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Home My WebLink About301677 08/08/16 Q CITY OF CARMEL, INDIANA VENDOR: 368799 ONE CIVIC SQUARE FLOSOURCE CHECK AMOUNT: $*****1,705.93* CARMEL, INDIANA 46032 489 GARDNER AVE CHECK NUMBER: 301677 MARTINSVILLE IN 46151 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 62474 1,705.93 OTHER EXPENSES VOUCHER # 162202 WARRANT# ALLOWED 368799 IN SUM OF $ FLOSOURCE 489 GARDNER AVE MARTINSVILLE, IN 46151 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT* AMOUNT Audit Trail Code 62474 01-6200-04 1,705.93 Voucher Total 1,705.93 Cost distribution ledger classification if claim paid under vehicle highway fund 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 368799 FLOSOURCE Purchase Order No. 489 GARDNER AVE Terms MARTINSVILLE, IN 46151 Due Date 7/30/2016 Invoice , Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/30/2016 62474 1,705.93 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 47386 489 Gardner Ave Invoice InvoiceNumber: FLOSCURCEMartinsville, IN 46151 62474 VALVES I ACTUATION I INSTRUMENTATION I STEAM SPECIALTIES www.flosource.com Invoice Date: Voice: 765-342-1360 Jun 8, 2016 Page: Fax: 765-342-1361 1 E-Mail: sales@flosource.com Drop Shipment Sold To: Shi to: City of Carmel Utilities g X" tarncesl Utni0iiFties 9609 Hazel Dell Parkway ,415�E* 1w06t'hSt-r-:eet ATTN: Paul Arnone Indianapolis, IN 46280 Ind napohs,_IN _-4=6280 USA SA Customer ID Customer PO Payment Terms City of Carmel KR41816 Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date Zach Shuee Best Way PP&ADD 7/8/16 Quantity Item Description Unit Price Extension LEAD TIME: 5-6 WEEKS FROM THE FACTORY/SUBJECT TO PRIOR SALE/ARO ** BEST WAY PP&ADD ** 1Z3330370357094362 1.00PACT B-10OU-D000-W Morin B Series Pnuematic Actuator 1, 656.56 1, 656.56 Double Acting, W/ Water Hydraulic Seals, PN# B-10OU-D000-WH Damages And.Short Ships Must Be Reported 5 days Or Earlier After Receipt Of Shipment. Overdue balance will accrue interest at the rate of 1-1/2% per 1, 656.56 month compounded plus ALL legal and collection fees. Subtotal All FloSource Terms&Conditions Apply for a copy Sales Tax please visit:hftp://flosourcevalve.com/terms.pdf Freight 49.37 Total Invoice Amount 1,705.93 Check/Credit Memo No: Payment/Credit Applied TOTAL 1,705.93 Packing,List � MORINDelivery Number. 80298245 Pentair Sales US LLC Sales Order: 148547 10707 Clay Road Customer PO Number : 38792 HOUSTON TX 77041 USA Phone : 713-986-4665 I Date Shipped: 06/06/2016 Fax : 713-986-4667 Carrier: UPS - GROUND Tracking No: 1Z 333 037 03 570E 4362 Net Weight: 0.000 Ship To: TRADESHIP Sold To: 1100095 Ship From: Gross Weight: 68.000 CITY OF CARMEL UTILITIES FLOSOURCE INC Pentair Flow Control AG Volume: 0.000 MARK: PO#KR41816 489 GARDNER AVENUE Pelham 4915 E. 106TH STREET MARTINSVILLE IN 46151 110 COMMERCE DRIVE INDIANAPOLIS IN 46280 USA Pelham AL 35124 l HIP UPS GROUND COLLECT#Y22-R43 Delivery Material/Description PO No rder ISO ountry Of Ohipped rdered DIFF. U of M HU Line + Line ri in 000010 11001389 I 38792 148547/000010 USA 1.000 1.000 0.000 EA ACPQ MOR B1000D000-WH B-1000-D000-WH ACTUATOR-B-1000-D000-WH Double Acting, UNC Mounting threads Fte ed; � c Water Hydraulic Service -qty-- HTS:8412.39.0080 ECCN : EAR99 : 0 , y I. Unless otherwise mutually agreed in writing between Pentair Valves & Controls and Customer, this sale has been made in accordance with Pentair Valves & Controls terms and conditions located at http://valves.pentair.com/valves/terms_and conditions/and Buyer's receipt of product and/or service or payment there to shall further evidence Buyer's acceptance. Furthermore, Customer shall be responsible for compliance with all applicable laws regarding its use, importation and exportation of these items. � 06/06/16 18:41 Page :1 of 1 I