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Home My WebLink About239953 12/09/14 u`CLAM F. CITY OF CARMEL, INDIANA VENDOR: 368286 b 1 ONE CIVIC SQUARE EVOQUA WATER TECHNOLOGIES CHECK AMOUNT: $**.....199.00* CARMEL, INDIANA 46032 PO BOX 360766 CHECK NUMBER: 239953 'M,iroN�o, PITTSBURGH PA 15251 CHECK DATE: 12/09/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 901950251 199.00 OTHER EXPENSES evoQUA Invoice WATER TECHNOLOGIES Branch: 019 Billing No.: 901950251 Billing Date: 11/19/2014 Sales Order/Contract: 40183363 / 10 Service Order No.: 51085440 Service/Work Date:. 11/18/2014 Customer No.: 1041262 Bill-to: 1041262 Customer PO No.: S14420 CITY OF CARMEL Incotermslpart 11: FOB Free on board WASTEWATER TREATMENT PLANT Incotermslpart 21: Free on board 9609 HAZEL DELL PKWY Payment Terms: Net 45 days INDIANAPOLIS IN 46280 Sales Rep: DANIEL GUISER Functional Location: 0192160654 Remit-to address: Ship-to address: 2160654 Evoqua Water Technologies LLC CARMEL WASTE WATER UTILITIES — -P.O.-BOX--360766 9609 HAZEL DELL PKWY PITTSBURGH PA 15251-6766 INDIANAPOLIS IN 46280 United States Telephone# 1-800-466-7873 Line Item Material Old Part Origin Qty./UO Unit Price Total Price Tax Total Description Number M Currency USD Currency USD Currency USD 000010 W5TDIMB10079FSP DIMB10079FS US 2 EA 90.00 180.00 0.00 180.00 SDI MIXBED1 .79CF FBGLS P STD POT ECCN: EAR99 000020 W3TSP4276 1 EA 19.00 19.00 0.00 19.00 FUEL/ENERGY Surcharge ECCN: EAR99 For domestic shipments the following applies: These commodities are sold for domestic consumption. Any export of these commodities must be made in accordance with applicable US laws. For export shipments from the US the following applies: These commodities, technology or software (items) were exported from the United States in accordance with the Export Administration Regulations Diversion contrary to US law is prohibited. These items are not to be used directly or indirectly in prohibited nuclear chemical/biological or missile weapons activities. Net Total 199.00 USD Shipping and Handling 0.00 USD State Tax 0.000 % 0.00 USD County Tax 0.000 % 0.00 USD City Tax 0.000 % 0.00 USD Dist/Other Tax 0.000 0.00 USD Total Amount Including Tax 199.00 USD To pay by credit card, please call 1-800-875-7873 ext. 7034 If paid after 01/04/2015, please pay 201.99 USD Page 1 of 1 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 368286 EVOQUA WATER TECHNOLOGIES Purchase Order No. PO BOX 360766 Terms PITTSBURGH, PA 15251-6766 Due Date 12/3/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/3/2014 901950251 $199.00 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 Date Officer VOUCHER # 146118 WARRANT # ALLOWED 368286 IN SUM OF $ EVOQUA WATER TECHNOLOGIES PO BOX 360766 PITTSBURGH, PA 15251-6766 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 901950251 01-7362-05 $199.00 Voucher Total $199.00 Cost distribution ledger classification if claim paid under vehicle highway fund I