317911 10/31/17 (9)
CITY OF CARMEL, INDIANA VENDOR: 00353162
ONE CIVIC SQUARE FERGUSON WATERWORKS INDY #193¢HECK AMOUNT: S*******140.13CARMEL, INDIANA 46032 PIOTBOX 644054 TBURGH PA is2sa-aoea CHECK NUMBER: 317911
CHECK DATE: 10/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0101802-3 140.13 OTHER EXPENSES
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FERGUSON® INVOICE NUMBER TOTAL DUE CUSTOMER PAGE
0101802-3 $140.13 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:
2748 1 AB 0.403 E0040X 10063 02913491279 S2 P4713405 0001:0001
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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.
10
2930 2930 INE FORD BRASS PLP 10/06/17 10554
ORDERED SHIPPED ITEM NUMBER DESCRIPTION UNIT PRICE UM AMOUNT
3 3 FFB10004QNL LF 1 CC X CTS QJ BALL CORP 46.710 EA 140.13
INVOICE SUB-TOTAL 140.13
................. .................... ......
LEAD LAW WARNING:IT IS ILLE 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 DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.I UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.
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TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $140.13
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
The Ford Meter Box Company, Inc. Page 1 of 1
77 nche¢ter Avenue,P.O.Box 443
We h,Indiana USA 46992-0398 Date 10/6/2017
Phone(260)563-3171 /Fax(800)826-3487 Shipment# 5648563
Shipment Facility Wabash, IN
Prepaid
Sold To:16217 Ship To:
Ferguson Enterprises Ferguson Waterworks 2930
P.O.Box 9406 2126 West 400 South
Hampton VA 23670 Kokomo IN 46902
Line Item Number Description Qty. Qty. Ory. Qty. Qty.Prior UOM
Ordered Shipped Backorder Canceled Ship
7.00 FB1000-4-Q-NL 1I BALLCORP AWWA/CTS QJ 3 3 EA
DELIVERED OCT 2 3 2017
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 T2930-452 Ford Order Number 1660233
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