248817 08/26/15 . ,1,�..Cgq�f
r CITY OF CARMEL, INDIANA VENDOR: 368799
® `il ONE CIVIC SQUARE FLOSOURCE CHECK AMOUNT: $ ......80.59"
?� CARMEL, INDIANA 46032 489 GARDNER AVE CHECK NUMBER: 248817
�M TON�` MARTINSVILLE IN 46151 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 54283 80.59 OTHER EXPENSES
41914
FL_ 489 Gardner Ave Invoice
C? %Z# Martinsville, IN 46151 Invoice Number:
VALVES I ACTUATION I INSTRUMENTATION I STEAM SPECIALTIES www.flosource.com 54283
Invoice Date:
Voice: 765-342-1360 Aug 10, 2015Page:
Fax: 765-342-1361 1
E-Mail: sales@flosource.com
Sold To: Ship to:
Carmel Utilities/Water Operations armel Utilities/Water Operations
3450 W. 131st St. 3450 W. 131st St.
Carmel, IN 46074 Tag: PO# JM072915-A
USA Carmel, IN 46074
USA
Customer ID Customer PO Payment Terms
Carmel Utilities JM072915-A Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
Eric P. Sessions UPS ACCT # Y22R43 9/9/15
Quantity Item Description Unit Price Extension
Attn: John Mascari
1.00PACK 30838 Set of Packing for 24" Pratt 51.42 51.42
XR-70 Butterfly Valve. PN# 30838
1.0OiRetainer 311442 Packing Retainer for 24" Pratt 12.85 12.85
XR-70 Butterfly Valve. PN# 311442
I
Damages And Short Ships Must Be Reported 5 days
Or Earlier After Receipt Of Shipment. Overdue
balance will accrue interest at the rate of 1-1/2% per 64 .27
month compounded plus ALL legal and collection fees. Subtotal
All FloSource Terms&Conditions Apply for a copy Sales Tax
please visit:http://flosourcevalve.com/terms.pdf Freight 16.32
Total Invoice Amount 80.59
Check/Credit Memo No: Payment/Credit Applied
TOTAL 80.59
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
368799
FLOSOURCE Purchase Order No.
489 GARDNER AVE Terms
MARTINSVILLE, IN 46151 Due Date 8/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 54283 $80.59
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I haveaudited same in accordance
/rwith IC 5-11-10-1.6
}
Date Officer
VOUCHER # 152819 WARRANT # ALLOWED
368799 IN SUM OF $
FLOSOURCE
489 GARDNER AVE
MARTINSVILLE, IN 46151
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
54283 01-6200-04 $80.59
Voucher Total $80.59
Cost distribution ledger classification if
claim paid under vehicle highway fund