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
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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
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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
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0 ev®QUA Invoice
WATER TECHNOLOGIES
Branch: 019 Billing No.: 902675378
Billing Date: 06/17/2016
Service/Work Date:. 06/17/2016
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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.
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