310723 04/24/17 ,1�w cggyf
c, CITY OF CARMEL, INDIANA VENDOR: 366022
ONE CIVIC SQUARE XYLEM INC CHECK AMOUNT: $ 5,615.00'
:3 ?4 CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 310723
�M CHICAGO IL 60673-1267 CHECK DATE: 04/24/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3556950779 5,615.00 OTHER EXPENSES
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Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 INVOICE' YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 S16927
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
26717 Network Place 3556950779 B12207 3/31/17 E00696
Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS
9 3/31/17 A3 1088 100°% N60 FROM INVOICE
Sold To: customer No. 201654 Ship To:
Global No. 8027181
CARMEL UTILITIES WTP CARMEL WASTE WATER TREATMENT
9609 HAZEL DELL PKWY ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
INDIANAPOLIS IN 46280
DELIVERY TERMS ORDER PROCESSED BY
FREIGHT TERMS
lobsite PP/Add Order Positio FLYGT—INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice—Ground CARMEL WWTP Ed Ryan
QUANTITY SHIPPED UNIT PRICE
LINE ITEMtQESCRIPTION NET PRICE EXTENDED AMOUNT
UM DISCOUNT/CHARGE
Quote# 2016-IND-0845 ALTERNATE 1, VERSION 2
001 0000007708009 1 2 , 537 . 000 2 , 537 . 00
KIT,REBUILDING 463 ADAPT VE EA
ITEM NO. / SERVICE C DE: R02244
COST CENTER: LIST STATIONS
ACCOUNT CODE: 01 . 720 . 04
002 0000007708008 1 2 , 862 . 000 2 , 862 . 00
KIT, REBUILDING 462 ADAPTIVE EA
ITEM NO. / SERVICE CODE: R02244
COST CENTER: LIST STTIONS
ACCOUNT CODE: 01. 720 . 04
003 140000069983ON 1 216 . 000 216 . 00
SHIPPING AND HANDLING-NO TAX EA
ITEM NO. / SERVICE CODE: R02244
COST CENTER: LIST STTIONS
ACCOUNT CODE: 01. 720 . 04
SUB-TOTAL OF POS TIONS 5, 615 . 00
*S & H CHARGED AS LINE ITEM*
Cont on 2
IMPORTANT-This invoice is governed by and subject to TERMS AND CONDITIONS OF SALE-XYLEM AMERICAS.Different terms are hereby rejected unless expressly assented to in
writing.Terms are accessible at http://www.xyleminc.com/en-us/Pages/terms-conditions-of-sale.aspx
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 I N V O I C'E YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 S16927
INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
26717 Network Place 3556950779 B12207 3/31/17 E00696
M 011
Chica o, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS
9 3/31/17 A3 088 10016 N60 FROM INVOICE
Sold To: Customer No. 201654Page 2
Ship To:
Global No. 8027181
CARMEL UTILITIES WTP CARMEL WASTE WATER TREATMENT
9609 HAZEL DELL PKWY ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
INDIANAPOLIS IN 46280
DELIVERY TERMS ORDER PROCESSED BY
FREIGHT TERMS
7Obsite PP/Add Order Positio FLYGT-INDIANAPOLIS, IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice—Ground CARMEL WWTP Ed Ryan
QUANTITY SHIPPED UNIT PRICE
LINE ITEMtDESCRIPTIQN' NET PRICE EXTfNDEI?AMOUNT'
UMDISCOUNT/CHARGE
TOTAL WEIGHT 150 . 700 LBS
NET kMOUNT BEFORI TAXES USD 5, 615 . 00
3/31/17-US PORT expected exit iate of 03/31 /17
TOT L WEIGHT ON D/N:E00696 ORDER TOTAL USD
DISPATCH INFO: 251567
5, 615 . 00
IMPORTANT-This invoice is governed by and subject to TERMS AND CONDITIONS OF SALE-XYLEM AMERICAS.Different terms are hereby rejected unless expressly assented to in
writing.Terms are accessible at http://www.xyleminc.com/en-us/Pages/terms-conditions-of-sale.aspx