245985 06/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 360665
CHECK AMOUNT: $********69.53`ONE CIVIC SQUARE SEW EURODRIVECARMEL, INDIANA 46032 PO BOX 75701 CHECK NUMBER: 245985
CHARLOTTE NC 28275-0701 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 263736 69.53 OTHER EXPENSES
SPECIAL HANDLING
T E L : 937-335-0036 EVRODRIVE
F A X 937-573-3023
INVOICE NO. 263736 REMIT TO: P.O. BOX 75701
INVOICE DATE: 5/05/15 CHARLOTTE, NC 28275-0701
SOLD TO: SHIP TO:
CITY OF CARMEL CARMEL WWTP
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
CARMEL WASTEWATER TREATMENT INDIANAPOLIS IN 46280
ATTN PAUL ARNONE
INDIANAPOLIS IN 46280
CUST.# : 04410050 S.O.# 85463313 P.O.# : S15077
-ORDER DATE: 5/05/15 REQ.DATE: 5/05/15 TERMS : DUE 6/04/15 --
PROD. CODE: 3231 SHIP DATE: 5/05/15 TAG # .
SALESMAN: 3600 SHIP VIA: * UPS 1Z4922030152175194 PREPAID
UNIT BACK SHIP EXTEND
QTY PARTS DESCRIPTION PRICE ORDER QTY AMOUNT
-------------------------------------------------------------------------------
1 01657445 AM56 MOTOR COUPLING .625 36 .82 0 1 36 .82
1 01657291 SPIDER AM56/63/71 3 .61 - 0 1 3 .61
1 00104574 SETSCREW ISO4027 M4X6=45H 1.44 0 1 1.44
1 0806993X 3/16X3/16X9/16" KEY AM56/1 1.44 0 1 1.44
ORDER COMMENTS:
MOTOR COUPLING PARTS FOR R57R37AM56-KS 850213520. 06
-------------------------------------------------------------------------------
ITEM AMOUNT: 43 .31
FREIGHT OUT 26.22
----------
TOTAL AMOUNT DUE: 69.53
PAGE: 1 OF 1 * * * * I N V 0 I C E
This Invoice Subject To Terms And Conditions Of Sale as stated in the Attachment.
VOUCHER # 155590 WARRANT # ALLOWED
360665 IN SUM OF $
SEW EURODRIVE i
PO Box 75701
Charlotte, NC 28275-0701
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
' I
263736 01-7202-06 $69.53
f
i
i
I
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Voucher Total $69.53.
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
360665
SEW EURODRIVE Purchase Order No.
PO Box 75701 Terms
Charlotte, NC 28275-0701 Due Date 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 263736 $69.53
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