HomeMy WebLinkAbout320704 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 00353162
ONE CIVIC SQUARE FERGUSON WATERWORKS INDY#193¢HECK AMOUNT: $""""""`335.61
. CARMEL, INDIANA 46032 PO BOX 644054 CHECK NUMBER: 320704
9 (ruri,�o.` PITTSBURGH PA 15264-4054 CHECK DATE: 01111/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER, AMOUNT DESCRIPTION
601 5023990 0109073 335.61 OTHER EXPENSES
VOUCHER NO. 173716 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 353162 IN SUM OF$ 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
335.61 353162 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FERGUSON WATERWORKS INDY#1934 Terms
Carmel Water Utility PO BOX 644054 Due Date
h
BOARD MEMBERS
I hereby certify that that attached invoice(s),
PITTSBURGH, PA 15264-4054
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
0109073 01-6200-06 $335.61 and received except 12/28/2017 0109073 $335.61
-<4
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
��������® INVOICENUMBEK TOTAL DUE -_;CUSTOMER : ' PAGE
WATERWORKS 0109073 $335.61 3686 1 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
SHIP TO-
1034 1
O-10341 AB 0.403 E001 OX 10022 03139816331 S2 P4917399 0001:0001
0CARMEL UTILITIES
" a{ 3450 W 131 ST ST
CARMEL IN 46074-8267
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE. JD
2930 2930 INE y JS112717 PLP 12/12/17 11127
ORDERED,E SHIPPED, ITEM NUMBER, DESCRIPTION ,UNIT PRICE _ UM AMOUNT
3 3 FBA91444WNL LF BA91A44W-NL ANG BV 84.870 EA 254.61
3 3 FC8445QNL LF 1X1-1/4 C84-45-Q-NL COUP 27.000 EA 81.00
INVOICE SUB-TOTAL 335.61
LEAD LAW WARNING:IT IS ILLE AL TO INSTALL PRODUCTS 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.13UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
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TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $335.61
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
Manufacturer of Quality Products for Water Distribution Systems Packing List
:",EI The Ford Meter Box Company, Inc. Page 1 of 1
775 Manchester Avenue, P.O.Box 443
Wabash, Indiana USA 46992-0398 Date 11/30/2017
Phone(260)563-3171 /Fax(800)826-3487 Shipment# 5818608
Shipment Facility Wabash, IN
Collect
Sold To:16217 Ship To:
Ferguson Enterprises Carmel Utilities
P.O.Box 9406 3450 W 131 st Street
Hampton VA 23670 Carmel IN 46074
Line Item Number Description Qty. Qty. Qty. Qty. Qty.Prior UOM
Ordered Shipped Backorder Canceled Ship
------------------------------------------------------------------------------------------------------------------------------------------------
1.00 BA91-444W-NL 1 I ANGLE BALL VALVE MYN/FIP 3 3 EA
------------------------------------------------------------------------------------------------------------------------------------------------
2.00 C84-45-Q-NL 1x1-1/4 CPLG MIP/CTS QJ 3 3 EA
Please verify the piece count of this delivery along with any visual damage and note any discrepancy on the Pack List. Should you discover any concealed
damage or product discrepancy within 10 days of delivery,please notify your Ford Customer Service Representative at 260-563-3171.
Customer PO T2930-949 Ford Order Number 1674615
--3-7Rev.43/08 1111111111111111111111111111111111111111111111111111111 .