319448 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 00352366
d ONE CIVIC SQUARE ANDRITZ SEPARATION INC CHECK AMOUNT: $*****1,136.32*
?4; CARMEL, INDIANA 46032 DEPT 0312 CHECK NUMBER: 319448
PO BOX 120312 CHECK DATE: 12/12/17
DALLAS TX 75312-0312
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 848007698 443.52 OTHER EXPENSES
651 5023990 8480077395. 692.80 OTHER EXPENSES
VOUCHER NO. 176841 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 352366 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
ANDRITZ SEPARATION INC CITY OF CARMEL.
Dept. 0312, PO Box 120312 An invoice or bill to be properly itemized must show: kind of service,where performed,
Dallas, TX 75312-0312 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
$1,136.32 352366 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ANDRIIZ SEPARATION INC Terms
Carmel Wasterwater Utility Dept. 0312, PO Box 120312 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice Dallas,TX 75312-0312
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
8480076968 01-7202-06 $443,52 and received except 11/28/2017 8480076968 $443.52
8480077395 01-7202-06 1 $692.80 11/28/2017 8480077395 $692.80
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
AM MTL
Separation
Invoice
Invoice No./Date: 8480076968/10/31/2017
Customer PO No.: S17743
Our Order No./Date: C04500/10/24/2017
Customer: 117845 Contact: Terry Spoonts
Carmel WWTP Phone: +18174191709
9609 Hazel Dell Parkway Fax: +18174191909
Indianapolis IN 46280 Email: terry.spoonts@andritz.com
Sales Responsible: NITZSCHE, DAN*BLOCKED*
_ Ship-To Address: 1178_45 -
Carmel WWTP�
9609 Hazel Dell Parkway
Indianapolis IN 46280
Terms of Delivery
FCA ORIGIN,PREPAID&ADD,Acc.to Incoterms 2010
Markings and Numbers: Number,Type of packing: Packing list No./Date
1 Cardboard Box 81078730/10/26/2017
Volume Gross Weight Net Weight
0.20 FT3 2.00 LB 2.00 LB
Item Material Quantity Price Price Unit Value USD
Description
Pricing Conditions
000030 131127090 4 PC. 108.00 1 PC 432.00
WASHER ON MOTOR BASE.AXLE DEC-246684 L 1-1 D 70 MM
WBS-Element:S-48-CO4500-502
24684 B
Items total 432.00
Freight Costs 11.52
Total Amount 443.52
Total tax 0.00
Invoice Amount 443.52
Terms of payment:
Within 30 days Due net
Page 1 of 2
ANDRITZ Separation Inc. Remit to: Wire instructions:
1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC
Arlington,TX 76001 USA Dept:0312 New York Branch
P.O.Box 120312 SWIFT:NDEAUS3N
Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001
Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786
4 AW MTL
Separation
Invoice No./Date:
8480076968/10/31/2017 ,
Invoice reference number
In case of wire transfer please use the following reference number 8480076968.
Page 2 of 2
ANDRITZ Separation Inc. Remit to: Wire instructions:
1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC
Arlington,TX 76001 USA Dept:0312 New York Branch
P.O.Box 120312 SWIFT:NDEAUS3N
Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001
Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786
AM MTL
Separation
Invoice
Invoice No./Date: 8480077395/11/17/2017,
Customer PO No.: S17743
Our Order No./Date: C04500/10/24/2017
Customer: 117845 Contact: Terry Spoonts
Carmel WWTP Phone: +18174191709
9609.Hazel Dell Parkway Fax: +18174191909
Indianapolis IN 46280 Email: terry.spoonts@andritz.com
Sales Responsible: NITZSCHE, DAN "BLOCKED*
Ship-To Address: _ 117845
- - - - - Carmel WWTP
9609 Hazel Dell Parkway
Indianapolis IN 46280
Terms of Delivery
FCA ORIGIN,PREPAID&ADD,Acc.to Incoterms 2010
Markings and Numbers: Number,Type of packing: Packing list No./Date
1 Cardboard Box 81086315/11/14/2017
Volume Gross Weight Net Weight
0.49 FT3 3.00 LB
Invoice.Detalls; E _
Item Material Quantity Price Price Unit Value USD
Description
Pricing Conditions
000010 131.127439 8 PC 31.23 1 PC .249.84
WASHER VIBRATION ABSORBER L 10 D 63-MM
WBS-Element:S-48-C04500-502. .
24686 POL
000020 131127089 4 PC 99.00 .1 PC 396.00
SPACER ON MOTOR BASE AXLE DEC-24683 L 42 D 33.7 MM
WBS-Element:S-48-CO4500-502
24683 B
000040 131130258 7 PC 4.00 1 PC 28.00
PLAIN WASHER IS07091
30-200HV
A2 IS03506-1
WBS-Element:S-48-CO4500-502 .
RDL/AC-P/M30
000050 131130258 1 PC 4.00 1 PC 4.00
Page 1 of 2
ANDRITZ Separation Inc. Remit to: Wire instructions:
1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC
Arlington,TX 76001 USA Dept:0312 New York Branch
P.O.Box 120312 SWIFT:NDEAU53N
Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001
Fax:+1(81 7)468-3961 Federal Tax ID Number:593773483 ABA:026010786
AMMTL
Separation
Invoice No./Date:
8480077395/11/17/2017
Item Material Quantity Price Price Unit Value USD
Description
Pricing Conditions
PLAIN WASHER IS07091
-30-200HV
A2 IS03506-1
WBS-Element:S-48-CO4500-502
Items total 677.84
Freight Costs 14.96
Total Amount 692.80
Total tax 0.00
Invoice Amount 692.80
Terms of payment:
Within 30 days Due net
Invoice reference number
In case of wire transfer please use the following reference number 8480077395.
1
Page 2 of 2
ANDRITZ Separation Inc. Remit to: Wire instructions:
1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC
Arlington,TX 76001 USA Dept:0312 New York Branch
P.O.Box 120312 SWIFT:NDEAUS3N
Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001
Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786