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Home My WebLink About333639 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 372689 �j• ONE CIVIC SQUARE XYLEM WATER SOLUTIONS USA, INC CHECK AMOUNT: $****10,906.00* CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 333639 MUTON�. CHICAGO IL 60673-1267 CHECK DATE: 12/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 3556A41499 10,906.00 OTHER EXPENSES VOUCHER NO. 186970 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor#.366® a(vSI IN SUM OF$ ACCOUNTS PAYABLE VOUCHER XYLEM WATER SOLUTIONS U.S.A, INC. CITY OF CARMEL 26717 NE-NVORK PLACE An invoice or bill to be properly itemized must show: kind of service,where performed, CHICAGO, IL 60673-1267 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $10,906.00 366022 Purchase Order No. -ON ACCOUNT OF APPROPRATION FOR XYLEM WATER SOLUTIONS U.S.A, INC. Terms Carmel Wasterwater Utility 26717 NETWORK PLACE Due Date BOARD MEMBERS I hereby certify that that attached invoice CHICAGO, IL 60673-1267 (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 3556A41499 02-2308-00 $10,906.00 and received except 12/4/2018 3556A41499 $10,906.00 Depreciation 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 Xylem Water Solutions U.S.A., Inc. 7615 W..NEW YORK STREET INDIANAPOLIS IN 46214 YOURPURCHAS&ORDER Tel (317)27 -447 -44 ... . . . -..l..C.:�........... 519061 370 Fax:(317)2 3 80 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 26717 Network Place 3556A41499 C12934 11/16/18 F37761 Chicago, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS g 11/16/18 A3 09A 100-'. N60 FROM INVOICE .............................__......... ............................................................................... ............................................................................... ............................................................................... Sold To: Gusiomer.NQ.... 1�i�s .....::.:::..:.... Ship To: Ctaba.N . . ...._......B.E1.2.7.1.81......_......... CARMEL UTILITIES WTP CARMEL WASTE WATER TREATMENT 9609 HAZEL DELL PKWY ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 DELIVERY TERMS ORDER PROCESSED BY FREIGHT TERMS Jobsite PP/Add Order Positio FLYGT-INDIANAPOLIS,IN BRA _ SHIP VIA ORDER TEXT CUSTOMER TEXT Shipper choice-Ground— REPLACEMENT—FLYGT—PUMP-- — — - ED—R'Y2U _- ?;......... ?>s>;»::.:: QUA. 1 SH P ED »:»;:::UNIT PRFCE>,. . . NT TY.. .E.P .. UNE ::.:..: E D. R PT ON. c.; ::r ::.>::;»: G::<»: c:;>:::::>;:..:::::::::: NET.PRICE EXTENDED:AMOUNT t.........._........:.......................TEMf...sSC..f...�.- ..............._....................... >s:»:«:»>:a::>: »:<>::«»>:> » <s»>:» :UM<_::«<:<>:><:»» g»DISCOUNT:CH'ARCsE:» ;»»: »»»>s>»»»»»>:<:»»»»»::>zi>z:;:z.>::>: >:_>::>> >:>s:°iiSi>:_::::::s <:_: _............................._.....:.._...................................................._............_....._.........L_...... .... ._..............................................................................._................ .................................................................................................................................................................................................................................................................................................. ....................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................. REPLACEMENT FOR EXISTING FLYGT PUMP PER SIN 3127 . 185-1560108 REFERENCE QUOTE NO. 2018 -IND-0621 001 0031270600009 1 10, 491. 000 10,491. 00 NP425-6 10/460/3 50' FLS FV EA SIN: 1860061 ITEM NO. / SERVICE C DE: R02653 COST CENTER: DEPRECA ION ACCOUNT CODE: 02 . 371 .30 002 140000069983ON 1 415 . 000 415 . 00 SHIPPING AND HANDLING-NO TAX EA ITEM NO. / SERVICE C DE: R02653 COST CENTER: DEPRECA ION ACCOUNT CODE: 02 . 371 . 30 SUB- OTAL OF POS TIONS 10, 906. 00 *S & H CHARGED AS LINE ITEM* NET AMOUNT BEFORI TAXES USD 10, 906 . 00 DISPATCH INFO: 078-9017919 ORDER TOTAL USD 10, 906 . 00 Received by ®ate: a_y-IK P0 #: t cct #: � e �"a� Use: F - ®t=d ;� �.s IMPORTANT-This invoice is governed by and subject to TERMS AND CONDITIONS OF SALE-XYLEM AMERICAS.Different terms are hereby rejected unless expressly assented to in writing.Terms are accessible at http://www.xyleminc.com/en-us/Pages/terms-conditions-of-sale.aspx Y�em PACKING LIST Page 1 of 1 lLets'Sofve Water Packing List Number Printdate 016040 111.14/2018 Delivery Address: Customer. Carrier CARMEL WASTE WATER TREATMENT 3556-XYL WTR SLTNS CHARLOTTE Description AT.TN: DUANE JARVIS-PO#S19061 ; 14125 S BRIDGE CIR 9609 HAZEL DELL PARKWAY PRO number INDIANAPOLIS, IN 46280 CHARLOTTE, NC,28273 # of Boxes: Ship Date Your Reference Customer code Order Number W.O.number CC12934 157463 901864 Packed by Your order no Our Reference Order date Delivery Terms of Delivery 688034 Xylem-Indianapolis 11/07/2018 TRUCK PPD FCA Factory USA, NFA Line Item/Description Warehouse Quantity UoM Quantity Delivered 000010 3127.060-0009 03 1 EACH 1 NP425-6 10/460/3 50' FLS FV S/N : 31270601860061 i I I Remarks: ATTN: DUANE JARVIS-POO S19061 Xylem only accepts return shipments with a return notification form and a return notification number. To apply for a return notication form, call 262-548-818 Xylem Water Solutions U.S.A., Ini Tax ID`:45-2080074 N27 W23293 Roundy Drive Pewaukee,Wisconsin 53072-4069 Tel: (262) 548-8181 Fax: (262) 548-8170 F PACKING LIST Page 1 of 1 xy�em Let's'5olve Water Packing List Number Print date 016040 11/14/2018 Delivery Address: Customer: Carrier CARMEL WASTE WATER TREATMENT 3556-XYL WTR SLTNS CHARLOTTE Description: ATTN: DUANE JARVIS-PO#S19061 14125 S BRIDGE CIR 9609 HAZEL DELL PARKWAY PRO number INDIANAPOLIS, IN 46280 CHARLOTTE, NC,28273 # of Boxes: Ship Date Your Reference Customer code Order Number W.O.number CC12934 157463 901864 Packed by Your order no Our Reference Order date Delivery Terms of Delivery 688034 Xylem-Indianapolis 11/07/2018 TRUCK PPD FCA Factory USA, NFA Line Item/Description Warehouse Quantity UoM Quantity Delivered 000010 3127.060-0009 03 1 EACH 1 NP425-6 10/460/3 50' FLS FV S/N :31270601860061 I i Remarks: ATTN: DUANE JARVIS- PO#S19061 Xylem only accepts return shipments with a return notification form and a return notification number. To apply for a return notication form, call 262-548-8181i Xylem Water Solutions U.S.A., Int Tax ID:45-2080074 N27 W23293 Roundy Drive Pewaukee,Wisconsin 53072-4069 Tel: (262) 548-8181 Fax: (262) 548-8170 r.U.DVA CUUM,.m141rir1U11U,vn cQGV. 1001 hN 11 www.estes-expremcom ORIGIN jDEST,1NATION,.., IRo.# Nil I i �j�;�y� !' �it I� H! 1 1 le NJ'L STES REV. ADV.REV. JBYD.REV. HIPPER B/L OR GBL NUMBER qM ATE A 74P ONSIGNEE 'D PRO NUMBER Z_ �7 ROUTE(CARRIERS F/B#,DATE AND INTERCHANGE POINTS) BILL CHARGES TO ib 2_1'E"5 HIPPER 7 8 fm 1 41 15 X'YLO�I'i WATEER #S/W SKIDS DEUD INTACT #SKIDS DEUD #EMPTY SKIDS RET'D 21 El GOOD ORDER El SHORT El OVER El DAMAGE Z 71 W 3 3 R,01'10 DESCRIBE EXCEPTIONS: FEVis AUXEE, W1 #PCS. HM DESCRIPTION OF ARTICLES AND SPECIAL MARKINGS WEIGHT/LBS RATE TOTAL CHARGES TE o 3 27! C ;il-IS 2 7 k->.13- 1" V i'°A a 66,,AaI68- IRM B —Con _Inside Detv. , _spotted _Lift Gale PC WGT_ m'd the above property In good condition except ShlPments taking more than 30 minutes to load/unload noted above. may be subject to additional charges-see back. Initial 6 A066WIedge Recel�lvf SerA6e(§).'Fees May b-ifly