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324287 04/18/18 " CITY OF CARMEL, INDIANA VENDOR: 356869 ® it ONE CIVIC SQUARE SEEPEX INC CHECK AMOUNT: $ 16,273.84' CARMEL, INDIANA 46032 PO BOX 951454 CHECK NUMBER: 324287 9 ��oN CLEVELAND OH 44193 CHECK DATE: 04/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 30626129 16,273.84 OTHER EXPENSES VOUCHER NO. 185299 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 356869 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER SEEPEX INC CITY-OF CARMEL PO BOX 951454 An invoice or bill to be properly itemized must show: kind of service,where performed, CLEVELAND, OH 44193 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. - Payee $16,273.84 356869 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR SEEPEX INC Terms Carmel Wasterwater Utility PO BOX 951454 Due Date BOARD MEMBERS I hereby certify that that attached'invoice CLEVELAND, OH 44193- (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 30626129 01-7202-06 $14,845.84 and received except 4/12/2018 30626129 $14,845.84 30626129 01-7362-06 $1,428.00 4/12/2018 30626129 $1,428.00 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 SEEPEX. ALL THINGS FLOW SEEPEX BILL TO: Inc. 511 Speedway Drive Carmel WWTP Enon, Ohio 45323 9609 Hazel Dell Parkway USA INDIANAPOLIS IN 46280 Phone (937)864-7150 USA Fax (937)864-7157 " www.seepex.com sales@seepex.net Invoice SHIP TO: Carmel WWTP No. 30626129 Page 1( 6) Attn: Jeff Cooper' Date 04/04/2018 9.609 Hazel-Deli-Parkway Delivery Note No. 1614180 - INDIANAPOLIS IN 46280 Delivery Date 04/04/2018 USA our Order No. 2303288 Your P.O. No. S18147 REMIT TO: dated 02/16/2018 SEEPEX Inc. Your Customer No. 204168 P.O. Box 951454 Cleveland, OH 44193 USA Terms of delivery FOB Shipping Point Enon .Shipping terms: by truck FED EX FREIGHT Weight total(KG) 1,500.0 Tracking No. 3894466450 CS 57299 - CN 806676 - BN 35-24 Qty 1 - SCT Conversion Item Material Qty. Price p. unit Discount Total(USD) 10 CS REPINH 3 LV 125.00 375.00 **Labor @ $125.00 hr for estimated 3 hrs** 20 ETTXT 1 EAC 14,450.14 14,450.14 **Parts For Repair** 30 STWC126203500AMZBX . 1 EAC plug in shaft 262/35 1.4021 [60x100 40 SBOL60620350OXXXXX 1 EAC plug in shaft pin 62/35 1.4057 50 RSPF00620350OXXXXX 1 EAC splash ring 62/35 NBR 60 GRDB15080001HOA7A7 2 EAC mech.seal Burgm. MG1-G60-080 Q1Q1 VGG 70 LATA126203500FXXAG 1 EAC lantern 262/35 EN-JL-1040 (grey cast iron 25) Invoice 30626129 04/04/2018 Page 2( 6) Item Material Qty. Price p. unit Discount Total(USD) drilled for ADB flange 350/250 - Material Certificates acc.to DIN EN 10204 3.1 80 ADBA526203500XBAPC 2 EAC blanking plate 103/35 AISI 304 sheet'mat.1.5 powder coated 90 GRGA726203500YHOMA 1 EAC mechanical seal casing 262/35 AISI 316Ti design L with NPT conn. 080 MG1-G6 . 100 DGHA52620350OLHOMA 1 EAC casing cover 262/35 AISI 304 design L 080 MG1-G6 110 R-OF0030OL00000000 1 EAC o-ring 0110x3,0_ NBR 120 SZYA7MO50020000912 4 EAC socket screw M5x20 DIN EN ISO 4762/A4-70 130 RSZA700HOKOOD00000 1 EAC support ring 080x0100x4 AISI 316Ti 140 KSTC10600350ONXXBE 1 EAC coupling rod 60/35 1.4021 incl.coupl.rod bushes 150 GKHN30600350OXXXXX 2 EAC retaining sleeve 60/35 steel 160 KBOL50600350OXXXXX 2 EAC coupling rod pin 60/35 L5 170 FBUL70600350OXXXXX 4 EAC guide bush 60/35 1.7131 180 MANH00600350OXXXXX 2 EAC universal joint sleeve 60/35 FPM 190 HBDA5060035003V214 2 EAC holding band 60/35 V214 115x3/4 AISI 304 -Material Certificates acc.to DIN EN 10204 3.1 200 HBDA5060035003V211 2 EAC holding band 60/35 V211 076x3/4 AISI 304 Invoice 30626129 04/04/2018 Page 3( 6) Item Material Qty. Price p. unit Discount Total(USD) -Material Certificates acc.to DIN EN 10204 3.1 210 SAGA 10600350FB04BX 1 EAC suction casing 60/35-12S design ER DN 6" ASME 816.5 Class 150 EN-JL-1040 (grey cast iron 25) - Material Certificates.acc.to DIN EN 10204 3.1 220 DSGM00600350OAQ5M6 1 EAC casing gasket 60/35 SiL C4400 o126+1 x 0165-1 x 1 mm 230 SSVN8GO34000000910 3 EAC screwed sealing plug G3/4 DIN 910 St Zinc Plated 240 RDIMOG0340OB707603 3 EAC sealing ring G3/4 o27xo32x2mm DIN 7603 SiL C4400 250 RGDA106003500BXXXX 2 EAC inspection port cover 60/35 EN-JL-1040 (grey cast iron 25) f.design B - Material Certificates acc.to DIN EN 10204 3.1 260 RSRFONW12500000000 2 EAC toroidal sealing ring NW125 NBR 270 SSKLOM 100025000933 8 EAC hexagon bolt M1Ox25 DIN.933. 8.8 Zinc Plated 280 SSKLOM120075000933 1 EAC hexagon bolt M12x75 DIN 933 8.8 Zinc Plated 9128OA010 290 ROTL8060035OFN09SR 1 EAC rotor SRT 60/35-12S C45 Duktil 250Nm 300 STAH5060035OFNNXUS 2 EAC stator-half 60/35-12S FPM special 0677, (USA) Invoice 30626129 04/04/2018 Page 4( 6) Item Material Qty. Price p. unit Discount Total(USD) 310 STZM80600350FXXXXX 2 EAC support 60/35-12S 1.0037 (St) 320 SSTLOM100035000938 1 EAC stud bolt M10x35 DIN 938 8.8 galvanized 330 ESMAH060035OFNNXOO 1 EAC adjusting segment 60/35-12S consisting of 4 segments GGG-50 / EN-GJS-500 - Material Certificates acc.to DIN EN 10204 3.1 340 BOLC10600350FXXXXX 8 EAC guide bolt 60/35-12S 1.4021 350 SZYT5Ml0006OOO7984 8 EAC socket screw M1Ox60 DIN 7984, 10.9 zinc flake coat 360 SSKLOM160080000561 8 EAC hexagon bolt M16x80 DIN 561, 8.8 Zinc Plated 370 ROKC106003500RXXXX 1 EAC rotor. head SRT 60/35 1.4021 380 R-OF004OOE30000000 1 EAC o-ring 53x4,0 NBR 390 RSIN1030OH50000471 1 EAC retaining ring 85x3,0 DIN471 1.4122 400 DRRAH0600350FXXXXX 2 EAC kinetic ring 60/35-12S EN-JS-1050 (GGG-50) GG - Material Certificates acc.to DIN EN 10204 3.1 410 RSZC10600350OR0000 1 EAC support ring SRT 60/35 1.4021 420 BSIC30600350OR0000 1 EAC locking plate SRT 060/35 1.4462 - Material Certificates acc.to DIN EN 10204 3.1 430 DRSA1060035OFN04XX 1 EAC pressure branch 60/35-12S DN 5" ASME B 16.5 Class 150 EN-JL-1040 (grey cast iron 25) - Material Certificates acc.to DIN EN 10204 3.1 440 SSVN8GO34000000910 1 EAC screwed sealing plug G3/4 DIN 910 Invoice 30626129 04/04/2018 Page 5( 6) Item Material Qty. Price p. unit Discount Total(USD) St Zinc Plated 450 RDIMOG03400B707603 1 EAC sealing ring G3/4 o27xe32x2mm DIN 7603 SiL C4400 460 BPLM88010350F703XX 1 EAC DWG#:801-200/0350-F-703A3 Material:Carbon Steel Supplier to mount blocks: Yes Supplier to ship any blocks loose: N/A Supplier pump mounting required: Blasting required: Special requirements: 480 CS_REPSUB 1 IT 409.50 409.50 US motor, 20HP, 1170 RPM, 256T frame, TEFC, 230/460 volts, 60 HZ REPAIR: DISASSEMBLE AND INSPECT BEARINGS CLEAN ALL PARTS REASSEMBLE TEST AND PAINT 490 CS_REPSUB 1 IT 643.50 643.50 US GEARBOX REPAIR: DISASSEMBLE. AND _INSPECT LIP SEALS REASSEMBLE GEAR OIL 500 806675.2XB1 1 EAC Stator Shroud for 35-12S Carbon steel PER DWG# 701-000/0350-0-700A3 510 806675.2XB2 4 EAC Brackets for Stator Shroud Carbon steel Invoice 30626129 04/04/2018 Page 6( 6) Item Material Qty. Price p. unit Discount Total(USD) PER DWG# 701-000/0350-0-701A3 Items total 15,878.14 Freight + insurance 395.70 Net value 16,273.84 Final amount (USD) 16,273.84 Terms of payment within 30 days net Please note: These commodities, technology, or software were exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to U.S. law prohibited. This invoice is subject to SEEPEX Inc. Terms & Conditions of Sale and/or Repair (1-8-16), available online at www.seepex.com.