308526 02/28/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 00353162
ONE CIVIC SQUARE FERGUSON WATERWORKS INDY#193¢HECK AMOUNT: S'•"""567.48•
CARMEL, INDIANA 46032 PO BOX 644054 CHECK NUMBER: 308526
PITTSBURGH PA 15264-4054 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0074405 209.98 OTHER EXPENSES
601 5023990 0077835 357.50 OTHER EXPENSES
FERGUSON® ;`INVOICE NUMBER F CUSTOMER P PAGE `
Watmvorks 0074405 3686 1 of 1
2126 WEST 400 SOUTH PLEASE REFER TO INVOICE NUMBER WHEN
KOKOMO, IN 46902-9615 MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 317-546-2013 PITTSBURGH,PA 15264-4054
22571 MB 0.423 E0232X 10379 D2221235141 32 P3944017 0001:0001
�II�II�III�IIIIJill Jill III Jill1111111111 111111111 1111
Lk CARMEL UTILITIES
MIM 3450 W 131 ST ST
CARMEL IN 46074-8267
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
ID_
-2930=---2930- --INE---- -- -JERRY - -- - ---- PLP- — - --- - -02%08/17 8425
ORDE,RED , - SHIPPED ,•ITEM'tdUMBER " DESCRIPTIONUNIT PRICE °rUM AMOUNT ,
2 2 FAV91445NL LF ANG YOKE VLV 59.820 EA 119.64
2 2 FC8455QNL LF 1-1/4 MIP X CTS QJ COMP COUP 45.170 EA 90.34
INVOICE SUB-TOTAL 209.98
LEAD LAW WARNING:IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH'NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.13UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Go Paperless - Upgrade to Email Delivery!
You'll receive one email per day with all your invoices attached as a PDF.Contact us with your email address today.
Call us at the number above to switch to email delivery today[ ,
TERMS: NET 10TH PROX ORIGINAL INVOICE ' TOTAL DUE"_ $209.98
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.htmi
and are incorporated by reference. Seller may convert checks to ACH.
0001:0001
ZFERGUSON® INVOICE NUMBER•. , . CUSTOMER PAGE v
0077835 3686 1 of 1
Waterworks
2126 WEST 400 SOUTH PLEASE REFER TO INVOICE NUMBER WHEN
KOKOMO, IN 46902-9615 MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 317-546-2013 PITTSBURGH, PA 15264-4054
SHIP TO
25941 MB 0.423 E0122X 10195 D2215461405 S2 P3935691 0001:0001
��I��IIII�I��III'I"II�IIIIII��II���II�'lll�l�ll�����ll�l��l�l�ll
t CARMEL UTILITIES
3450 W 131 ST ST
CARMEL IN 46074-8267
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
___2930_`2930— INE-- `— — JERRY' — 10
--PLP-- — —02/06/47—8405____
ORDERED SHIPPED',, ITEM NUMBERS DESCRIPTION o UNIT PRICE "� �x�UM AMOUNT
4 0 DVBSBS30 DOM 30"SC VLV BX BOT SECT EA 0.00
10 10 IVBLIDW 5-1/4 CI VLV BX LID WTR 7.600 EA 76.00
6 6 IVBSTS16 16 SC VLV BX TOP SECT 19.250 EA 115.50
5 5 IVBSTS26 26 SC VLV BX TOP SECT 33.200 EA 166.00
INVOICE SUB-TOTAL 357.50
LEAD LAW WARNING:IT IS ILLEGAL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH*NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.I UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Go Paperless - Upgrade to Email Delivery!
You'll receive one email per day with all your invoices attached as a PDE Contact us with your email address today. r
Call us at the number above to switch to email delivery today!
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL°DUE.. $357.50
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html
and are incorporated by reference. Seller may convert checks to ACH.
0001:0001
Manufacturer of Quality Products for Water Distribution Systems Packing List
( � The Ford Meter Box Company, Inc. page 1 of 1
775 Manchester Avenue,P.O.Box 443
Wabash,Indiana USA 46992-0398 Date 2/3/2017
Phone(260)563-3171/Fax(800)826-3487 Shipment# 4755335
hipment Facility Wabash, IN
Freight Collect
Sold To:16217 o Ship To:
Ferguson Enterprises Carmel Utilities
P.O.Box 9406 3450 W 131 st Street
Hampton VA 23670 Carmel IN 46074
Line Item Number Description Qty. Qty. Qty. Qty. Qty.Prior UOM
Ordered Shipped Backorder Canceled Ship
---------------------------------------------------------------------------------------------- ------- ---- --- -
1.00 AV91-445-NL 1 I ANGLE KEY VALVE MYN/FIP 2 2 EA
------------------------------------------------------------------------------------------------------------------------------------------------
2.00 C84-55-Q-NL 1-1/4 CPLG MIP/CTS QJ 2 2 EA
Please verify the piece count of this delivery along with any visual damage and note any discrepancy on the Pack List. Should you discover any concealed
damage or product discrepancy within 10 days of delivery,please notify your Ford Customer Service Representative at 260-563-3171.
Customer PO R2930-1075 Ford Order Number 1611387
--3-7 Rev.4 3/08 111111111111111111IIII111111111111111111111111111111l1111111
O FERGUSON® �:F�► ,:,,o Y
WATERWORKS f1�)f?t)[}I"
F F?drt SON a'ir'1-(ERW'ORKS #291'T10 ( 113 FRT .. r!,i,
KOKOPIO. 1 rI��,G�? �'E?'�� r1 F, 1 'R
WRITER SALESMAN
i r'1 1 t : 7 7 d? mi
F'1•!: 7C1 �--/F.`Ll�-•p�l-3,. F•(•,�. 'rfr:�r-•�Fi�.- !I'r�.i. � ?` Ck i`, F, �; ClF� 1, f' .� f.� h. •�) r; r, i.. E< 1„
ORDER NO. REQUIRED DATE SHIP WHS. SELL WHS, TAG P.O.NO.
(IfI7,111FIlls Ct:Al ,/1" ',stI<;,i
CUSTOMER NO. CUSTOMER ALPHA CONTRACT NO. BID NO. ORDER DATE ORDERED BY INSTRUCTIONS OML CONTACT
? ri?6 (1AF;C'F..0,?.[ (rlf:c'','1.' .r1 : i 3,)s;
VENDOR
• ^f 5 I1-11`51' ) "F L T i VENDOR P.O.NO.
.� I•w.0 �i STREET .:,•�...Jr I� :!.:�1.�7 a l F,I::L•r
SHIP VIA ROUTE NO RUN NO. DEPART TIN
• • PCS BAGS BOXES CRATES LENGTHS BUNDLES ROUTE DESC.
CUSTOMER P.O.NO. JOB NAME ATTN: SHIP WT. SHIP DATE DELIVERED BY PACKED BY CHECKED BY
LINE ORDER QTY. SHIP QTY. V REM CODE DESCRIPTION UNIT PRICE U/M TOTAL P.O.NO. AISLE LOC
0 14. T}V t3C; "1 f i '9 ,C ''! ;i'J ;?(31' v;F GJ E"'1 R.'? :;Il-X;1 5f l
7ri 4,fl 17 "(Viii NA -'t '-i� i:r d! i! is'x L.F 7 i,!1I< "A VL.'IIiZ
• F3. 7 'Lk)
? F, r7 0 ,v T!:�,:t 10-; E(I V! V ':J! T•l?F) ' '`(;'i !--'p v!_11 Ii
2,
t, n -r v i,�iT .-�Ci b C YL V .Y I 9EQ,1' Cr' VLVCi
- 0'r - I)!t-A 6;1, til. (;,yh}'!;w !,._ ..';(iri 1 1)
rl ;f yy14 it i it:t••1: :F 4f�•Y<'fr f,•)R Y.•;:.. .3;.fir.X..3�. :;'r s'P i:. rr.ri.;•i i^ ..X...f?1:is•i •.r.3;..r.is" 3::ti i�y f;'f::f.3e;k#•,r,..k:,•3k: ik 31r n�:• ..v.)c fi...`':r:`i: ik.)'*'i...yk 3;•{,e. .v�..,�,..)<-;+1 k' n 3E•)f k.. .i
'IW Li �'� ��� t l'�CT' .t C� J..!. �.�.7 rt L!' 1-r) .11��1..~11.�. r�r.iA��i�1�r•. i.111��4 ��r f�()'i}; II.I.'.:51'1�t� �'r�F? '1 .f,Fl .��..t..( r(�:�{'�i�(i� ;•.J i�l i ��!.: I'S}(J'c�? ,-! :%r• }:I{r Ior
ryn].i '.�71�.P. .T.:tW L'1 L?_'fri.`•).6`r dct'S:E:'r f3!' �`. 'rf?i :111�C.11:�C)�i4°ti 'for' N}I m,-,i! Gt1F1�}Ii;}1 j'f:.7.1)II. r'{`t)C.II,IC'rl� w1.'L11 w�1�' ;.ii 'C!'E? Cl4�,Cr).Ci't:1.(){
I^P. 'ti }7 :1.t)rld '`F'f)t' f]1d can ir't'L4 b(? 111 �tct.;.].f .l ?"i 1i(ii1 r!4'[ �iJ,i� ar)r)Ti.c-?�lt1nfl )til.+t�F;f J.> r,( l.E'.t.i. �'C'; i7t'11C�J �: .1!? F/Ji, r?r'{r �'t1'!t 'r (3 �r:�1. t7.f)!'r
J
1
3
j CUSTOMER'S fTERMS:
SIGNATURE: i !/� I DATE: OL/OL
CUSTOMER COP`(
VOUCHER # 164105 WARRANT# ALLOWED
353162 IN SUM OF $
FERGUSON WATERWORKS INDY#19
PO BOX 644054
PITTSBURGH, PA 15264-4054
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0074405 01-6200-06 209.98
Voucher Total 5 / 7 L(F
Cost distribution ledger classification if
claim paid under vehicle highway fund