245324 5 /13/2015 r Coq .
''° CITY OF CARMEL, INDIANA VENDOR: 366022
%� ` CHECKAMOUNT: $*****1,300.00*
.(; ® �• ONE CIVIC SQUARE XYLEM INC
s.I ?�; CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 245324
9�,__,,. CHICAGO IL 60673-1267 CHECK DATE: 05/13/15
�TpN�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 3556836873 1,300.00 EQUIPMENT REPAIRS & M
Xylerip.Water Solutions -U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 YOUR PURCHASE ORDER
_ Z.: .:v.:Q.:: ::C: ::::::.: >:: 38184
Tel.(317)273 4470 Fax:(317)273 4480
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
26717 Network Place 3556836873 A00320 4/23/15 033939
Chica o, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS
9 4/23/15 F1 124 100% N30 FROM INVOICE
=-
1235
Sold To: Customer No 17 0 5 68 snip To:
Goba� No 8 a2 0 83 7
CARMEL-CLAY PARKS & RECREATION MCC-WEST
CENTRAL PARK DR E ATTN: PO #381841235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
CARMEL IN 46032
INCO TERMS DELIVERY TERMS ORDER PROCESSED BY
_
�CA_ US WH/Factory No S & H Charge FLYGT-INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
MOBILE SERVICE TECH TOTAL CARE PM BRONZE ED RYAN
...:.::::::::...
QUANTITY,SWI[PED, UNIT PRI:C£. ...... ..
LkNE :?'y fTMlDESCRIPTJON NET PR10E EXTENDED AMQt1NT
UM QISCOUNT/CHARGE
FLOW RIDER PUMPS-PREVENTIVE MAINTENANCE 20 POINT INSPECTION
FLYGT SERVICE FOR FR PUMPS PER QUOTATION AGREEMENT #4564
GLACCOUNT # 1094000-4350 )00
REQUISITION NO. 4447
001 1400000690015A 1 1, 080 . 000 1, 080 . 00
TOTAL CARE PM BRONZE-NO PAX TP EA
MODELS: 3000, 7000, 8000
002 1400000690008A 9
LABOR,MOBILE FLYGT,NOTAX Z5-TP EA
MODELS : 3000, 7000, 8000
003 1400000690024A 5 44 . 000 220 . 00
MISC ITEMS,MEDIUM PUMPS TP EA
MATERIALS,LUBES, SOLVENTS ETC
SUB- OTAL OF POSITIONS 1, 300 . 00
** ADD NO S & H CHARGE **
Cont on 2
I i 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
Xylen> Water Solutions U.S.A., Inc..
7615 W. NEW K STREET
INDIANAP IS IN 462147.
` YOUR PURCHASE ORDER
Tel. 317 73-4470 Fax: 317 273 4480
>I> >Q. C E._._
38184
INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
26717 Network Place 3556836873 A00320 4/23/15 C33939
Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS
9 4/23/15 IF1 124 100% N30 FROM INVOICE
Page 2
Sold To: Customer Na 17 0 5 6 8 Ship To:
er N ............8 .0.83::':/7::::::::::::: ..
CARMEL-CLAY PARKS & RECREATION MCC-WEST
1235 CENTRAL PARK DR E ATTN: PO #38184
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
CARMEL IN 46032
INCO TERMS DELIVERY TERMS ORDER.PROCESSED BY
__.
�CA US WH/Factory No S & H Charge FLYGT-INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT - CUSTOMER TEXT
MOBILE SERVICE TECH TOTAL CARE PM BRONZE ED RYAN
.................................................................................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................................
_........................_._............._.........................................._............................................................................................. ......................._....._...............................................................
OUAN .tTY:SHIPPED 'UriIIT.PR[CE
>.....
LANE.......; :;.;:;»>:c:>:c:>:ITEM DESCRIPTIONe:..,<: — ...:... NET..PRI:CE':»:>)';` EXTENDED.AMOUNT::.
>::.;.:^:: .:.::..,:<;:.< ::: ..�:.. UM DISCOUNT/C:HARGE
.. . ..
NET kMOUNT BEFORI TAXES USD 1, 300 .00
ORDER TOTAL USD
1, 300 . 00
� l
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
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
366022 Xylem Water Solutions USA, Inc. Terms
26717 Network Place
Chicago, IL 60673-1267
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/23/15 3556836873 Flygt Service for FlowRider pumps 4/15/15 38184 $ 1,300.00
Total $ 1,300.00
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
, 20_
Clerk-Treasurer
I
Voucher No. Warrant No.
366022 Xylem Water Solutions USA, Inc. Allowed 20
26717 Network Place
Chicago, IL 60673-1267
In Sum of$
$ 1,300.00 t
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1094 3556836873 4350000 $ 1,300.00 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
1
1
May 7, 2015
'P
Signature
$ 1,300.00 Accounts Payable Coordinator .
Cost.distribution ledger classification if Title
claim paid motor vehicle highway fund