334495 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 372689
/ 3 ONE CIVIC SQUARE XYLEM WATER SOLUTIONS USA, INC CHECK AMOUNT: $****45,414.00*
:9� lea CARMEL, INDIANA 46032 26717 NETWORK PLACE CHECK NUMBER: 334495
CHICAGO IL 60673-1267 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3556A45144 45,414.00 OTHER EXPENSES
VOUCHER NO. 187146 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 372689 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
XYLEM WATER SOLUTIONS CITY OF CARMEL
26717 NETWORK PLACE An invoice or bill to be properly itemized must show: kind of service,where performed,
CHICAGO, IL 60673 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$45,414.00 372689 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR XYLEM WATER SOLUTIONS Terms
Carmel Wasterwater Utility 26717 NETWORK PLACE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice CHICAGO, IL 60673
(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 a made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
3556A45144 02-2308-00 $45,414.00 and received except 12/30/2018 3556A45144 $45,414.00
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
I DIANAPOLIS IN 46214
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YOUR PURCHASE ORDER
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Tel. 317 273 4470 Fax: 317 273 4480
.> .;:.; : :: :. S 19062
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....................................................................INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
26717 Network Place 3556A45144' C12948 12/12/181 F43096
Chica o, IL 60673-1267 INVOICE DATE TRN WHS I PAYMENT TERMS
g 12/12/18 A3 088 100 o N60 FROM INVOICE
.......................... _ ._...................._.........._,........
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Sold To: C.. : . :::::::::::::::::::::::: Ship To:
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
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SHIP VIA ORDER TEXT CUSTOMER TEXT
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REFERENCE QUOTE NO. 2018 IND-0653
001 0031711850576 1 25, 438 . 000 25,438 . 00
NP435-6 30/460/3 50' FLS FV+ EA
SB3
S/N: 1880061 DIN F43096
ITEM NO. / SERVICE C DE: R02654
COST CENTER: DEPRECA ION
ACCOUNT CODE: 02 . 371 . 30
002 0031531851746 1 18, 592 . 000 18, 592 . 00
NP434-6 20/230/3 100' FL3 FV EA
S/N: 1880092 DIN F43096
ITEM NO. / SERVICE C DE: R02654
COST CENTER: DEPRECA ION
ACCOUNT CODE: 02 . 371 . 30
003 140000069983ON 1 1, 384 . 000 1, 384 . 00
SHIPPING AND HANDLING-NO TAX EA
ITEM NO. / SERVICE C DE: R02654
COST CENTER: DEPRECA ION
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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.xylemine.com/en-us/Pages/terms-conditions-of-sale.aspx
Xylem Water Solutions U.S.A., Inc.
7615,W. NEW YORK STREET
I D
YOUR PURCHASE ORDER
N IANAPOLIS IN 46214
Tel. 317 273-4470 Fax: 317 273-4480 S1906
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INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
26717 Network Place 3556A45144 C12948 12/12/18 F43096
o Chic o, IL 60673-1267 INVOICE DATE TRN WHS PAYMENT TERMS
9 12/12/18 A3 088 1 0% N60 FROM INVOICE
Sold To: Clustomer;tvo 20165 Page 2
Ship To:
Ctil0. a6NQs 80.271:$1
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 PP/Add Order Positio FLYGT—INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice-Ground REPLACEMENT FLYGT PUMPS ED RYAN
(Ii1ANTiTY SHIPPED. .>.;:<:<......::UNIT PRIGE»cc::;:>:::z>;>;;;:: rc'
,tiNE<:>;::»:>:... »fTfM DESCRfPTION NET 1'Rlt€< .»>?s>s: 7 XTENDED AMOUNT
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003 140000069983ON
SUB- OTAL OF POS TIONS 45,414 . 00
*S & H CHARGED AS LINE ITEM*
TOTAL WEIGHT 1,436 . 00 LBS
NET AMOUNT BEFORI TAXES USD 45, 414 . 00
12/ 2/18-US PORT expected exit date of 12/ 0/18
TOT L WEIGHT ON D/N:F43096 O DER TOTAL USD
DISPATCH INFO: 561969
45,414 . 00
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
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2018-12-03 688045 j, 244970 1
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EM WATER SOLUTIONS U.S.A., INC CARMEL WASTE WATER TREATMENTCARMEL WASTE WATER TREATMENT
25 SOUTH BRIDGE CIRCLE ATTN: DUANE JARVIS INDIANAPOLIS IN 46280 21014
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9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280
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Ref.No./Ref.No./ Quantity/Cantidad Delivered/ unit Case NoJ Kod Weight/kgs/Peso,kg Measurements/Dimensiones
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Nuestro item
2 NP 3171 MT FLYGT PUMP CODE 435 3171.185-0576 4 1
30 HP, 460VYSER-38A, 230VY//-75A, COS 0.83
3-PH, 60 HZ, 1760 RPM, 25 KW - 1880061 1 251002 CS' 3,53'.0 379 o z., 98X:,60X133 "•.
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COUNTRY OF ORIGIN: SE
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8200 Schaffhausen Telefax/Fax SE-361.80 Emmaboda Sweden Telefax/Fax
VAT:SE602071927301 Switzerland +41 52 644 5201 ;;. +46 47124 70 30 Order dep.
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x0em, PACKING LIST/ LISTA DE EMPAQUE correspondence/
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correspondencia Page No./
Date/Fecha Your order/Su pedido Pigina No.
Let's$OIV@ Water Our order/Nuestro pedido
2018-11-29 688045 I' 244970 1
Buyer/Comprador Delivery address/Direccidn de entrega Shipping marks/Marcas de la mercanc a Cust.No No
XYLEM WATER SOLUTIONS. U.S.A., INC CARMEL WASTE WATER TREATMENT CARMEL WASTE WATER TREATMENT
14125 SOUTH BRIDGE CIRCLE ATTN: DUANE JARVIS INDIANAPOLIS IN 46280 21014
9609 HAZEL DELL PARKWAY sales ar eroa o
INDIANAPOLIS, IN 46280
--CHARLOTTE,—NC-2 8 2 7 3— —UNITED—STATES
USA CC129.48 S19062 6102
Our reference/Nuestra referenda Your reference/Su referencia Packed by/Embalado por Packing date)echa02 de embalay
NIKLAS WOLF US971 RYAN, EDWARD * GRUPP PACKNING LS 18-11-29
Our item/ Descriptlon/Descripcidn Ref.NoJRef.NoJ Quantity/Cantidad Delivered/ Unit Case NoJ Kod Weight/kgs/Peso,kg Measurements/Dimensiones
Nuestro Item Article NoJArticulo No. Ordered/Pedido Entregado Caja No. Net!/gh Gross/Bruto L x B x H(in CMS) .
1 NP 3153 MT FLYGT PUMP CODE 434 3153.185-1746 1
20 HP, 460VYSER-26A, 230VY//-52A, COS 0.83
3-PH, 60 HZ, 1755 RPM, 17 KW - 1880092 1 250943. CS '29.666,, 274.0 80X`.60 X12'1
31M SUBCAB 4G16+S(2X0:5) -- •
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8200 Schaffhausen Telefax/Fax SE-361 80 Emmaboda Sweden Telefax/Fax
VAT:SE502071927301 Switzeriand +41 52 644 5201 ,, +46 47124 70 30 Order dep.
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