243855 04/01/15 CITY OF CARMEL, INDIANA VENDOR: 356970
j ® ONE CIVIC SQUARE INVENSYS SYSTEMS CHECK AMOUNT: $*****1,415.26*
r. ?Q CARMEL, INDIANA 46032 14526 COLLECTION CENTER DRIVE CHECK NUMBER: 243855
CHICAGO IL 60693 CHECK DATE: 04/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 93213368 1,415.26 OTHER EXPENSES
INVENSYS SYSTEMS INC. INVENSYS ORDER NO. INVOICENO. INVOICE DATE
FOXBORO, MA. 02035. FOX-580-R 60157230 93213368 02/28/2015
A MASSACHUSETTS CORPORATION
TAX I.D. NO. 04-1339430. HYP: 2639 REMIT TO:
Any questions regarding this invoice INVENSYS SYSTEMS INC.
please call: 14526 Collections Center Drive
Tel:US 866-746-6477
TelNon—US(508)549-2424 INVOICE Chicago, IL 60693
Fax:508-549-4999
BILL TO: SHIPPED T
City of Carmel @%ty of Carmel
Water Utilities ATTN: KenR/Foxboro
3450 West 131st Street 4915 East 106 st
Carmel IN 46074 Carmel IN 46033
CUSTOMER P.O. NO:KR20915 SHIPPED VIA: Z10002 UPS Ground
CUSTOMER CODE: 1000168484 DATE SHIPPED- 02/28/2015
ITEM PRODUCT I.D./PRODUCT DESCRIPTION QUAN. QUAN. UNIT EXTENDED
ORD. SHIP PRICE AMOUNT
Ultimate consignee:
City of Carmel
Sewer Dept
130 East 1St Ave S W
CARMEL IN 46032
UNITED STATES OF AMERICA
THIS INVOICE IS FOR DELIVERY OCUMEN S: ( 8' 314231 )
10 IMT25-SDADBIIN-AB 1 1 707 . 63 707 . 63
Ser#s : ( 98242549 )
PL#: 87314231 Gross Wt. :
Case # 's : 1242201 1201290503 189300
Case Qty. : 1
I/A SERIES MAGNETIC FLOW TRAN33MITTER
20 IMT25-SDADBIIN-AB 1 1 707 . 63 707 . 63
Ser#s: ( 98242551 )
PL# : 87314231 Gross Wt. :
Case #' s : 1242202 1Z01290503-1893007
- _ C as a--Q t-Y-.-: - ------1__- -
I/A SERIES MAGNETIC FLOW TRAN33MITTERPAY THIS
15•
1,415.26 7.00AMOUNT ' -�1n� USD
0.0 0
SUBTOTAL TAX% TOTAL TAX FREIGHT&HANDLINGF. .S.NEVENSY . TAL
ZRA 1000030060 Net due within 30 days
TAX DEST. CODE PAGE 1
EXEMPT we hereby ceretifgy that theseo goodsSS
were produced in compliance with
AN INVENSYS COMPANY ORIGINAL aILABORcSTTANDARDSACT,aasamended,andofregulationsand
orders of the U.S.Dept of Labor issued under Section 14 thereof.
VOUCHER# 151334 WARRANT # ALLOWED
356970 IN SUM OF $
INVENSYS SYSTEMS INC
14526 Collection Center Drive
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
93213368 01-6200-04 $1,415.26 I
i
Voucher Total $1,415.26
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
356970
INVENSYS SYSTEMS INC Purchase Order No.
14526 Collection Center Drive Terms
Chicago, IL 60693 Due Date 3/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2015 93213368 $1,415.26
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