241280 01/22/15 %.c,qy\� CITY OF CARMEL, INDIANA VENDOR: 368799
® ONE CIVIC SQUARE FLOSOURCE CHECK AMOUNT: $*******159.38*
_� CARMEL, INDIANA 46032 489 GARDNER AVE CHECK NUMBER: 241280
°MjiTON p MARTINSVILLE IN 46151 CHECK DATE: 01/22/15,
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 48684 159.38 OTHER EXPENSES
36686
489 Gardner Ave Invoice
MFLOSCURL& Martinsville, IN 46151 Invoice Number:
VALVES I ACTUATION I INSTRUMENTATION l STEAM SPECIALTIES www.flosource.com 48684
Invoice Date:
2015
Voice: 765-342-1360 Jan 5, Page:
Fax: 765-342-1361 1
E-Mail: sales@flosource.com
Sold To: Ship to:
Carmel Utilities/Water Operations armel Utilities/Water Operations
3450 W. 131st St. 4915 E 106th Street
Carmel, IN 46074 Tag: PO# JR102814
USA Carmel, IN 46033
USA
Customer ID Customer PO Payment Terms
Carmel Utilities JR102814 Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
Tim Colley UPS ACCT # Y22R43 2/4/15
Quantity Item Description Unit Price Extension
Parts for SN 983556-10
1-2 weeks
I
3.00 ETER 3-4045-18 PN 3-4045-18 Change Gear Assy, 18 23.06 69.18
3.00 ETER 3-4045-45JJ PN 3-4045-45JJ Change Gear Assy, 23.06 69.18
45JJ
Damages And Short Ships Must Be Reported 5 days
Or Earlier After Receipt Of Shipment. Overdue
balance will accrue interest at the rate of 1-1/2% per
month compounded plus ALL legal and collection fees. Subtotal 138.36
All FloSource Terms&Conditions Apply for a copy Sales Tax
please visit: http://flosourcevalve.com/terms.pdf Freight 21.02
Total Invoice Amount 159.38
Check/Credit Memo No: Payment/Credit Applied
TOTAL 159.38
VOUCHER # 142742 WARRANT # ALLOWED
368799 IN SUM OF $
FLOSOURCE
489 GARDNER AVE
MARTINSVILLE, IN 46151
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# 'INV# ACCT# AMOUNT Audit Trail Code
SII �
48684 01-6200-02 $159.38
,I
i
I
1,
Voucher Total $159.38
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
368799
FLOSOURCE Purchase Order No.
489 GARDNER AVE Terms
MARTINSVILLE, IN 46151 Due Date 1/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/13/2015 48684 $159.38
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
/ks,11s" C�- ('mom PK-
-Date Officer