311099 05/09/17 9`. ��'`� CITY OF CARMEL, INDIANA VENDOR: 00353162
ONE CIVIC SQUARE FERGUSON WATERWORKS INDY #193¢HECK AMOUNT: $......*447.48*
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CARMEL, INDIANA 46032 Po BOX 644054 CHECK NUMBER: 311099
,��roN PITTSBURGH PA 15264-4054 CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0083559 447.48 OTHER EXPENSES
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FERGUSON® INVOICE NUMBER CUSTOMER PAGE
0083559 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:
2477 1 MB 0.423 E0388X 10669 D2403018967 S2 P4168995 0001:0001
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.
ID
2930 2930 iNE SMITTY PLP 04/19/17 8969
ORDERED SHIPPED` ITEM NUMBER DESCRIPTION UNIT PRICE UM AMOUNT
4 4 FBA91444WNL LF BA91-444W-NL ANG BV 84.870 EA 339.48
4 4 FC8445QNL LF 1X1-1/4 C84-45-Q-NL COUP 27.000 EA 108.00
INVOICE SUB-TOTAL 447.48
................. ..........................••_,___...................
............,.............
LEAD LAW W NTNG:IT IS ILLEGAL TO INSTALL PRODUCTS 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 DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.I UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
■ 1
Thankyou foryour business
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $447.48
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
I The Ford Meter Box Company, Inc. page 1 of 1
775 Manchester Avenue, P.O.Box 443
Wabash,Indiana USA 46992-0398 Date 4/6/2017
Phone(260)563-3171 /Fax(800)826-3487 Shipment# 4953912
Shipment Facility Wabash, IN
Freight Collect
Sold To:16217 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 LIOM
Ordered Shipped Backorder kanceled Ship
------------------------------------------------------------------------------------------------------------------------------------------------
1.00 BA91-444W-NL 1 I ANGLE BALL VALVE MYN/FIP 4 4 EA
------------------------------------------------------------------------------------------------------------------------------------------------
2.00 C84-45-Q-NL 1x1-1/4 CPLG MIP/CTS QJ 4 4 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 R2930-1770 Ford Order Number 1623174
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