7200-04 $5,071.00
Voucher Total $5,071.00
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
r
352772
Xylem Water Solutions USA Inc(GODWIN'PUMF Purchase Order No.
26717 Network Place Terms
Chicago, IL 60673-1267 Due Date 10/15/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/15/201, 3556807015 $5,071.00
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
/6)/7//4/ Ci-• °1;i'1 111 r� .n
Date Officer