319132 11/30/17 o
CITY OF CARMEL, INDIANA VENDOR: 368799ONE CIVIC SQUARE FLOSOURCECHECKAMOUNT: S*****4,079.98*
CARMEL, INDIANA 46032 489 GARDNER AVE CHECK NUMBER: 319132
- MARTINSVILLE IN 46151 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 77203 4,079.98 OTHER EXPENSES
Voucher # 173425 Warrant # Prescribed by State Board of Account City Form No.201(Rev 1995)
ALLOWED 20
368799 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FLOSOURCE CITY OF CARMEL
489 GARDNER AVE An invoice or bill to be properly itemized must show, kind of service, where
MARTINSVILLE, IN 46151 performed, dates of services rendered, by whom, rates per day, number of units
price per unit, itc.
Payee
Carmel Water Utility 368799 Purchase Order
No.
ON ACCOUNT OF APPROPRIATION FOR FLOSOURCE Terms
489 GARDNER AVE Due Date
Board Due Date
Members
MARTINSVILLE, IN 46151
Description
Audit Trail INVOICE (or note attached invoice(s) or
PO # INV # ACCT# 'AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT
77203 02-2308-00 -
Depreciation $4,079.98 11/22/2017 77203 $4,079.98
Voucher Total $4,079.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
� V
58819
00 17 /"' ,rP'y URfwww 489 Gardner Ave Invoice
60 LZ Martinsville, IN 46151
Invoice Number:
77203
VALVES I ACTUATION I INSTRUMENTATION I STEAMSPECIALTIES www.flosource.com Invoice Date:
Voice: 765-342-1360 Nov 10, 2017
Fax: 765-342-1361
Page:
E-Mail: sales@flosource.com 1
Sold To: Shi to:
Carmel Utilities/Water Operations armel Utilities/Water Operations
3450 W. 131st St. 4915 E. 106th Street
Carmel, IN 46074 Attn: John Mascari
USA Indianapolis, IN 46280
USA
Customer ID Customer PO Payment Terms
Carmel Utilities KR92617 Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
Eric P. Sessions Best-Way PP&ADD 12/10/17
Quantity Item Description Unit Price Extension
Replacement for Serial Number
983555
1.00 ETER 10 VF32D/FC101 10 11 Model VF32D 150psi Vertical 3,824.00 3,824.00
ownflow Meter with Digital
Ind-Tot-Trans. (4-20mA Output) , 6I
Output Cable, GPM/GAL. 10"
F32D/FC101-03-0006
Damages And Short Ships Must Be Reported 5 days
Or Earlier After Receipt Of Shipment. Overdue
balance will accrue interest at the rate of 1-1/2% per
month compounded plus ALL legal and collection fees. Subtotal 3,824.00
All FloSource Terms&Conditions Apply for a copy Sales Tax
please visit:hfp://flosourcevalve.com/terms.pdf Freight 255.98
Total Invoice Amount 4,079.98
Check/Credit Memo No: Payment/Credit Applied
TOTAL 4,079.98
42530 McCrometer Page - 1
McCrometer Br/Plt ****************************** Date - ' 11/02/17
** PACKING LIST **
Sold To: FLQSOURCE INC Ship To: CARMEL UTILITIES
489 GARDNER AVENUE ATTN: JOHN MASCARI
MARTINSVILLE IN 46151 4915 E. 106TH STREET
CARMEL IN 46033 k
30360. „.34198
------------------------------------------------------------------------------------------------------------------------------=----
Shipping Instructions SEE ROUTING GUIDE
------------------------------------------------------------------------------------------------------------------------------------
Item Number/Description Ordered UM Shipped
------------------------- --------------- -- -------------
7-VF32D-10 1 EA 1 CU LB
Vertical DF Meter, Elec, 10" Order No - 303387.000 Line- 1.000 Ord- 10/05/17 Ship- 11/07/17
20171743 & E17-05425 Rel Order#- 699928 Cust PO- 48074 Req- 11/07/17 Delv- 11/07/17
*FC101-03-M 1 EA 1 LB
FlowCom w/4-20mA, Switch Order No - 303387.000 Line- 2.000 Ord- 10/05/17 Ship- 11/07/17
(with flowmeter) Rel Order#- 699929 Cust PO- 48074 Req- 11/07/17 Delv- 11/07/17
------------------------------------------------------------------------------------------------------------------------------------
Driver Signature Qty ShippedZD3
_ Received
Customer Signature 2 Date : /- /s.-�=-=
-------------------- SCP, 9z-&-1-117
ACCT # :
17?Use
---------------------------------------------------
Lithium batteries are contained in one or more
of the goods on this order.
Dangerous Goods restrictions may apply.
McCrometer, Inc.•3255 W.Stetson Avenue• Hemet,CA 92545-77.63 USA
PHONE:951-652-6811 - FAX: 951-652-3078
IN CASE OF LOSS OR DAMAGE,SHORTAGE OR INCORRECT SHIPMENT REFER TO THE
INSTRUCTIONS ON REVERSE