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CITY OF CARMEL, INDIANA VENDOR: 365506
d ONE CIVIC SQUARE ROTARY SYSTEMS INC CHECK AMOUNT: $*******340.92*
=a CARMEL, INDIANA 46032 14440 AZURITE STREET NW CHECK NUMBER: 301 128
9y�TON RAMSEY MN 55303 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 41093 340.92 OTHER EXPENSES
VOUCHER # 165644 WARRANT # ALLOWED
365506 IN SUM OF $
ROTARY SYSTEMS INC
14440 AZURITE STREET NW
RAMSEY, MN 55303
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
41093 01-7202-06 340.92
Voucher Total 340.92
Cost distribution ledger classification if
claim paid under vehicle highway fund
ROTARY SYSTEMS INC
14440 AZURITE STREET NW
RAMSEY MN 55303
763-323-1514 Fax: 763-323-1622
41093 6/24/2016
Remit To:
BILL TO: HIP TO:
CARMEL WASTE WATER UTILITIES
ATTN PAUL ARNONE CARMEL WASTE WATER TREATMENT PLANT 9609 HAZEL DELL PARKWAY ATTN DUANE JARVIS9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 UNITED STATES INDIANAPOLIS IN 46280 UNITED STATES
TERMS: N30 DUE DATE: 7/24/2016
Quantity Item Number Rev Description Price Extension
Pack Slip# Ship Date PO Number Order Date ]Ship Via FOB
1.00 10053-0301-000 003-13210.500 NPT 325.630000 EACH 325.63
12977 6/24/2016 S16224 6/23/2016 UPS Ground ORIGIN PREPAID
All Prices Are Shown in US Dollar
Subtotal: 325.63
Tax: 0.00
Freight: 15.29
Thank You Total: 340.92
ROTARY SYSTEMS INC
14440 AZURITE STREET NW PACKING SLIP
RAMSEY MN 55303
763-323-1514 Fax: 763-323-1622 12977 6/24/2016
Country of Origin: United States
Bill To Ship To:
CARMEL WASTEWATER UTILITIES CARMEL WASTE WATER TREATMENT PLANT
ATTN PAULARNONE ATTN DUANE JARVIS
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
UNITED STATES UNITED STATES
Date Shipped Ship Via Tracking Number F.O:B... Terms
6/24/2016 UPS Ground ORIGIN PREPAID N30
Back Log Shipped Item Number/Description PO Number Lot Number
0 1 10053-0301-000/o63-13210.500 NPT S16224 1953920
1
**ALL RETURNS ARE SUBJECT TO RESTOCKING FEES AND MUST BE RETURNED WITHIN 45 DAYS OF SHIPMENT**
*Any return of product must have prior authorization. Please obtain an RMA number from our Quality Department.
*Returns without an RMA number will not be accepted.
*Any custom orders are considered final sale.and returns are not permitted.