244236 04/15/15 CITY OF CARMEL, INDIANA VENDOR: 00353162
ONE CIVIC SQUARE FERGUSON WATERWORKS INDY#1934CHECK AMOUNT: $•""1,637.92•
CARMEL, INDIANA 46032 PO Box 644054 CHECK NUMBER: 244236
PITTSBURGH PA 15264-4054 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0046476 1,637.92 OTHER EXPENSES
FERGUSON
ENTERPRISEShINVOICE NUMBER ;CUSTOMER-` F _ .PAGE
OINC
0046476 3686 1 of 1
6439 EAST 30TH STREET PLEASE REFER TO INVOICE NUMBER WHEN
INDIANAPOLIS, IN 46219-0000 MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 317-546-2013 PITTSBURGH, PA 15264-4054
1809 1 AB 0.406 E0038X 10061 01280293578 P2491802 0001:0001
I11111111111Jill 111111111111111i1111111'1111111111111111111111111
CARMEL UTILITIES
3450 W 131 ST ST
Mai CARMEL IN 46074-8267
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
1334- - iS34- - iNE -"-JS31fi15--- CJD JERRY 03/20/15 5235
ORDERED SHIPPED3t ITEMxNUMBER �DESxCRIPTION UNIT PRICE nEA
n A d 2 2 K1580012R2X11W 12 K11 HYD EXT 818.960 1637.92
INVOICE SUB-TOTAL 1637.92
LEAD LAW WARNING:IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH*NP IN THE DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE.APPLICATIONS.I 1UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
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TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $1,637.92
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law; if lower. If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.htm]
and are incorporated by reference. Seller may convert checks to ACH.
0001:0001
VOUCHER # 151479 WARRANT# i ALLOWED
ti.
353162 ;) IN SUM OF $
FERGUSON WATERWORKS INDY#19 ,f
PO BOX 644054
PITTSBURGH, PA 15264-4054
I
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
,1
PO# INV# ACCT# AMOUNT 1 Audit Trail Code
a
,4
0046476 01-6200-06 $1,637.92 !!
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7
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Voucher Total $1,637.92
Cost distribution ledger classification if
claim paid under vehicle highway fund
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Prescribed by State Board of Accounts t 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
353162
FERGUSON WATERWORKS INDY#1934 i Purchase Order No.
PO BOX 644054 Terms
PITTSBURGH, PA 15264-4054 Due Date 4/8/2015
Invoice Invoice Description
Date Number (or note attached_'invoice(s) or bill(s)) Amount
4/8/2015 0046476 $1,637.92
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