306852 1/06/17 4�✓.EMp*
J e` CITY OF CARMEL, INDIANA VENDOR: 184825 CHECK AMOUNT: $****21,955.50*
ONE CIVIC SQUARE LIVING WATERS CO.
a CARMEL, INDIANA 46032 Po sox aoz
CHECK NUMBER: 306852
M ., MONROVIA IN 461 57 CHECK DATE: 01/06/17
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0083417 208.50 OTHER EXPENSES
609 5023990 0083480 21,747.00 OTHER EXPENSES
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Page: 1
Invoice
Living Waters Company,Inc. Invoice Number: 0083417-IN
P.O.Box 402 Invoice Date: 12/6/2016
Monrovia,IN 46157
(317)996-2508
Order Number: 0015150
Order Date 12/1/2016
O Salesperson: LH3
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY(e) CARMEL WATER
3450 WEST 131st Street PLANT#5
Westfield,IN 46074 126TH&HAZEL DELL
CARMEL,IN 46280
Customer P.O. Ship VIA F.O.B. Terms
VERBAL OUR TRUCK FACTORY Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
/LABOR-L 1.00 1.00 0.00 208.50 208.50
TROUBLESHOOT FLUORIDE SCR DRIVE
A finance charge of 1.5%(18%APR) Net Invoice: 208.50
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 208.50
Page: 1
Invoice
Customer
Living Waters Company,Inc. Invoice Number. 0083417-IN
P.O.Box 402 Involve Date: 12IM016
Monrovia,IN 46157 �, W
(317)996-2508
Order Number: 0016150
Order Date 12/1/2016
D' Salesperson: LH3
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY(e) CARMEL WATER
3450 WEST 131st Street PLANT#5
Westfield,IN 46074 126TH 8 HAZEL DELL
CARMEL,IN 46280
Customer P.O. Ship VIA F.O.B. Terms
VERBAL OUR TRUCK FACTORY Net 30 Days
Item Dumber Unit Ordered Shipped Back Ordered T Price Amount
1LABOR-L 1.00 1.00 0.00 208.60 208.50
TROUBLESHOOT FLUORIDE SCR DRIVE
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A finance charge of 1.6%(18%APR) Net Invoice: 208.60
Less Discount 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0,00
Invoice Total: 208.50
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Page: 1
Invoice
Customer
Living Waters Company,Inc. Invoice Number: 0083480-IN
P.O.Box 402 Invoice Date: 12/22/2016
Monrovia,IN 46157 L W
(317)996-2508
Order Number: 0015104
Order Date 11/14/2016
Salesperson: LH3
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY(e) CARMEL WATER
3450 WEST 131 st Street 4915 E 106TH STREET
Westfield,IN 46074 Indianapolis,IN 46280
Customer P.O. Ship VIA F.O.B. Terms
KR81616 OUR TRUCK FACTORY Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
AE580-00 EACH 1.00 1.00 0.00 17,917.00 17,917.00
ACRISON POLYMER PREP FEED SYSTEM Whse: 000
200 GALLON TANK
ST4020-16 EACH 1.00 1.00 0.00 1,860.00 1,860.00
DIGITAL SCALE 3.5,16"DISC Whse: 000
SPAN 0-100#
MISCELLANEOUS EACH 1.00 1.00 0.00 150.00 150.00
Whse: 000
1321 ULTRA-SPILL DECK 11 GALLON
MISCELLANEOUS EACH 1.00 1.00 0.00 1,350.00 1,350.00
Whse: 000
1157 ULTRA-IBC SPILL PALLET 360
NA11100-0010 EACH 1.00 1.00 0.00 195.00 195.00
10 GALLON DAY TANK HDPE WITH 4"FILL,SUCTION Whse: 000
TUBE AND CHECK
/FREIGHT 1.00 1.00 0.00 275.00 275.00
FREIGHT CHARGES
A finance charge of 1.5%(18%APR) Net Invoice: 21,747.00
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 21,747.00
YRC Freight Customer Service Center: •h•
10990 Roe Ave Ov I-d Park,KS 66211-12 1.800.610.6500 P 60 1-8290 10" 1
(EIN 34-0492670)(RDWY)
PICK UP DATE DESTINATION RATE CODE ITEM/TENDER NO. F7,✓✓ GE O'
1 -1 '—�6 324 - :C 411. , .793 QI CF` C)
P.O.NO./DEPT NO. ADV CA/CL CODE N
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SHIPPERBEY CA/CL CODE
s ACR t:aON r 61 YRQ TARIFFS L.IMI�! UARi=Il R'S LIABILITY.
pl 50-52 JOSEPH R �4..)IMA4�T-i L NUJ �S f l,.k•3 Y SE (_•^ EXCEP ALL ��EIGHT RECEIVED IN GOOD ORDER AND
ra`HRI .- bJ ? BANDING INTACT UNLESS NOTED
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NO.H/U PKG. HM DESCRIPTION OF ARTICLES
CODE WEIGHT(LB.) RATE CHARGES
t'aR 1 ACHINERY NMF'C= 2'4S7503 CLC92S E r2. bac,
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(OUTBOUND)
ENERAL SURC HARE. (F"UEL./F C T)
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LIMITED ACCESS
-- -� -- - M INSIDE DELIVERY RESIDENTIAL DELIVERY OTHER
C,'0NSIUNEE7S COP
• PACKING LIST Acrison'
Carmel Water Plant#1 20 Empire Blvd.,Moonachie,New Jersey 07074 USA
H 4915 E. 106th Street Phone:(201)440-8300 - Fax:(201)440-6099
Email:accounting@acrison.com
I T Indianapolis, IN 46280
World Class Dry Solids Handling Equipment
PO for the Processing Industries
E
Living Waters Company, Inc.
PO Box 402
Monrovia, IN 46157
• Attn: Accounts Payable
DATE,INVOICE
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U- 16364-01 PO#0024636 Hydro Equipment
S/N 16364-01
1 Acrison Model 580-0 Liquid Polymer Preparation Model &200 Gallon Tank per Acrison Equipment Drawing
#580-1-394, Rev. A
1 NEMA 4X Control System per Acrison Equipment Drawing#500-3-984, Rev. A
Received :
Date : f=—
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= !PO # :
ACCT # : ®?- /0-2,X3
Use : P14 3 �ol raj e� Sys
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