332795 11/27/18 w CITY OF CARMEL, INDIANA VENDOR: 368368
ONE CIVIC SQUARE ENGINEERED SOLUTIONS MIDWEST IN(PHECK AMOUNT: $*****3,219.55*
CARMEL, INDIANA 46032 49 BOONE VILLAGE#247 CHECK NUMBER: 332795
Mi�roN�o• ZIONSVILLE IN 46077 CHECK DATE: 11/27118
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 2292 3,219.55 OTHER EXPENSES
VOUCHER NO. 186906 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 368368 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
ENGINEERED SOLUTIONS MIDWEST CITY OF CARMEL
5609 W. 74TH STREET An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46278 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
$3,219.55 368368 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ENGINEERED SOLUTIONS MIDWEST Terms
Carmel WaSterWater UtIIItV 5609 W. 74TH STREET Due Date
BOARD MEMBERS
I hereby certify that that attached invoice INDIANAPOLIS,IN 46278
(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
2292 02-2308-00 $3,219.55 and received except 11/21/2018 2292 $3,219.55
Depreciation
` J �
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
Engineered Solutions Midwest,Inc.
5609 W. 74th Street
Indianapolis, IN 46278
(844) 787-4169
info@engineeredsolutions.com
www.engineeredsolutions.com
INVOICE
BILL TO SHIP TO INVOICE# 2292
Jeff Cooper Jeff Cooper DATE 09/25/2018
Carmel Waste Water Carmel Waste Water DUE DATE 10/25/2018
Treatment Plant Treatment Plant TERMS Net 30
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
PO#
S18654
:ACTIVITY QTY RATE AMOUNT
-
Engineered Solutions Midwest, Inc. (ESM)provided the
below,per Jeff:
Flowserve Parts 1 3,092.85 3,092.85
Duplicate pump for serial#1146730CHP002A D824-
3X1.5X5F
-Pump, seal, and driver
Please call 317-973-1304 with any questions.
Thank you!
-------
No Applicable Taxes Included SUBTOTAL 3,092.85
SHIPPING 126.70
TOTAL 3,219.55
BALANCE DUE $39219.55
Received by :
Date: `-a i- ► PO #:
Acct #: 9'30?,00
Use: W elc LaJo,- Pv�,Ae Q r G B
*Engineered Solutions Midwest,Inc.is the local authorized aftermarket parts and service center for Engineered Fluid,Inc.
products.
FLOWSERVE Experience In Motion
PACKING SLIP
SHIP TO: 218113
CARMEL WASTE WATER TREATMENT PLANT Customernuinher
19-SEP-2018
JEFF COOPER pate
9609 HAZEL DELL PARKWAY Contact., Jaglowicz,Jeffrey
INDIANAPOLIS , "i",Pac"Irl sti3o 372758
IN 46280 Preigfit Terms Prepay&Add
US „„ Shipping Metktods PITT OHIO-LTL Standard
Payment'Cerms,' Net 30
1 of 1
FLOWSERVE ORDER NO: CUSTOMER REFERENCE NO:
1301609 1814
Ltne Sates Part No Customer Part No I Aescnptfon CCN& Qty, UQM Custom Met
tanff Weight
Ha Order m�e --
- —
1 1.1 D824-3X1.5X5F_1301609_1 D824-3X1.5X5F PUMP DUPLICATE OF 1 Each
S/N 1146730CHP002A&
1285372CHP001A-D824-3X1.5X5F
PUMP DUPLICATE OF S/N
1146730CHP002A&1285372CHP001A
DUPLICATE OF S/N 1146730CHP002A
&1285372CHP001A
Total parcels: 1
Total weight: 192 LBS
Dimensions: 36x24xl7
Packing TAG:JEFF COOPER
Instructions:
NOTICE:It is your obligation to comply with all applicable US and/or local country export,re-export,and/or economic sanctions laws and regulations and to obtain ANY necessary government approval
prior to the export and/or reexport of Flowserve products and/or technology. Please be aware that diversion of Flowserve products contrary to US and/or local country law is strictly prohibited and that
virtually all exports AND reexports OF US-ORIGIN PRODUCTS AND/OR TECHNOLOGY AS WELL AS other transactions with certain countries,including without limitation,Cuba,North Korea,Iran,
Sudan and Syria are strictly prohibited. Failure to comply with all applicable US and/or local country export,reexport and/or economic sanctions laws and regulations may result in serious consequences
including,without limitation,monetary fines,loss of export privileges,imprisonment and/or blacklisting by U.S.and/or local governments. For more information contact your local Flowserve Customer
Service Representative.
Flowserve US Inc.
3900 Cook Blvd
Chesapeake,VA 23323-1626
United States
Phone:757-485-8000
Fax:757-485-8129 -