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HomeMy WebLinkAbout300084 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 368286 j ® �`i• ONE CIVIC SQUARE EVOQUA WATER TECHNOLOGIES CHECK AMOUNT: $*******227.80* 9 /�? CARMEL, INDIANA 46032 28563 NETWORK PLACE CHECK NUMBER: 300084 CHICAGO IL 60673-1286 CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 902675378 227.80 OTHER EXPENSES 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. 28563 NETWORK PLACE Terms CHICAGO, IL 60673-1285 Due Date 6/27/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/27/2016 902675378 $227.80 hereby certify that the attached invoice(s), or bill(s) is (are)true and ,orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer 0 eVOQUA Invoice WATER TECHNOLOGIES Branch: 019 Billing No.: 902675378 Billing Date: 06/17/2016 Sales Order/Contract: 40258298 / 10 Service Order No.: 51495325 Service/Work Date:. 06/17/2016 Customer No.: 1041262 Bill-to: 1041262 Customer PO No.: S16147 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: Richard C Beasley Functional Location: 0192160654 Remit-to address: Ship-to address: 2160654 Evoqua Water Technologies LLC CARMEL WASTE WATER UTILITIES 28563 Network Place 9609 HAZEL DELL PKWY Chicago, IL 60673-1285 INDIANAPOLIS IN 46280 United States Telephone# 1-800-466-7873 I I Line Item Material Old Part Origin Qty./UOM Unit Price Total Price Tax Total Description Number Currency USD Currency USD Currency USD 000010 W5TDIMB10079FSP DIMB10079FS US 2 EA 108.90 217.80 0.00 217.80 SDI MIXBED1 .79CF P FBG LS STD POT ECCN: EAR99 000020 W2T149194 FCWNF20S2 US 2 EA 0.00 0.00 0.00 0.00 FILTER CTRDG,20" 0.2UM CDE F POLYSUL N ECCN: EAR99 HTS: 8421990040 000030 W2T169711 FCGCF1020 US 2 EA 0.00 0.00 0.00 0.00 FILTER CTRDG,10" 20UM CODE F GAC ECCN: EAR99 000040 W3TSP4276 1 EA 10.00 10.00 0.00 10.00 FUEL/ENERGY Surcharge ECCN: EAR99 jl Net Total 227.80 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 Including Tax 227.80 USD Page 1 of 2 I i 0 ev®QUA Invoice WATER TECHNOLOGIES Branch: 019 Billing No.: 902675378 Billing Date: 06/17/2016 Service/Work Date:. 06/17/2016 i To pay by credit card, please call 1-978-614-7034 If paid after 08/01/2016, please pay 231.22 USD Destination Control Statement: the abovg commodities, software or technology are being sold pursuant to United States Export Re ulations. Export, re export or other diversion contrary to law is prohibited These Items are not to be used directly or ind9rectly In prohibited nuclear, chemical/biological or missile;weapons activities. I i i I Page 2 of 2