303570 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 102825
ONE CIVIC SQUARE VAG USA, LLC. CHECK AMOUNT: $*******720.89*
9�'i tax 'sCARMEL, INDIANA 46032 PO BOX 223588 CHECK NUMBER: 303570
PITTSBURGH PA 15251-2588 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 439019666 720.89 OTHER EXPENSES
VOUCHER# 162742 WARRANT# ALLOWED
102825 IN SUM OF $
VAG USA, LLC
BOX 223588
PITTSBURG, PA 15251
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
432017432 01-6200-03 720.89
Voucher Total 720.89
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
102825
VAG USA, LLC Purchase Order No.
BOX 223588 Terms
PITTSBURG, PA 15251 Due Date 9/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2016 432017432 720.89
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
s
* VAG
Page
1 / 2
VAG USA LLC, 9025 Marshall, Road Cranberry Township, PA 16066 Invoice
CARMEL CITY OF Number/Date
Accounts Payable 439019666 / 08/26/2016
3450 W. 131st Street
Camel IN 46074 Order number / Delivery note no. / Delivery date
432017432 / 438019737 / 08/25/2016
Reference no./Date
JM72816—A / 07/29/2016
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.jones@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.html
Project name
attention : john mascari
Shipping marks
UPS 1ZA38Y490343095547
Terms of payment: 30 days after invoice date, net
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
4 r _
i
CARMEL CITY OF Order number/Date Page
3450 W. 131st Street 439019666 / 08/26/2016 2 / 2
Carmel IN 46074
Terms of delivery: EXW Incoterms 2010 prepaid and add
Item Product
Description
Quantity Unit Unit price Value USD
- 000010 1-80-26000-504
Cartridge Brass Sheffer 656-52023
Product code:
3 PC 237.00 711.00
Value for Item 237.00 USD 711.00
Total items 711.00
Freight 9.89
Total amount 720.89
(* VAG
Page
1 / 1
Shin-to Partv Delivery note / Packlist
CARMEL CITY OF Number/Date
4915 E. 106th Street 438019737/08/25/2016
Carmel 46033 Sales order number
432017432
Your Refence no./Date
JM72816-A / 07/29/2016
Your Customer no:
1006871
Person in charge
Sold-to Partv Jones, Sam
CARMEL CITY OF Phone/Fax
4915 E. 106th Street +172477610201257
Carmel 46033 E-Mail
s.jones@vag-group.com
Project name
attention : john mascari
Terms of delivery: EXW Incoterms 2010 prepaid and add
Shipping conditions: Standard
Item Material Weight Quantity
Description Ord Bck Shp
000010 1-80-26000-504 3 3 3 PC
Sales order item: 000010
Cartridge Brass Sheffer 656-52023 ; a S n
HOZ' ' # 133V
p0All 83a11
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