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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