333922 12/27/18 CITY OF CARMEL, INDIANA VENDOR: 281260
(3 1 ONE CIVIC SQUARE SEWER EQUIP CO OF AMERICA CHECK AMOUNT: $******"216.17*
CARMEL, INDIANA 46032 1590 UTC ROAD CHECK NUMBER: 333922
DIXON
''�ssN�• CHECK DATE: 12/27/181
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0000169541 216.17 OTHER EXPENSES
VOUCHER NO. 187096 WARRANT NO. ALLOWED . 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 281260 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
SEWER EQUIP CO OF AMERICA CITY OF CARMEL
1590 DUTCH ROAD An invoice or bill to be properly itemized must show: kind of service,where performed,
DIXON, IL 61021 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
216.17 281260 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SEWER EQUIP CO OF AMERICA Terms
Carmel Wasterwater Utility 1590 DUTCH ROAD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice DIXON, IL 61021
(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
0000169541 01-7500-02 $216.17 and received except 12/20/2018 0000169541 $216.17
1-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
'Z
1590:Dutch Road Invoice No 0000169541
��
Dixon, IL. 61021
1x"o
It
ER,' Phone.(815)835-5566' Customer 000565
lU
Bill to : SHIPPED TO ADDRESS:
CARMEL WASTE WATER TREATMENT
CARMEL, IN UTILITIES, CITY OF 9609 HAZEL DELL PARKWAY
WWTP&SEWER DEPT ATTN: DUANE JARVIS
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN,46280
INDIANAPOLIS IN 46280 United States
United States
PHONE(317)571-2634 FAX(317)571-2629 Sales Order: 111709 Packing List: Y30563
Customer PO Number Invoice Date Terms FOB Shipping Point Ship Via Salesperson
S19178 12/14118 NET 30 DAYS. SP UPS DM
Item Part/Rev/Description/Details Quantity Backorder Unit Price Extended Price
000010 40231-00-T-CABLE,THROTTLE,256",WIRE END,RED 1.00 EA 0.00 $195.4500 $195.45
0.00
000020 SHIPPING-Shipping/Freight Charge,Ref Shipper No 1.00 0.00 $20.7200 $I0.72
Y30563 Shipped on 12/14/2018
0.00
--- — -
--------------------- --- ---
s eived by Invoiced Backorder
king No: PO ■ `j �CcSubtotal $195.45
Da 3 #■ 0 Shipping $20.72
Ci t #: 0% .'15 C0'0 q Sales Tax $0.00
USE): -.TV1vt-"`-ec'cVe —7M
TOTAL INVOICE $2116.17
Please pay a ance clue 598unclay3anuary 13 201
Payable in US Dollars
Warranty start date for manufactured equipment is the data the eqUipITIE nt is shipped unless the equipment delivery to the end
user from the dealer will be delayed. The dealer must notify Sewer Equi ment Comp any of America in writing Nithin 30 days of
shipment. This delayed warranty start date is subject to approval in writi ig by Sewer quipment Company of America.
Ne have full service repair facilities for all water pumps used on your etting equipment.
ontact us for all your pump component needs. Call 11-8001-323-11604, sk for Parts.
Remit To:
1590 Dutch Road
Dixon,IL 61021
Please contact Accounts Receivable at 815-835-5566 with any questions or concerns regarding your invoice.
*'All balances past due are subject to a 1%per month late charge."
Customer Copy
� all"
1590 Dutch Road SALES ORDER 111709-00
Dixon, IL 61021,
Phone:(815)835-55.66 CUSTOMER 000565
TO : SHIP TO :
CARMEL WASTEWATER TREATMENT CARMEL WASTE WATER TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46820 ATTN: DUANE JARVIS
United States INDIANAPOLIS IN 46280
United States
PHONE(317)571-2634 FAX
Customer PO Number Order Date Terns FOB Ship Via Salesperson
S19178 12/07/18 NET 30 DAYS. SHIPPING POINT UPS GROUND DM
ITEM FACILITY/PART/REV/DESCRIPTION/DETAILS QUANTITY
i
001 40231-00-T REV 000 U/M EA 1.0000
CABLE,THROTTLE,256",WIRE END,RED
I
adress verified by po recd via emall from duane
duane advised ship to address verbally
i
i
i.
Customer Copy PAGE 1
AUTHORIZED SIGNATURE
►� Shipping List Y30563
1 1590 Dutch Road Customer No 000565
Dixon, IL 61021
-`�
Phone:(815)835-5566' Sales Order Shipper
Ship to:CARMEL WASTE WATER TREATMENT PLANT Sold to: CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY
ATTN: DUANE JARVIS INDIANAPOLIS IN 46820
INDIANAPOLIS IN 46280 United States
United States
I
I
Ship Date Customer PO # of Boxes Weight Ship VIA Bill of Lading F 0 B
I
1211412018 S19178 0 0.0000 UPS GROUND SP
Item Fac/Part/Rev I Description 1 Details Order Quantity Ship Quantity
000001 Default Sales Order 111709.00 Item 001
40231-00-T Rev 000 UIM EA 1.0000
CABLE,THROTTLE,256",WIRE END,RED
1.0000
i
i
Customer Copy Page 1 of 1