303428 09/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 371127
ONE CIVIC SQUARE INSTRUMENT&VALVE SERVICES COMI)IJWK AMOUNT: S'"""'313.45'
CARMEL, INDIANA 46032 22737 NETWORK PLACE CHECK NUMBER: 303428
CHICAGO IL 60673-1227 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3561532 313.45 OTHER EXPENSES
VOUCHER # 166166 WARRANT # ALLOWED
371128 IN SUM OF $
INSTRUMENT &VALVE SERVICES CO
22737 NETWORK PLACE
CHICAGO, IL 60673-1227
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV* ACCT# AMOUNT Audit Trail Code
3561532 01-7362-05 313.45
Voucher Total 313.45
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
371128
INSTRUMENT&VALVE SERVICES CO. Purchase Order No.
22737 NETWORK PLACE Terms
CHICAGO, IL 60673-1227 Due Date 9/14/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/2016 3561532 313.45
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
Instrument&Valve Services Company
'��Z*��• 205 South Center Street
c Marshalltown,IA 50159 USA
754-3011
EMERSOM Taxf641)D 2-0709529
Ararx S5)'t�tun�l HT141_>)lt
INVOICE
Please Remit To: Instrument&Valve Services Company Invoice Date: 08/25/16 Page: 1 of 2 Invoice No: 3561532
22737 Network Place
CHICAGO,IL 60673-1227 j Payment Terms: I Currency: Sales Order No:
Payment due in 30 days USD 30000341140
Invoice Inquiries:
Customer PO: I Rep Order No:
Organization: IVS_USA_IO_Cleveland_OH_Instruments S16344 I Project No:
Phone: (440)498-3951
Fax: (440)498-3964 Sales Office: No Contact Name: Contact Phone#:
CSA: 'STALLONE,JOHN JOSEPH Larry Schimmel -317-571-2634
Invoice To: ATTN:Accounts Payable Ship To: CARMEL CITY OF
CARMEL CITY OF 9609 HAZEL DELL PKWY
9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280-2395
INDIANAPOLIS, IN 46280-2395
Attention: 63563505 Attention: 73552519
Ultimate Destination: UNITED STATES-INDIANA Freight Payment Terms:
Service Request: 1547880 Emerson Division PO:
Line Information I QuantityUnit Price Total Tax
Ship Date: 25-AUG-16
Repair Order#540458 for REPAIR&RETURN
Item Number: 3144PD1A1 E5B4M5G1
Description: TEMPERATURE TRANSMITTER
Serial Number: 0454122
Tag Number:
Customer PO Line No:
LBP PO Line No:
Way Bill/Tracking No: 680027007910/
Rosemount Measurement Technician Repair labor straight time 2 --138.00 276.00 0.00 - —
Invoice Notes:
Subtotal 276.00
Total Tax 0.00
Freight&Handling 35.00
2.45
Tax on Freight
313.45 USD
Total Amount Due
If you have been charged tax and you are tax exempt,short pay the invoice and fax or e-mail the state tax exemption certificate for the ship to state.
Otherwise,the full invoice amount including tax is due.Please fax or e-mail the tax exemption certificate to:
Instrument and Valve Services
Fax No.(512)832-3838
E-Mail Address: CorrectiveBillinglVS@emersonprocess.com
For electronic payments(ACH,EFT),please send remittance details to epm-cfs.ep@emersonprocess.com
Unless otherwise stated in this document or otherwise expressly agreed in writing by us, the supply of all products and services covered
above shall be exclusively governed by the Terms and Conditions of sale attached to this document
These commodities are intended for use within the United States. All exports must be made in accordance with U.S. law.