316702 09/29/17 4+ur Cqq�*
�' CITY OF CARMEL, INDIANA VENDOR: 00353162
O ONE CIVIC SQUARE FERGUSON WATERWORKS INDY #19340HECK AMOUNT: $*****"*225.00*
jq, CARMEL, INDIANA 46032 Po Box 644054 CHECK NUMBER: 316702
'M�roN�. PITTSBURGH PA 15264-4054 CHECK DATE: 09/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0099189 225.00 OTHER EXPENSES
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OFERGUSON® INVOICE NUMBER TOTAL DUE CUSTOMER PAGE
WATERWORKS 0099189 1 $225.00 1 3686 1 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
SHIP TO:
1599 1 AB 0.403 E0024X 10044 D2817756875 S2 P4622461 0001:0001
1��1�1111���11�1�111'1111111'lll�l�l���l�l�ll111�1'1�1111��'111'1
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 JERRY PLP 1"BALL ANGLE VLVS 09/07/17 10288
ORDERED SHIPPED, ITEM NUMBER DESCRIPTION UNIT PRICE UM AMOUNT
3 3 FBA94324WQNL LF 5/8X1 BA94-324W-Q-NL ANG BV 75.000 EA 225.00
INVOICE SUB-TOTAL 225.00
+++++++++++++++++ ++++++++++++++++++++ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++
LEAD LAW W NTNG:IT IS ILLEG AL 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 DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
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TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $225.00
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
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 8/29/2017
Phone(260)563-3171 /Fax(800)826-3487 Shipment# 5508752
Shipment Facility Wabash, IN
Freight Collect
Sold To:16217 Ship To:
Ferguson Enterprises Carmel Utilities `
P.O.Box 9406 3450 W 131 st Stre t
Hampton VA 23670 Carmel IN 46074
Line Item Number Description Qty. Qty. Qty. Qty. Qty.Prior 00M
Ordered Shipped Backorder Canceled Ship
1.00 BA94-324W-0—NL 3/4 ANG BALL VALVE MYN/CTS QJ 3 3 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 T2930-251 Ford Order Number 1655416
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