319570 12/12/17 F Vii.°,_C49ylf!
CITY OF CARMEL, INDIANA VENDOR: 366022
d ONE CIVIC SQUARE XYLEM`INC CHECK AMOUNT: $*****8,318.00*
?o, CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 319570
CHICAGO IL 60673-1267 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 3556980624 8,318.00 OTHER EXPENSES
VOUCHER NO. 176875 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 366022 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
XYLEM WATER SOLUTIONS U.S.A, INC. CITY OF CARMEL
26717 NETWORK PLACE An invoice or bill to be properly itemized must show: kind of service,where performed,
CHICAGO, IL 60673-1267 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
$8,318.00 366022 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR XYLEM WATER SOLUTIONS U.S.A,INC. Terms
Carmel Wasterwater Utility 26717 NETWORK PLACE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice CHICAGO, IL 60673-1267
(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
3556980624 02-2308-008 318.00 and received except 11 30/2017 3556980624
$ , / $8,318.00
> 1TeprMiaion
� glvv
V
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
,Kylem, Water Solutions U .S.A., Inc.
7615 W. NEW YORK STREET
..__............ ......................................_....._ .__........_..._.._......._... _
INDIANAPOLIS,IN 46214 YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 :V :T C .. S17586
INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
26717 Network Place 3556980624 B46563 10/16/17 E47281
Chica o, IL 60673-1267 INVOICE DATE TRN WHS PAYMENTTERMS
9 10/16/17 A3' 088 100% N60 FROM INVOICE
......_.............. .____..._ __.._..._.......
............._......................_..................................
...............................................................................
...............................................................................
Sold To: Customer:Na 201654 Ship To:
Gtobal No.z8.::027:1:8.1.
CARMEL UTILITIES WTP CARMEL WASTE WATER TREATMENT
9609 HAZEL DELL PKWY ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
INDIANAPOLIS IN 46280
DELIVERY TERMS ORDER PROCESSED BY
FREIGHT TERMS
. Jobsite __ PP/Add Order Positio FLYGT—INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice—Ground NEW FLYGT PUMP Ed Ryan
QUANTITY SHIPPED:. UNIT PRICE
LINE ITEM/DESCRIPTION. NET PRICE EXTENDED AfiIOUNT
UM QISCOUNT/CHARGE :.
Quote# 2017-IND-0604
PUMP FOR CARMEL SPRINGMI L CROSSING
REQUISTION NO. 000000237
001 00312793000.01 1 8 , 143 . 000 8, 143 . 00
NP488-4 11/460/3 50 ' FM FLS FV EA
S/N: 1770001 DIN 47281
ITEM NO. / SERVICE C DE: R02372
COST CENTER: DEPRECA ION
ACCOUNT CODE: 02 . 371D . 30
002 140000069983ON 1 175 . 000 175 . 00
SHIPPING AND HANDLING-NO TAX EA
ITEM NO. /- SERVICE C DE: R02372
COST CENTER: DEPRECA ION
ACCOUNT CODE: 02 . 371 . 30
SUB- OTAL OF POS TIONS 8, 318 . 00
*S & H CHARGED AS LINE ITEM*
TOTAL WEIGHT 368 . 300 LBS
Cgnt on 2
iNEIORTANT-"Phis invoice is governed by and subject to TERMS AND CONDITIONS OF SALE-XYLEM AMERICAS.Different terms are hereby rejectedunless expressly assented to in
w,utiag.Terms are accessible at.http://wNvw..xyleminc.coin/en-us P ges/t rms-conditions-of-sal a px_,_
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 TT �Z ® y 1;+ YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 1 .. Y 1 L 517586
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
26717 Network Place 3556980624 B46563 10/16/17 E47281
INVOICE DATE TRN WHS PAYMENT TERMS
Chicago, IL 60673-1267 10/16/17 A3 088 100% N60 FROM INVOICE
Page 2
Sold To: Customer No 2.:01654 Ship To:
Global IVa.**.'.*'..."..*"::;".'-.';.8....0..:.2 7181
CARMEL UTILITIES WTP CARMEL WASTE WATER TREATMENT
9609 HAZEL DELL PKWY ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
INDIANAPOLIS IN 46280
DELIVERY TERMS ORDER PROCESSED BY
FREIGHT TERMS
7obsite PP/Add-Order Positio FLYGT—INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice-Ground NEW FLYGT PUMP Ed Ryan
QUANTITY SHIPPED UNIT PRICE
LINE ITEM/DESCRfPTION NET PR10E EXTENDED AMOUNT
UM. ::... DISC.O.UNT/CH4RGE _ .....
NET AMOUNT BEFORE TAXES USD 8 , 318 . 00
10/16/17-US PORT expected exit date of 10/16/17
TOT L WEIGHT ON D/N:E47281 ORDER TOTAL USD
DISPATCH INFO: 545729
8, 318 . 00
I1v[PORTANT-This invoice is governed by and subject to TERMS AND CONDITIONS OF SALE-XYLEM AMERICAS.Different terms are hereby rejected unless expressly assented to in
writing.Terms are accessible at http://www.xyleniinc.cotti/en-us/Pages/terins-conditions-of-saie.aspx