244645 04/29/15 CITY OF CARMEL, INDIANA VENDOR: 358201
CHECK AMOUNT: $*******603.87*
(9,
ONE CIVIC SQUARE ALFA LAVAL INCCARMEL, INDIANA 46032 PO BOX 200081 CHECK NUMBER: 244645
PITTSBURGH PA 15251-0081 CHECK DATE:I 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 275019730 603.87 OTHER EXPENSES
Alfa Laval, Inc, 4/18/2015 2 :33:05 AM PAGE 1/001 Fax Server
Invoice
u
Recipient Delivery address Page:
Carmel,City of Carmel,City of 1(i)
Attn:Accounts Payable Attn:PO#S15022
9609 Hazeldell Pkwy 9609 Hazeldell Pkwy
Carmel,IN 46280 Indianapolis,IN 46280
UNITED STATES UNITED STATES
Your reference
Customer Your reference Please state at payment
Carmel,City of Duane Jarvis Invoice no 275019730
9609 Hazel Dell Pkwy Mark
Your order date
04/17/2015
UNITED STATES Your order no
Our reference S15022
Sales Contact Person Date Due date
Paula Lynch 04/17/2015 05/18/2015
+1-281-985-4404 Payment terms
Delivery method Delivery date Net 30 Days
Road Express 04/18/2015
Delivery terms Order no Cust no
DAP-Delivered At Place 0030353961 E78113
Indianapolis
Ln Description Cust Pos/ftem VAT Inv qty Net price Amount
Bill of lading:573922784721
1 AS006396 50.00 PCE 11.00 550.00
CHICANE BLADE,6.5'LONG
2 AS018080 50.00 PCE 0.75 37.50
ROLL PIN,1/4'DIA x 1'LONG
ftem value 587.50
Freight 16.37
TO PAY USD
603.87
Alta Laval Inc(AL)will process personal data supplied by you for the purpose of enabling AL to perform any contractual obligations towards you and to fulfil AL's statutory
obligations.An application by you for information of your personal data registered by us must be made in waiting to AL.
The general conditions of sale are according to AL's General Conditions Of Sale it nothing also is slated.An extra copy of these conditions will be sent to you upon request.
The goods to be delivered may be subject to export licerse requirement.AL reserves the night to cancel the orderwlhout any lability for damage or loss arising out of or
relating to the cancellation in the event such an export license is not graded by competent export control authority.
Attention of the buyer is drawn to the following:Indirect,special and/or consequential damages are excluded Irom Supplier's liability and Supplier's total liability mall never
exceed a maximum cumulative amount equal to 15%of the contract price.Should parts of the contract be held to be invalid or otherwise unenforceable in any lurisdiction,
any other contract provisions shall not be affected.
Alta Laval Inc. Please send remittance to: Local sales office Contact
5400 Int.Trade Drive P.O.BOX 200081 Alfa Laval Inc. Tel.:(713)896-4491
Richmond,VA 23231 Pittsburgh,PA 15251-0081 Northwoods Industrial Park West Fax:(713)896-9892
United States 12249 B FM 529
Houston,TX 77041 customerservice.houston@alfalaval.com
Fed.I.D.No.:13-1681631 United States www.alfalaval.com
VOUCHER # 155378 WARRANT # ALLOWED
358201
IN SUM OF $
ALFA LAVAL
PO BOX 200081
PITTSBURGH, PA 15251-0081
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i,
Board members
PO# INV# ACCT# AMOUNT I Audit Trail Code
I
275019730 01-7202-06 $603.87
I
I
t
Voucher Total $603.87
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
358201
ALFA LAVAL Purchase Order No.
PO BOX 200081 Terms
PITTSBURGH, PA 15251-0081 Due Date 4/22/2015
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
4/22/2015 275019730 $603.87
I '
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