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300263 07/12/16 vY \ CITY OF CARMEL, INDIANA VENDOR: 102825 °; ONE CIVIC SQUARE VAG USA, LLC. CHECK AMOUNT: $*****1,325.36* *9, �_�, CARMEL, INDIANA 46032 PO BOX 223588 CHECK NUMBER: 300263 M�FON�. PITTSBURGH PA 15251-2588 CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 439018553 1,325.36 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 102825 VAG USA, LLC Purchase Order No. BOX 223588 Terms PITTSBURG, PA 15251 Due Date 6/27/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/27/2016 439018553 $1,325.36 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 * VAG Page 1 / 2 VAG USA LLC, 9025 Marshall, Road Cranberry Township, PA 16066 Invoice CARMEL CITY OF Number/Date Accounts Payable 439018553 / 06/17/2016 3450 W. 131st Street Order number / Delivery note no. / Delivery date Carmel IN 46074 432016412 / 438018658 / 06/17/2016 Reference no./Date KR5131.6-A / 05/13/2016 Customer number 1006871 Your ref. Ship to Address: CARMEL CITY OF Please contact 4915 E. 106th Street Jones, Sam Carmel 46033 Phone/Fax +172477610201257 E-mail: . s.johes@vag-group.com Thank you for your order. We completed your order in accordance with our terms and conditions of sale which were included with your order confirmation and can be found on our website at: http://gaindustries.vag-usa.com/resources/terms-and-conditions.htmi Project name PARTS FOR 14" ROTARY BALL VALVE S/N 112118 ATTENTION: KEN R Shipping marks 1ZA38Y490343943915 Representation: HYDRO CONTROLS 473 Cincinnati Batavia Pike Suite 2 45244 Cincinnati Tel.: 513-474-7400 Fax.: 513-474-7401 aschuler@hydrocontrols.net Send correspondence to: Please send payments and checks to: VAG USA, LLC VAG USA, LLC 9025 Marshall Road Box 223588 Cranberry Township Pittsburgh, PA 15251 Pennsylvania 16066 USA Tel: 724-776-1020 Fax: 724-776-1254 "'• CARMEL CITY OF Order number/Date Page 3450 W. 131 st Street 439018553 / 06/17/2016 2 / 2 Carmel IN 46074 Terms of payment: 30 days after nvoice date, net Terms of delivery: EXW Incoterms 2010 prepaid and add Item __ Product Description Qua tity Unit Unit price Value USD 000020 1-80-26000-486 Piston Sheffer 626-12008 SST 304 Product code: 1 PC 1,312.00 1,312.00 Value for Item 1,312.00 USD 1,312.00 Total items 1,312.00 Freight 13.36 Total amount 1,325.36 (* VAG Page 1 / 1 Ship-to Party Delivery note / Packlist CARMEL CITY OF Number/Date 4 915 E. 106th Street 438018658/06/17/2016 Carmel 46033 Sales order number 432016412 Your Refence no./Date KR51316-A / 05/13/2016 Your Customer no. 1006871 Person in charge Sold-to Party Jones, Sam CARMEL CITY OF Phone/Fax 4915 E. 106th Street +172477610201257E-Mail Carmel 46033 s.jones@vag-group.com Receive ; - Z3 Project name PARTS FOR 14" ROTARY BALL VALVE SYN 11 118 Date . ATTENTION: KEN R ACCT Terms of delivery: EXW Incoterms 2010 pre gi%eared add Shipping conditions: Standard Item Material Weight Quantity Description Ord Bck Shp 000020 1-80-26000-486 1 1 1 PC Sales order item: 000020 Piston Sheffer 626-12008 SST 304 Sales rep. : HYDRO CONTROLS 473 Cincinnati Batavia Pike Suite 2 45244 Cincinnati Phone: 513-474-7400 Fax: 513-474-7401 E-Mail: aschuler@hydrocontrols.net