HomeMy WebLinkAbout246291 06/17/15 y u!.$Aq�
�/ �f� CITY OF CARMEL, INDIANA VENDOR: 368286
® ONE CIVIC SQUARE EVOQUA WATER TECHNOLOGIES CHECK AMOUNT: $******"321.00*
r ?�; CARMEL, INDIANA 46032 PO Box 360766 CHECK NUMBER: 246291
vM,_ ,.'. PITTSBURGH PA 15251 CHECK DATE: 06/17/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 902190243 213.00 902190243
651 5023990 902190243 108.00 OTHER EXPENSES
0 eVOQUA Invoice
WATER TECHNOLOGIES
Branch: 019 Billing No.: 902190243
Billing Date: 05/29/2015
Sales Order/Contract: 40216890 / 10
Service Order No.: 51215207
Service/Work Date:. 05/29/2015
Customer No.: 1041262
Bill-to: 1041262 Customer PO No.: S 151 19
CITY OF CARMEL Incoterms(part 1): FOB Free on board
WASTEWATER TREATMENT PLANT Incoterms(part 2): Free on board
9609 HAZEL DELL PKWY Payment Terms: Net 45 days
INDIANAPOLIS IN 46280 Sales Rep: DANIEL GUISER
Functional Location: 0192160654
Remit-to address: Ship-to address: 2160654
— -- ---=--Evoqua=Water- Technologies LLC CARMEL WASTE WATER UTILITIES
P.O. BOX 360766 9609 HAZEL DELL PKWY
PITTSBURGH PA 15251-6766 INDIANAPOLIS IN 46280
United States
Telephone# 1-800-466-7873
Line Item Material Old Part Origin Qty./UO Unit Price Total Price Tax Total
Description Number M Currency USD Currency USD Currency USD
000010 W5TDIMB10079FSP DIM610079FS US 2 EA 99.00, 198.00 0.00 198.00
SDI MIXBEDI .79CF FBGLS P
STD POT
ECCN: EAR99
000020 W2T169711 FCGCF1020 US 1 EA 12.00 12.00 0.00 12.00
FILTER CTRDG,10" 20UM
CODE F GAC
ECCN: EAR99
000030 W2T149194 FCWNF20S2 US 1 EA 96.00 96.00 0.00 96.00
CART 20" 0.2UM CDE F
ASYM POLYSUL N
ECCN: EAR99
000040 W3TSP4276 1 EA - 1°5.00- 15:00- - - -0-.00--l-5.00—
FUEL/ENERGY Surcharge
ECCN: EAR99
Net Total 321.00 USD
Shipping and Handling 0.00 USD
State Tax 0.000 % 0.00 USD
County.Tax 0.000 % 0.00 USD
City Tax 0.000 % 0.00 USD
Dist/Other Tax 0.000 0.00 USD
Total Amount Includinq Tax 321.00 USD
To pay by credit card, please call 1-800-875-7873 ext. 7034
If paid after 07/13/2015, please pay 325.82 USD
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VOUCHER # 155686 WARRANT # ALLOWED
368286 IN SUM OF $
EVOQUA WATER TECHNOLOGIES
PO BOX 360766
PITTSBURGH, PA 15251-6766
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Carmel Wastewater Utility y
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT ;4 Audit Trail Code
902190243 01-7202-05 $108.00
902190243 01-7362-05 $213.00
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Voucher Total $321.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
368286
EVOQUA WATER TECHNOLOGIES Purchase Order No.
i
PO BOX 360766 Terms
PITTSBURGH, PA 15251-6766 Due Date 6/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2015 902190243 $321.00
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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
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Date Officer