315700 8/31/2017 CITY OF CARMEL, INDIANA VENDOR: 367012
TEST GAUGE& BACKFLOW SUPPLY CHECK AMOUNT: $...**1,702.00*
g ONE CIVIC SQUARE CHECK NUMBER: 315700
INDIANAPOLIS
CARMEL, INDIANA 46032 S MERIDIAN ST SUITE E
NDIANAPOLIS IN aszn CHECK DATE: 08/31/17
-9M1 TON�0.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT — DESCRIPTION
OTHER EXPENSES
601 5023990 30007910 1,702.00
Y
2
E
I �
cs
a
a O
G
LV Ln fp
{ a Q Cb
J, G
LL Q
Z
3 CO
1
>J-
0 o
L � � O N
+�
LL
Y tNN O
°° Q z z Z n
tD m a 43 _ *k C u N >
cid
LU Q m c
N (� g w Q O e
' Z
.-a
> M f— Ln
TEST GAUGE&BACKFLOW SUPPLY Invoice
5644 S MERIDIAN ST STE E
INDIANAPOLIS, IN 462172759 US
317-786-8990
IN-FRANCHISE@TESTGAUGE.NET
BILL T(3 SHIP TO
.. .. ........................... .
CARMEL WATER CARMEL WATER
CARMEL WATER CARMEL WATER
3450 WEST 131ST STREET 4915 EAST 106TH ST
CARMEL, Indiana 46074 INDINAIAPOLIS, Indiana 46280
INVOICE# DATE TOTAL DUE DUE DATE ENCLOSER
300007910 08/04/2017 $1,702.00 09/18/2017
SHIP DATE P.O. NUMBER
08/04/2017 JM072117
ACTIVITY QTY RATE AMOUNT
RP 1 830.40 830.40
0888840 -2 1/2"-10"994 COMPLETE
RELIEF VALVE
RP 1 131.60 131.60
0888839 -2 1/2"-10"994 RELIEF VALVE
RUBBER
OTH 1 723.50 723.50
0625503 -4 ICV-1 25-2-2-T
SHIPPING CHARGES 1 16.50 16.50
United Parcel Service-UPS Ground
Order#300011245 BALANCE DUE
$1 ,702.00
Test Gauge&Backflow Supply, Inc.
2587 Millennium Dr. Unit K2
TEST GAUGE L BACKFLOW SUPPLY INC. Elgin, IL 60124
Order # 700003612
�aaaassl2
Date : July 24, 2017
Billing Address: Shipping Address:
Test Gauge & Backflow Supply (Indiana) CARMEL WATER
Test Gauge & Backflow Supply (Indiana) . P.O.#JM072117 .
5644 S. Meridian St. 4915 EAST 106TH ST
Suite E 46280 INDINAIAPOLIS Indiana
46217 Indianapolis Indiana UNITED STATES
UNITED STATES
Comments
Created via Custom PO System.
Shipping : United Parcel Service-UPS Ground
Purchase Order: 32394
SKU Name Quantity Actual
4'' 0888839 2 1/2"-10"994 RELIEF VALVE RUBBER 1
0888840 2 1/2"-10"994 COMPLETE RELIEF VALVE 1
0625503 4 ICV-125-2-2-T 1
Received : -&I &�5;
Date : ` 7?,5"t 7
PO # : �"�► 0-7Z11 7
ACCT # : (¢ Z°,
U s e :
Vj WAr
rl
® 6201 GREEN POINTE DDR S (Phone) 978--639--6066
WATER TECHNOLOGIES GROVEPORT, OFI 4-31.25- 7501 (Fa x ) 978--975-3350
OUR ORDER NO B.O.N.
j WATTS REGULATOR CO Page 1 D20 7'754552 1
SOLD TO: ORDERED BY: 00282554
1 TEST GAUGE p:. BACKFLOW SUPPLY 'TEST GAUGE & BACKFLOW SUPPLY
3x87 MILLENNIUM DR aTE K UNI P587 MILLENNIUM DR STIE K UNI
1
i
ELGIN, IL. 60184--S726 ELGIN, IL.. 60124'-'S7F'6
TERMS SHIP VIA FRT.TERMS I
DATE PRINTED DATE ENTERED CUSTOMER ORDERO OBY6tkR DATE CUSTOI AM, STMt NO. CUSTOMER CODE F.O.B.
•-, . 4 ->
I QTY.ORDER QTY.ALLOC. aJSTOW6 QTY. ` QTY.SHIPPED PRODUCT U SINE NO.
Agent: MIS} CONTINENT MARKETING
IRemarks: TAG: P0# J11072 1. 17
1 1 ICV--135-.2-..2--T 06ESS03 EA 1
oc : 815301
I
otal Weigh:: 1.2
4
{
� eceive
� ate
T: � 0? D
1 Oro r
F. L LI
CARMEL WATER 01064194 v,1'
491S E 106TH ST
CARTONS
INDIANAPOLIS, I N 46280-1532 � O. wGT. NO. WGT. f
USA ` '