HomeMy WebLinkAbout333071 12/11/18 +�r_c�gM
! CITY OF CARMEL, INDIANA VENDOR: 00353162
® ` ONE CIVIC SQUARE FERGUSON WATERWORKS INDY#193¢HECK AMOUNT: $"*'*'3,930.75"
r �'� CARMEL, INDIANA 46032 Po Box 644054 CHECK NUMBER: 333071
9;ETON�r� PITTSBURGH PA 15264-4054 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0143429 273.00 OTHER EXPENSES
601 5023990 0143442 84.00 OTHER EXPENSES
601 •5023990 0144053 439.50 OTHER EXPENSES
601 5023990 0144059 284.25 OTHER EXPENSES
604 5023990 0145037 1,140.00 OTHER EXPENSES
604 5023990 0145037-1 1,710.00 OTHER EXPENSES
VOUCHER NO. 183500 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 353162 IN SUM OF$ 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
439.50 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
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
0144053 01-6200-06 $439.50 and received except 11/30/2018 0144053 $439.50
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
OFERGUSON® IN O�CEN1dINBER' °fOTALDtlE ��STaMER _ �>: .-
WATERWORKS 0144053 $439.50 3686 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
3HIP To:,
CARMEL UTILITIES
3450 W 131 ST STREET
CARMEL, IN 46074
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
1934 1934 INE SMITTY PLP 11/27/18 14407
ORDERED SHIPPED ITEM"NUMBER DESCRiPTI()N & NI7 PI210E Ufill 4' ANIOUWT
UPS:4F55W3
6 6 FFB10004QNL LF 1 CC X CTS QJ BALL CORP 48.250 EA 289.50
10 10 FC4433QNL LF 3/4 CTS X CTS QJ COUP 15.000 EA 150.00
INVOICE SUB-TOTAL 439.50
................. .................... ........:...:................».....„...................
LEAD LAWWA NING: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 DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.13UYER IS SOLELY RES ONSIBLE FOR PRODUCT SELECTION.
Thank you for your business C'"'' ►�
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL Ol1E $439.50
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.
Z FERGUSON® EAA R B/0 -: Y
WATERWORKS , !':;0( lCF :: SIDE
Fergu:iun Water arks INDY #19,314 + 1:B FF =: 11 0.fi[
6439 EAST 30TH 61'REr:.T" Ulf S1-1p ::- N 0.01
D-1 46219--1000 27 NOV 2018
WRITER SALESMAN
PH: :31.7--546-••201:3 FAX.- 31.7 -5462318 S .r 0 0 K `:a A L ,E a C R D E I; BBFl, PLP
ORDER NO. REQUIRED DATE SHIP WHS. SELL WHS: TAG P.O.NO.
,01.4.4053 11/30/18 1924 .:. 1934
CUSTOMER NO. CUSTOMER ALPHA CONTRACT,NO,, BID NO.•. ORDER DATE ORDERED BY INSTRUCTIONS OML CONTACT
3i513('i Cf�RI'iEl..11r1 1..1/fit/.IFI Rober't: '71 o pest
VENDOR
Cllfii�lE::l. R1'r7L:1:1'1E:L y CF'IRMEL;
• ..34.50 W 1.,:).151 S 'IEEE 1 ,:.i450 %� .1...1S i S'T'REET VENDOR P.O.NO.
Cf-1(21'1 :L IN 46074• .:1N 41.30 4
SHIP VIA ROUTE NO. RUN NO. DEPART TIM
• • PCSBAGS BOXES CRATES LENGTHS BUNDLES ROUTE DESC.
t;4! 'f PH:
CUSTOMER P.O.NO. JOB NAME ATTN: SHIP WL SHIP DATEDELIVERED BY PACKED BY CHECKED BY
LINE .ORDER QTY. SHIP QTY. 1:30 QTY ITEM CODE DESCRIPTION UNIT PRICE U/M, TOTAL P.O.NO. AISLE LOC
f; ] f 9 L::U{:1 1`'{:,��Ii ' -• ;-.1-• -1. 'C[; t�I, (1- EfI L GU :!' 46 a;?"�l_I t:.i1. 1:.4 Y,l
43J(,)t+•ti :,:'� ( !` Gl i WJ t;�,p, ice. ! �H h 41._,
h../ tJ a' _.i}
i0IHL wE.TuFT of vR1)ER 1. .0 .11n)
,.,
Y.4..,n.)t- .1+,4. Jl. !..... ...:..... .,:� Th! .•. -,.- ..... 4.,r.K. :e,•.*11,4,, :•..n41, .i., .� ..}..r.. !Y..,4. .nJ
:'riE•'•F�f••:•:C•:i;t•;F',t•8t :vr•)F?k85•{{•74`.t-i'r,ti•:E:{:•lS3ti•k'•uE•3k?'.ik;•)S'•7§:Y,••)r•7t•YS3S��•.`t:<.7C.3(•.7.fit)t.rS.76nl..f.rs.)a'k'..iaJ{v'i••l2A'7SeC7tyS'•7:•IFn.4...53.32.,Y.)t7S•k.ex;En-. .{iS•Ya(•)S•iC••)53t.�« •54S•3S...E)e•7F.X•7e.SS••Yr•Xti•S:•)fd@)S•}t.07.)Eir3fr•7t••.Y•3••Y.,.xaF.F...t
FAD I'm 1,7 , .I.!dG,;; It Is 7 ) !.tsCic. -to xps a l„.I. {aro},Jur,:'CS• 'td-i;?I't are riot *,l acj Tree' n 4 t;t: r 41Pfii:E? 1.v I.�1l t ` t•ecj ra., or- -tra Y`
:l5 p'Tt?a i .ta, Idcltei,, V,'.7''P. Clfir ant' .1,tl J:I't0a ` or human 9'I91-` Iii T ya o1E:c7a.ptlor'
r"? hi J 1 J.
re 1T( e ct )o :l.I'ista :I:Ea 1ril rioiif '(}q t! ?.l o a{i(:1.I..T le, (, f:c
I I � I •I• I• I I � :I � � :� � I I
I '
CUSTOMER'S �
TERMS: I
SIGNATURE: DATE: . 1
CUSTOMER COPY
VOUCHER NO. 183426 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
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
0145037 0 08-00 $1,140.00 and received except 11/27/2018 0145037 $1,140.00
Depreciation
0145037-1 09-308-00 $1,710.00 11/27/2018 0145037-1
epreciation $1,710.00
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
�d FERGUSON® �T1fOlGNtiM13ER TOTAL DUE ` CUSTOME'R 71,
PAGE'
WATERWORKS 0145037 $1,140.00 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
CARMEL UTILITIES
3450 W 131 ST STREET
CARMEL, IN 46074
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
1934 1934 INE JACK1192018 PLP 11/16/18 143034
100 40 FEC4NL LF 1 MTR YOKE EXP CONN 28.500 EA 1140.00
INVOICE SUB-TOTAL 1140.00
LEAD LAW W NTNG:ITIS ILLE ALTO 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 DE SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Thank you for your business
TERMS: NET 10TH PROX ORIGINAL INVOICET4AL DUi:y $1,140.00
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed bylaw, 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.htmi
and are incorporated by reference. Seller may convert checks to ACH.
OFERGUSON® INYOCI:"NUMBER. ... fOTAL,t)t1E, CI�STQMEt2. .. PAGE ,;e;=
WATERWORKS 0145037-1 $1,710.00 3686 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
• .3SiHIPTO',:
CARMEL UTILITIES
3450 W 131ST STREET
CARMEL, IN 46074
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
1934 1934 INE JACK1192018 PLP11/19/18 140
350
ORDED3HIP'Eiy TITENI7#iMBER OESCR(pTIQNN
ITPFtICE lJM AMt�UIUT
3.
60 60 FEC4NL LF 1 MTR YOKE EXP CONN 28.500 EA 1710.00
INVOICE SUB-TOTAL 1710.00
LEAD LAW W NTNG:IT IS ILLE AL TO INSTALL PROD CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL OR OTHER APPLI ABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS W TH*NP IN THE DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.I IUYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Thank ou foryourbusiness
v C
TERMS: NET 10TH PROX ORIGINAL INVOICETC3iA.DU $1,710.00
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.
O FERGUSON t SI41*jRoom N
m I Ac�"gEp1' R/0 = Y
WATERWORKS ) I SO NYCE - SOF
Forquson Wa :er•wor•k-s INDY IB .-RT = N O.Cf
643J CAST 30TH STREET ;I r' I OB SHP = N 0.01
INDIANAPOLIS, IN 46219-00041 �a 1 14 NCV 201CI 13:30:5.
wanEa SALESMAN
PI-I: 73.7-546-2'013 FAX-. 3.1.�. 946-2.3-LO 5 T 0 C K S A I- E S 0 I+ D E ,)R PLP PLP
ORDER NO. REQUIRED DATE SHIP WHS. I SELL WHS. 1 TAG P.O.NO.
01.45037 1 /15/:LO 1934 IK :ttt�
CUSTOMER NO. CUSTOMER ALPHA CONTRACT NO. BID NO. ORDER DATE ORDERED BY INSTRUCTIONS t, OML CONTACT ti
:606 GARMEbY'I 11/09:J_8 _ Phil,.p Peters
u� VENDOR
CARMEL UTILITIES CARMEL UTILITzf S
• 3450 W.-1315T STREET 3450 W 131ST STREET VENDOR P.O.NO.
CARMEL, IN 460:74 CARMEL, IN 46074-
. '
SHIP VIA 1 ROUTE N0, RUN NO. DEPART TIN
UPS UPS GROUND SF;�VICF
• • PCS BAGS BOXES CRATES LENGTHS BUNDLES ROUTE DESC,
OUST PH: 31?-733-2B53
CUSTOMER P.O.NO. JOB NAME ATTN: SHIP WT. SHIP DATE DELIVERED BY PACKED BY CHECKED BY
LINE ORDER OTY. SHIP Qrf� ISLI t1I y REM CODE DESCRIPTION UNIT PRICE U/M TOTAL P.O.NO. AISLE LOC
1. 1.Uti1;.0 bIJ 1-EG4 N L Ll' 1 III I'V Y( KL kXl-' f. U 11 N l:H
IU1f41_ I _:11 . 7-01- UKL(-'R UU WU
i
Win.
1 '
r ,
i
i r
i
i ..
•:E?t••Y#i•:'r?t.Sr.A•,,t.Y.•. iF#l4;Ew}!C• :#iEiFY;i:•i4 •.`Et2;.'+h#i iGi:•{Qi::.'•di•.#•:-4 -;i•+k+.t• {Q.:••`,!•l:} K••':•it••It:iii}'##'rdE*::IF{4Y• 9-ii .-1. :ik• ;:-+,E.IEx3'ric3pgi{f#9 '1f::;'•{} H• V,wlfi,7E#'JE#iS9t•4 ii•9t•##3E SE•r•
_1. 11 7V-UR--Rl P frprolluctiF TFTTr k-Are not ''T?-Au Trw•- •Lrl jCCG r'( ,]nt.(:' '!:! oo(,r'aor G :Iter"
7p1:Lt a . F) Tu in -plot,-Able !iater yeatortls antic-I )a-t( J Tor lriuman CC)lluumplion. 74 DcT,t W1't:n '15 T .k' oscrlp'Llon
.r•t' ( 1e) rce ci1cl Cdl'1 Trav ul ins .a e( -irl 11cln--UG t:t'u. o LUVt1r- Ci� :ic .1 TTY 1'03pQ ,i) q tor prouw(:L
1 1 1 1 •1 1 1 1 :1 1 1 :1 1 1 1
I
-
1 i 5
} 1 yet
CUSTOMER'S l } TERMS-
' SIGNATURE: �- DATE: CUSTOMER COPY I it
O FERGUSON® i SHOWROOM = N
WATERWORKS ; SOURCE n 9OE
Ferguson Water-works 3NDY 4ICK114 Iii FRT = Ia 0.0'
6439 EAST 30TH STRFEl"
OR 5HP = N 0.0
INDICNAPOLIS, IN 46219--0000 " i 19 NOV 20ld 14.25:41
WRITER SALESMAN
PH: 317-•546-2013 FAX% 317.546-23.18 5 T O (, h S A L. E 5 O R D E R PLP PLP
ORDER NO. REQUIRED DATE SHIP WHS. SELL WHS. TAG P.O.NO.
0.14.5037-1 11/1.3/10 1.934 1934 s
CUSTOMER NO. CUSTOMER ALPHA CONTRACT NO. BID NO. ORDER DATE ORDERED BY INSTRUCTIONS OML CONTACT
36el6 `�• GARI'IFL_UT.I 1.1./O�Ji;1 fK Philip f'c .
VENDOR
U)RITIEL_ UTII`(TIES GE RNEL UTILIT.LES
• 34.50 W 13.1:,1 STREET W 171ST STREET i VENDOR P.O.No.
CARMEL, IN 46071. Gf1RNEL , IN 46074
S IA ROUTE NO — RUN NO. DEPART Tlh
f 0 ;• 9PS 6ROUND SERVICE
• • PCS BAGS S CRATES LENGTHS B DLES ROUTE 5C.
GUST Pll-, 317-,7:33-2955
CUSTOMER P.O.NO. JOB NAME ATTN: SHIP WE SHIP DATE ? DELIVERED BY PACKED BY CHECKED BY
�!AGK11.920.1k3 � f E4r l � � !x•7'"`1 'I�./�'
LINE ORDER QTY. SHIP QTY~ O Q•i y ITEM CODE DESCRIPTION UNIT PRICE U/M TOTAL P.O.NO. AISLE LOC
1 60 loo 0 FEG41dL LF 1, M R YOKE. EXP CONN kfi 1'1'04CO
TOTill. WETGI-!T Oi3R''DLk' X140200 .Cis
I
,Y
1
1 I
ii•'2#iF t?}+2•:•#i i(' •{4i.'•i.+`t.i(•il::•i4•Y i.,,:F•,S i4 (•i?ibi(..k(t ix n,,.k1si(•#Vi6##4E#{'3Fr„•�Y''.})[•::•�Y,i'.'Sf s." -N,I, 'Y••li i5#Yr x'i(• .9.Ic0i* If:i{..;}.)(.+ .:f..9.-XI�p.•*—:11r,. it, hSt'3C• 1.
LAD UAW WAR SMG: T1 :i;� 1.1!.c,• a1 to pr c uc_t:; Lhat arc: nit fi-5, ' IF, a.cc r'Llarlre I,li'411 U� t (,Iera.l or ixthcr•
?P 1a. gable 1 iw f.n ltablc '� atter ,ystems am-Lici atod fpr .nljman (;onsumpt.7.on. Products 1with v.NP ii tf c descrzpt-i.al^
lead 1 roo (An rI ,, a.ns to ken it i ri0n'-f,o i a.bla ,tl,pry L.T.ia k,Lon_ Ls s0 11; or
1 1 •1• 1• 1 1 :� 1 1 : 1 1 ;,
1
1
1 ,
j CUSTOMER'S i TERMS: ! c
SIGNATURE: 1 DATE: 1
CLJSTOMFR COPY
VOUCHER NO. 183478 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
641.25 353162 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FERGUSON WATERWORKS INDY#1934 Terms
Carmel Water Utilitv 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
0143429 01-6200-06 $273.00 and received except 11/26/2018 0143429 $273.00
0143442 -01-6200-06 $84.00 11/26/2018 0143442
. $84.00
0144059 01-6200-06 $284.25 11/27/2018 0144059
$284.25
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
ZFERGUSONO INVOICE NUMBER 'TOfAL-Dt1E '' Ct�SfO1V1ER„, PAGE"
WATERWORKS 0144059 $284.25 3686 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 TG►; � .<�x�`�<��.3
CARMEL UTILITIES
3450 W 131 ST STREET
CARMEL, IN 46074
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
1934 1934 INE SMITTY PLP 11/20/18 143D51
ORDERED u3 SHIt?PED ' (fElNNl1MBER`;:, D,
TION�RIP
.. � UNIT PRIC1` e �UiVI AMO,1�T
3 3 FBA43332WQNL LF 3/4 CTS X MTR QJ ANG BV 77.000 EA 231.00
3 3 FL3123NL LF 5/8X3/4 MTR X 3/4 FIP ANG COUP 17.750 EA 53.25
INVOICE SUB-TOTAL 284.25
LEAD LAW W NTNG:IT IS ILLE AL TO INSTALL PRODL 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 DE SCRIPTION ARE NOT L AD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE,APPLICATIONS.I 1UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Thank you for your business
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $284.25
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.
FERGUSON® INVOICE NUNII3ER TpTAL_DUE f CUSTOMER PAGE
WATERWORKS 0143429 $273.00 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
SNIP T0,s
CARMEL UTILITIES
3450 W 131 ST STREET
CARMEL, IN 46074
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
ID
2930 2930 INE SMITTY PLP 11/12/18 14288
ORC3Ei2Et3 SHIPED ITEM;NUIViBERDESCRIPTfON M UNIT PFttGEUIUI AMOl/N`I
«_ h,>. ... ._
3 3 FBA91444WNL LF BA91-444W-NL ANG BV 91.000 EA 273.00
INVOICE SUB-TOTAL 273.00
LEAD LAWWA NING:IT IS ILLE AL TO INSTALL PRODU CTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH
US FEDERAL R 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.I 1UYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Thank you for your business
TERMS: NET 10TH PROX ORIGINAL INVOICE ' TOTAL DDE��` $273.00
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.htmi
and are incorporated by reference. Seller may convert checks to ACH.
OFERGUSON® INVOfCE NUMBER 70TAt"DUE GUST.OMER, � ;,PAGE°=
WATERWORKS 0143442 $84.00 3686 i of 1
2126 WEST 400 SOUTH PLEASE REFER TO INVOICE NUMBER WHEN
KOKOMO, IN 46902-9615 r MAKING PAYMENT AND REMIT TO:
(� FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 317-546-2013 PITTSBURGH, PA 15264-4054
CARMEL UTILITIES
3450 W 131 ST STREET
CARMEL, IN 46074
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE.
ID
2930 2930 INE WITTY PLP 11/12/18 14288
ORCIERE`C? ° SHIFPEl3 - ITEMNUDNBER D SCRIPTION UNITPR>Gl; M A1f�O1�NT
A ti. „x✓.,.. _ ..
3 3 FC8445QNL LF 1X1-1/4 C84-45-Q-NL COUP 28.000 EA 84.00
INVOICE SUB-TOTAL 84.00
................. ......:............. .........................................................
LEAD LAW WA RNING:IT IS ILLE AL TO INSTALL PRODL 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 DE SCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESF ONSIBLE FOR PRODUCT SELECTION.
Thank you for your business
TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE
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.
Manufacturer of-Quality Products for Water Distribution Systems Packing List
The Ford Meter Box Company, Inc.I Pae 1 of 1 775 Manchester Avenue, P.O.Box 443 g
Wabash,Indiana USA 46992-0398 Date 11/6/2018
Phone(260)563-3171/Fax(800)826-3487 Shipment# 7180921
Shipment Facility Wabash, IN
Collect
Sold To:16217 Ship To: 20774 n
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 I Backorder Canceled Ship
1.00 BA43-332W-Q-NL 3/4 ANG VALVE CTS QJ/MTR NUT 3 3 EA
2.00 L31-23-NL 5/8x3/4 ELL90 MTR NUT/FIP 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 W1934-1899 Ford Order Number 1745107
=-3-7 Rev.4 3/08 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII