HomeMy WebLinkAbout304561 10/31/16 0'''��p'' CITY OF CARMEL, INDIANA VENDOR: 368286
ONE CIVIC SQUARE EVOQUA WATER TECHNOLOGIES CHECK AMOUNT: $*******227.80*
,a, CARMEL, INDIANA 46032 28563 NETWORK PLACE CHECK NUMBER: 304561
M�Tp'li��� CHICAGO IL 60673-1285 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 902834751 227.80 OTHER EXPENSES
VOUCHER # 166445 WARRANT# ALLOWED
368286 IN SUM OF $
EVOQUA WATER TECHNOLOGIES
28563 NETWORK PLACE
CHICAGO, IL 60673-1285
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
902834751 01-7362-05 227.80
Voucher Total 227.80
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
368286
EVOQUA WATER TECHNOLOGIES Purchase Order No.
28563 NETWORK PLACE Terms
CHICAGO, IL 60673-1285 Due Date 10/24/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/24/201( 902834751 227.80
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
(, eVOQUA Invoice
WATER TECHNOLOGIES
Branch: 019 Billing No.: 902834751
Billing Date: 10/17/2016
Sales Order/Contract: 40258298 / 10
Service Order No.: 51583903
Service/Work Date% 10/11/2016
Customer No.: 1041262
Bill-to: 1041262 Cd"stamer PO No.: S16520
CITY OF CARMEL Incoterms(part 1): FOB Free on board
WASTEWATER TREATMENT PLANT lncoterms(part 2): Free on board
9609 HAZEL DELL PKWY Payment Terms: Net 45 days
INDIANAPOLIS IN 46280 Sales Rep: Richard C Beasley
Functional Location: 0192160654
Remit-to address: Ship-to address: 2160654
EVoqua-Water- Technologies-LLC - CARMEL WASTE WATER UTILITIES--
28563 Network Place 9609 HAZEL DELL PKWY
Chicago, IL 60673-1285 INDIANAPOLIS IN 46280
United States
Telephone# 1-800-466-7873
Line Item Material Old Part Origin Qty./UOM Unit Price Total Price Tax Total
Description Number Currency USD Currency USD Currency USD
000010 W5TDIMB10079FSP DIMB10079FS US 2 EA 108.90 217.80 0.00 217.80
SDI MIXBEDI .79CF P
FBGLS STD POT
ECCN: EAR99
000020 W3TSP4276 1 EA 10.00 10.00 . 0.00 10.00
FUEL/ENERGY Surcharge
ECCN: EAR99
Net Total 227.80 USD
Shipping and Handling 0.00 USD
State Tax 0.000 % 0.00 USD
County Tax 0.000 % 0.00 USD_
CityTax 0.000 % 0.00 USD
Dist/Other Tax 0.000 0.00 USD
Total Amount Including Tax 227.80 USD
To pay by credit card, please call 1-978-614-7034
If paid after 12/01/2016, please pay 231.22 USD
Destination Control Statement: the above commodities, software,or technolodgy are being sold pursuant to United States Export
Redqulations. Export, re-export or other diversion contrary to law Is prohlblte These Items are not to a used directly or
er
In ectly In prohibited nuclear, chemical/biological or missile weapons activities.
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