241717 02/03/15 u•Cgq�A
CITY OF CARMEL, INDIANA VENDOR: 102825
® i ONE CIVIC SQUARE GA INDUSTRIES INC CHECK AMOUNT: $ ....*809.62*
CARMEL, INDIANA 46032 PO BOX 223588 CHECK NUMBER: 241717
PITTSBURGH PA 15251-2588 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 439010326 809.62 OTHER EXPENSES
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GAINDUSTRIES
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GA Industries LLC 9025 Marshall,Road Cranberry Township PA 16066 Invoice
CARMEL CITY OF Number/Date
Accounts Payable 439010326 / 01/20/2015
3450 W. 131 st Street Order number/Delivery note no./Delivery date
Carmel IN 46074 432009322 /438010464 /01/19/2015
Reference no./Date
BT011315A/01/19/2015
Customer number
1006871
Your ref.
Please contact
Miller, Jodi
Phone/Fax
+172477610201228
E-mail:
jmiller@GAindustries.com
Invoice Recipient Consignee
CARMEL CITY OF CARMEL CITY OF
4915 E. 106th Street 4915 E. 106th Street
Carmel IN 46033 Carmel IN 46033
We delivered in accordance to our conditions of sale and delivery as follows:
Representation: TRISTATE VALVES & CONTROLS INC TRIVACO 6833 Industry Drive 46219 Indianapolis
Tel.: 317-356-2000
Send Correspondence To: Please Send Payments and Checks to:
GA Industries LLC GA Industries LLC
9025 Marshall Road Box 223588
Cranberry Township Pittsburgh,PA 15251
Pennsylvania 16066 USA
Tel 724-776-1020
Fax 724-776-1254
CARMEL CITY OF Order number/Date Page
3450 W. 131 st Street 439010326 /01/20/2015 2/2
Carmel IN 46074
Project name
Att: Brian Tolan
Ref: RMA 434000766
Shipping marks
UPS 1Z2431760361123308
Terms of payment: 30 days after invoice date, net
Terms of delivery: EXW Incoterms 2010 Prepaid & Add
Item Product
Description
Quantity Unit Unit price Value USD
000010 2-80-20000-016
Circuit Board Rebuilt Main 7600D1 7600E
Product code:
1 PC 800.00 800.00
Value for Item 800.00 USD 800.00
Total items 800.00
Freiaht 9.62
809.62
Total amount
I
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
102825
GA INDUSTRIES INC Purchase Order No.
BOX 223588 Terms
PITTSBURG, PA 15251-2588 Due Date 1/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/27/2015 439010326 $809.62
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 # 142879 WARRANT # ALLOWED
102825 IN SUM OF $
GA INDUSTRIES INC
BOX 223588
PITTSBURG, PA 15251-2588
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
439010326 01-6200-04 $809.62
Voucher Total $809.62
Cost distribution ledger classification if
claim paid under vehicle highway fund