302989 09/12/16 y u�.C'�Ab
zf. . CITY OF CARMEL, INDIANA VENDOR: 355789
�, ONE CIVIC SQUARE PEERLESS PUMP CHECK AMOUNT: $*******195.00*
o P 0 BOX 644419 CHECK NUMBER: 302989
s. _ CARMEL, INDIANA 46032
9,�iTON.�� PITTSBURG PA 15264 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9924136508 195.00 OTHER EXPENSES
VOUCHER# 162568 WARRANT# ALLOWED
355789 IN SUM OF $
PEERLESS PUMP
P.O. BOX 644419
PITTSBURG, PA 15264-4441
Carmel Water Utility--,
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9924136508 01-6200-04 195.00
Voucher Total 195.00
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
355789
PEERLESS PUMP Purchase Order No.
P.O. BOX 644419 Terms
PITTSBURG, PA 15264-4441 Due Date 9/1/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/2016 9924136508 195.00
I 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
Grundfos 8/29/2016 7 : 35 : 21 PM PAGE 1/002 Fax Server
Invoice 9924136508 Remittance Address only
Pgerless?P.ump--Company..__ _
Page 1 / 2
PV-
PITTSBURGH,
.b:
PITTSBURGH, PA 15264-4419
USA
Phone: 317-925-9661
Fax: 317-924-7388
Customer no.: 600008104
CITY OF CARMEL
3450 W. 131 ST STREET
WESTFIELD IN 46074 Date 08/29/2016
Payment terms 30 days net
Delivery terms Freight prepaid and added
Shipping method Ground
Delivery note
CITOF CARMEL
Delivery/installationaddress Sales order 9922005712 108/29/2016
CITY
3450 W. 131 ST STREET Tracking no.
WESTFIELD IN 46074
Product VERTICAL Vertical Product Line Serial no.
ORDER# 500679041
PO# KR80316-A
10- T-BOLTS
10- NUTS
Item Material 1 description Customer Order Unit list Discount Unit Net Price Extended Net
Material O.uantity price price
Orderno.:9922005712-Your Purchase Order:KR80316-A
20 CSS1 W000 0.500
Technician-Workshop repair
30 96886567 10
BOLT;T TYPE;PKG;0.38"-16UNCx2.50"LG;291
40 VERTICAL 1 0.00
CARMEL WATER- PARTS ORDER
Items total 170.00
Freight 25.00
Sales Tax 0.00
Final amount USD 195.00
Net Total due by 09/28/2016
Please remit payment with reference to invoice number: 9924136508
Interest of 1 1/2% monthly will be charged for overdue accounts.
This order is subject to Grundfos Terms & Conditions found on the Grundfos website at
http://us.grundfos.com/navfooter/legal-issues/terms-conditions.htmi
Any deviation to these standard Terms & Conditions MUST be agreed to and authorized in
writing.
Purchaser shall automatically disclose final destination of the Equipment if it is being exported
outside of the United States.
be 3 •
Packing list for Carmel Water
Sales order No.: 500679041 Customer:Carmel Water Customer P.O.-KR80316-A
Part No. Qty Description RMA# Grundfos Part#
96886567 10 BOLT;T TYPE;PKG;0.38"-16UNCx2.50"LG;291
96666417 10 NUT;HEX;0.37"-16 UNC;291
Received : 203
Date : $--e— A�
PO #: /C !2 803 ►� �64
ACCT #: (azo..
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