HomeMy WebLinkAbout249245 09/09/15 CAA .
*' CITY OF CARMEL, INDIANA VENDOR: 368286
d ONE CIVIC SQUARE EVOQUA WATER TECHNOLOGIES CHECK AMOUNT: 5""""213.00*
,. � CARMEL, INDIANA 46032 PO BOX 360766 CHECK NUMBER: 249245
+.y,__oN.�o. PITTSBURGH PA 15251 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 902291968 213.00 OTHER EXPENSES
0 evoQUA Invoice
WATER TECHNOLOGIES
Branch: 019 Billing No.: 902291968
Billing Date: 08/19/2015
Sales Order/Contract: 40216890 / 10
Service Order No.: 51271697
Service/Work Date:. 08/18/2015
Customer No.: 1041262
Bill-to: 1041262 Customer PO No.: S15357
CITY OF CARMEL Incotermslpart 11: FOB Free on board
WASTEWATER TREATMENT PLANT Incotermslpart 21: 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 DIMB10079FS US 2 EA 99.00 198.00 0.00 198.00
SDI MIXBED1 .79CF FBGLS P
STD POT
ECCN: EAR99
000020 W3TSP4276 1 EA 15.00 15.00 0.00 15.00
FUEL/ENERGY Surcharge
ECCN: EAR99
Net Total 213.00 USD
Shipping and Handling 0.00 USD
State Tax 0.000 % 0.00 USD
County Tax 0.000 % O.00-USD---
City Tax 0.000 % 0.00 USD
Dist/Other Tax 0.000 0.00 USD
Total Amount Including Tax 213.00 USD
To pay by credit card, please call 1-800-875-7873 ext. 7034
If paid after 10/03/2015, please pay 216.20 USD
Destination C ntrol Statement: the above commodities, software or technolodgy are being sold pursuant to United States Export
Re ulations. Export, re-export or other diversion contrary to law is prohibits.. These items are not to be used directly or
in in prohibited nuclear, chemical/biological or missile weapons activities.
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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.
PO BOX 360766 Terms
PITTSBURGH, PA 15251-6766 Due Date 8/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2015 902291968 $213.00
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
VOUCHER # 156175 WARRANT # ALLOWED
368286 IN SUM OF $
EVOQUA WATER TECHNOLOGIES
PO BOX 360766
PITTSBURGH, PA 15251-6766
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
902291968 01-7362-05 $213.00
Voucher Total $213.00
Cost distribution ledger classification if
claim paid under vehicle highway fund