311619 5/30/2017 4a ur G.1q�f
�; ,�• CITY OF CARMEL, INDIANA VENDOR: 00350779 CHECK AMOUNT: $**"**3,950.00*
ONE CIVIC SQUARE B L ANDERSON CO.
CARMEL, INDIANA 46032 4801 TAZER DRIVE CHECK NUMBER: 311619
LAFAYETTE IN 47905 CHECK DATE: 05/30/17
`-Ml ION
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 V-17365 3,950.00 OTHER EXPENSES
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Invoice B L Anderson Co., Inc.
4801 Tazer Dr
Lafayette IN 47905
�x 3,
_ 765-463-1518 phone
? y,g 765-446-8390 fax
www.blanderson.com
Date invoice#
4/27/2017 V-17365
Bill To Ship To
CARMEL WATER CARMEL WATER
3450 W. 131st St. 4915 E. 106th St.
Carmel,IN 46074 Indianapolis,IN 46280
Atte: Ken Rhodes
P.O. Number Terms Rep Ship Date Project
KRO13117-A Net 30 TLS 4/25/2017
7 7
4ttar <. item_Gads DescrIpffort Puce I=ach Amount
1 Non Inventory Valve Rotork Model MOW6/IR1210:1 Gearbox Actuator to Replace Serial 3,950.00 3,950.00
#CO248101-001.
TAG: Carmel WTP Plant 5
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $3,950.00
SHIPPED MAY 0 8 2017
' ROIORK CONTROLS INC
DESPATCH NOTE C0104036 I 675MRF CROSSING 13LVU
ROC
IILS7F:R
Date : 04/25/17 �O�O Nv USA
EORI Number 14624
DeliveryTerms : EX WORKS - FACTORY telephone: (5 2 247 2304
telefax:+]1585)247 2308
Carrier C&M FORWARDING website:www.rotork.com
Transport Mode : ROAD-NORMAL(PREPAID)
Customer: RS0166 Ship To:
ROTORK CONTROLS INC CARMEL WATER
5607 W. DOUGLAS AVENUE 4915 E 106TH ST
MILWAUKEE TAG PO: KR013117-A ATTN KEN RHODES
WI USA INDIANAPOLIS ,t ass 1--A — 1
53218 IN USA Sy<
46280 Ic
Vat Number
Box Code Dimensions Gross Wt Net Wt Box
Number L x W x H LBS LBS Quantity
BX170730 L2 2.27 x 1.96 x 2.46 210.00 180.00 SKID/BOX(OLD#2)
--------------------------- i
Your Purchase Order : 020517/3TLS /001
Our Order Reference : 1 M6877 /001
GB/1M687701 : EXEECO MOW6 210:1 1
Commodity Code : 85030099 99
Received:
Daae: _ 4/ - 2?—/�
PO #: �aPa/3/i�-A
ACCT #: e2.3z a� o
Country of Origin:USA US'e.
DESPATCH NOTE INFORMATION (6aw��G
Total Boxes :1
Gross Weight :210.00 LBS
Net Weight :180.00 LBS
Total Volume :10.90 ft3
Currency :US DOLLARS
On Behalf of ROTORK CONTROLS INC:
Date