245012 05/05/2015 (9,
CITY OF CARMEL, INDIANA VENDOR: 366022
ONE CIVIC SQUARE XYLEM INC CHECK AMOUNT: $*****4,446.00*
CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 245012
CHICAGO IL 60673-1267 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 3556835376 4,446.00 OTHER EXPENSES
Xylem Water Solutions U.S.A., Inc. .
7615 W. NEW YORK STREET
_................. .........................................._.._.......
INDIANAPOLIS IN 46214
YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480
;;;;;I.: ;:�::Q.: �ry;<�{� '.;:. S14784
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
X2+6717 Network Place 3556835376 994499 4/14/15 C34386
Clllca O, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS
9 4/14/15 A3 088 100% N60 FROM INVOICE
_ _ _. ......_...........
CUsi er`No : 1:0;3:9:7:3<>><>»><'» >>
Sold To: Ship To:
..
CITY OF CARMEL CITY OF CARMEL INDIANA
3450 W 131ST ST ATTN: PO #514784
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
CARMEL IN 46074
INCO TERMS DELIVERY TERMS ORDER PROCESSED BY
— -- C-A----Faetery-- ----- — --PP/Add—Order Positio FLYGT—INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice=Ground CARMEL REPLACEMENT PUMP Ed Ryan
.....
:;:;;
CIUCNTtTY SFl1PPED tl1I1T PRICE
LINE tTEM1DESCRIPTION NET Pft10E EXTENDEFI AMQUNT
a::::»? �l ..:_.;.:.:.;;::.;......QISCOUNTICHARGE
Quote# 2015-IND-0030, ALTERNATE 1, VERSION 2
001 0030851832128 1 4, 244 . 000 4, 244 . 00
NP466-3 3/460/3 50' FLS V+ EA
GPH HCII
SIN: 1520093 D/N 134386
002 140000069983ON 1 202 . 000 202 . 00
SHIPPING AND HANDLING-NO TAX EA
SUB- 17OTAL OF POS TIONS 4, 446 . 00
*S & H CHARGED AS LINE ITEM*
TOTAL WEIGHT 194 . 700 LBS
NET AMOUNT BEFORI TAXES USD 4 , 446 . 00
4/_1 /157LTS PORT expected exit late, of 04/14 /15
TOT L WEIGHT ON D/N:C34386 O DER TOTAL USD
DIS ATCH INFO: 832692
4, 446 . 00
! I
IMPORTANT-This invoice is governed by and subject to Xylem Water Solutions USA,Inc.General Terms and Conditions of Sale. Different terms are hereby rejected unless expressly assented
to in writing. Terms are accessible at http://www.xylemwatersolutions.com/scs/usa/en-us/Pages/General-Terms-and-Conditions-of-Sale.aspx
VOUCHER # 155414 WARRANT # ALLOWED
352772 IN SUM OF $
Xylem Water Solutions USA Inc (GODW
26717 Network Place
Chicago, IL 60673-1267
Carmel Wastewater Utility
s
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3556835376 02-2308-00 $4,446.00
Depreciation
i
I
i
i
Voucher Total $4,446.00
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
352772
Xylem Water Solutions USA Inc(
GODWIN PUMF Purchase Order No.
Y
26717 Network Place Terms
Chicago, IL 60673-1267 Due Date 4/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/2015 3556835376 $4,446.00
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