319540 12/12/17 r_cqq
CITY OF CARMEL, INDIANA VENDOR: 281260
ONE CIVIC SQUARE SEWER EQUIP CO OF AMERICA CHECK AMOUNT: $*****1,020.27*
CARMEL, INDIANA 46032 1590 DUTCH ROAD CHECK NUMBER: 319540
DIXON IL 61021 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _
651 5023990 0000161471 1,020.27 OTHER EXPENSES
VOUCHER NO. 176879 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 281260 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
SEWER EQUIP CO OF AMERICA CITY OF CARMEL
1590 DUTCH ROAD An invoice or bill to be properly itemized must show: kind of service,where performed,
DIXON, IL 61021 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$1,020.27 281260 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SEWER EQUIP CO OF AMERICA Terms
Carmel Wasterwater Utility 1590 DUTCH ROAD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice DIXON, IL 61021
(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
0000161471 01-7500-02 $1,020.27 and received except 11/30/2017 0000161471 $1,020.27
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
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XY
�-� 15.90,Dutch Road Invoice No 0000161471
0Mo Dlxon, IL 61021
Phone:{81.5)835-5566 Customer 000565
Bill to : SHIPPED TO ADDRESS:
CARMEL WASTE WATER TREATMENT
CARMEL, IN UTILITIES, CITY OF 9609 HAZEL DELL PARKWAY
WWTP&SEWER DEPT ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN, 46280
INDIANAPOLIS IN 46280 United States
United States
PHONE(317)571-2634 FAX(317)571-2629 Sales Order: 104072 Packing List: Y22053
Customer PO Number Invoice Date Terms FOB Shipping Point Ship Via Salesperson
S17848 11/28/17 NET 10 DAYS SP UPS DM
Item Part/Rev/Description I Details Quantity Backorder Unit Price Extended Price
000010 22517-00-Z-KIT,SERVICE PACKING,L1114 1.00 EA 0.00 $82.0000 $82.00
0.00
000020 22512-00-F-KIT,REPAIR,VALVE,L11 1.00 EA 0.00 $413.0000 $413.00
0.00
000030 23109-00-Z-KIT,PACKING,L1118&L1618 1.00 EA 0.00 $224.0000 $224.00
0.00
000040 21799-00-Z-CYLINDER,ASSY,2-1/4",L11 1.00 EA 0.00 $219.0000 $219.00
0.00
000050 21732-00-X-VALVE,PURGE,1/4"MPT,BRASS,3000PSI 3.00 EA 0.00 $22.2000 $66.60
0.00
000060 SHIPPING-Shipping/Freight Charge,Ref Shipper No 1.00 0.00 $15.6700 $15.67
Y22053 Shipped on 11/28/2017 12:00:00 AM
0.00
Remit To:
1590 Dutch Road
Dixon,IL 61021
Please contact Accounts Receivable at 815-835-5566 with any questions or concerns regarding your invoice.
**All balances past due are subject to a 1%per month late charge.**
Customer Copy
Invoice No 0000161471
Customer 000565
Bill to : SHIPPED TO ADDRESS:
CARMEL WASTE WATER TREATMENT
CARMEL, IN UTILITIES, CITY OF 9609 HAZEL DELL PARKWAY
WWTP&SEWER DEPT ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN,46280
INDIANAPOLIS IN 46280
United States
Sales Order: Packing List:
Customer PO Number Invoice Date Terms FOB Shipping Point Ship Via Salesperson
517848 11/28/17 NET 10 DAYS NULL. NULL. DM
Item Part/Rev/Description/Details Quantity Backorder Unit Price Extended Price
----- --------------------------- -—--—-- --------------------- -—--—--—--
SOltem Invoiced Backorder
Tracking No: Subtotal $1,004.60
1 Z6110E20352749388 Shipping $15.67
Sales Tax $0.00
TOTAL INVOICE $1,020.27
Please pay balance due by Friday December 8 2017
Payable in US Dollars
Warranty tart date for manufactured equipment is the data the equipME nt is shipped unless the equipment delivery to the end
user from the dealer will be delayed. The dealer must notify Sewer Equi ment Comp ny of America in writing Nithin 30 days of
shipment. This delayed warranty start date is subject to approval in writi ig by Sewer quipment Company of America.
e have full service repair facilities for all water pumps used on your etting equipment.
ontact us for all your pump component needs. Call 1-80)-323-1604, sk for Parts.
Remit To:
1590 Dutch Road
Dixon,IL 61021
Please contact Accounts Receivable at 815-835-5566 with any questions or concerns regarding your invoice.
**All balances past due are subject to a 1%per month late charge.**
Customer Copy