319647 12/15/17 CITY OF CARMEL, INDIANA VENDOR: 00353162
i$ ONE CIVIC SQUARE FERGUSON WATERWORKS INDY#193¢HECK AMOUNT: $*****3,521.10*
9M.
CARMEL, INDIANA 46032 PG BOX 644054 CHECK NUMBER: 319647. _.' PITTSBURGH PA 15264-4054 CHECK DATE: 12/15/17
4 tON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 0108299 2,850.00 OTHER EXPENSES
601 5023990 0109072 671.10 OTHER EXPENSES
VOUCHER NO. 173525 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 353162 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FERGUSON WATERWORKS INDY #1934 CITY OF CARMEL
PO BOX 644054 An invoice or bill to be properly itemized must show: kind of service,where performed,
PITTSBURGH, PA 15264-4054 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$2,850.00 353162 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FERGUSON WATERWORKS INDY#1934 Terms
Carmel Water Utility PO BOX 644054 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), PITTSBURGH, PA 15264-4054
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund#• AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0108299 \02=2308-001 $2,850.00and received except 12/4/2017 0108299 $2,850.00
De pP ciation
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
tdFERGUS®N® INVOICE NUMBER „ TOTAL DUE , CUSTOMER ; PAGE `�.}
WATERWORKS 0108299 $2,850.00 3686 1 of 1
2126 WEST 400 SOUTH PLEASE REFER TO INVOICE NUMBER WHEN
KOKOMO, IN 46902-9615 MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 317-546-2013 PITTSBURGH, PA 15264-4054
Z- - a_SHIPTO; a71
1158 1 AB 0.403 E0040X 10054 D3082114337 S2 P4867721 0001:0001
CARMEL UTILITIES
3450 W 131 ST ST
CARMEL IN 46074-8267
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
_M0--2930--- —INE----- -- — 11152017— --PLP= JACK 11/22/17 10984
ORDERED SHIPPED ITEM NUMBER DESCRIPTION . � T, RICEUM AMOUNT
,�
JACK 317-716-3933
100 100 FEC4NL LF 1 MTR YOKE EXP CONN 28.500 EA 2850.00
1 0 LEWAC OPF SW 275#8.00 X 8.00 X 2.00 EA 0.00
INVOICE SUB-TOTAL 2850.00
LEAD LAW WARNING:IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH*NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS. 1UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Go Paperless - Upgrade to Email Delivery!
You'll receive one email per day with all your invoices attached as a PDE Contact us with your email address today. F2L
Call us at the number above to switch to email delivery todayl
TERMS: NET 10TH PROX ORIGINAL INVOICE art' TOTAL DUE' $2,850.00
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html
and are incorporated by reference. Seller may convert checks to ACH.
0001:0001
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WRITER SALESMAN
ORDER NO. REQUIRED DATE SHIP WHS SELL WHS. TAG P.O.NO.
ORDER DATE ORDERED BY INSTRUCTIONS CIVIL CONTACT
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CUSTOMER'S TERMS:
SIGNATURE: DATE:
VOUCHER NO. 173534 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 353162 IN SUM OF$ ftCCOUNTS PAYABLE VOUCHER
FERGUSON WATERWORKS INDY#1934 CITY OF CARMEL
PO BOX 644054' An invoice or bill to be properly itemized must show: kind of service,where performed,
PITTSBURGH, PA 15264-4054 dates service rendered, ty whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Pay e
671:10 353162 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FERGUSON WATERWORO INDY#1934 Terms
Carmel Water Utilitv PO BOX 644054 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s),
PITTSBURGH, PA 15264-}054
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0109072 01-6200-06 $671.10 and received except 12/4/2017 010 072 $671.10
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
ZFERGUSON® INVOICE NUMBER , `,TOTAL DUE CUSTOMER PAPE ,' ;
WATERWORKS 0109072 $671.10 3686 1 1 of 1
6439 EAST 30TH STREET PLEASE REFER TO INVOICE NUMBER WHEN
INDIANAPOLIS, IN 46219-0000 MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 317-546-2013 PITTSBURGH, PA 15264-4054
SHIP"T.O
1817 1 AB 0.403 E0118X 10190 D3077101811 S2 P4861581 0001:0001
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CARMEL UTILITIES
3450 W 131 ST ST
CARMEL IN 46074-8267
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE. _ _
1934 1934 — _INF _ —JS112717 --PLP----- i FORD BRASS 11/28/17 11 05
ORDERED =L SHIPPED ITEM NUMBER DESCRIPTION UNIT RRICE .'`,UM AMOUNT
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PLEASE SHIP OUT UPS TODAY
5 5 FBA94323WQNL LF 5/8X3/4 BA94-323W-Q-NL ANG BV 56.770 EA 283.85
5 5 FBA94444WQNL LF 1 BA94-444W-Q-NL ANG BV 77.450 EA 387.25
INVOICE SUB-TOTAL 671.10
LEAD LAW WARNING:IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH*NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.BUYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.
Go Paperless - Upgrade to Email Delivery!
You'll receive one email per day with all your invoices attached as a PDE Contact us with your email address today.
Call us at the number above to switch to email delivery today[
TERMS: NET 10TH PROX ORIGINAL INVOICE
TOTAL bE. $671.10
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower: If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at http://wolseleyna.com/terms_conditionsSale.html
and are incorporated by reference. Seller may convert checks to ACH.
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