184887 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364108 Page 1 of 1
ONE CIVIC SQUARE PENTAIR TECHNICAL PRODUCTS
CHECK AMOUNT: $83.88
CARMEL, INDIANA 46032 15017 COLLECTION CENTER DRIVE
CHICAGO IL 60693 -1000 CHECK NUMBER: 184887
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
651 5023990 6481801 83.88 OTHER EXPENSES
'MrLejan Order invoice
COMING TECHNOLOGY 00
APentaft Technical Pr 6m, Company L
11611 BUSINESS PARK BLVD N Business 62001387
CHAMPLIN MN 55316 -4900 P.O S12132
UNITED STATES Mark S12132
Phone: (763) 323 -8200 Contact: BOBBY
Fax: (763) 576 -3200
Order 12486863 SO 04/16/10
Invoice 6481801 RI 04/16/10
Sold To: CARMEL WASTE WATER TREATMENT PLANT Ship To:., CARMEL WASTE WATER TREATMENT PL
SUITE 110 ATT: JEFF COOPER
760 3RD AVE SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 -2072 INDIANAPOLIS IN 46280 -2935
UNITED STATES UNITED STATES
JEFF COOPER
317- X222
317 -571 -2636 FAX
li3ne Part..Number, Catalog Nutttber ShS p Ship „.,..S, Uno t Prig Tnount F'
Number', Qes'erzption Qty t7M Eaate:....' {[7SD) (U$D;} X!
Shipment 124868630001
Tracking 220279272192214
1.000 10- 1000 -38 6.00 EA 04/16/10 A 13.0000 78.0000 Y
FLTR AIR INLET 7.50 X15X0.34
2.000 FREIGHT 1.00 EA A 5 -8800 5.8800 3
FEDEX FGR
Ship From Points
Sub Total: 83.88
A Anoka, MN
Sales Tax: .00
Total Amount: 83.88
Payment Terms: NET 30 DAYS Remit To: PENTAIR TECHNICAL PRODUCTS
Freight Terms as Agreed 15017 COLLECTION CENTER DR
CHICAGO IL 60693 -1000
UNITED STATES
Page 7 Printed 04/16/10 20:09:05
VOUCHER 105367 WARRANT ALLOWED
k 364098 IN SUM OF
4=' IVIC— rEANFC`OOLfi�G T�CHi�JCflLOGY
15017 COLLECTION CENTER DRIVE
CHICAGO, 1L 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6481801 01- 7202 -06 $83.88
Voucher Total $83.88
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit,'etc.
Payee
364098
MCLEAN COOLING TECHNOLOGY Purchase Order No.
15017 COLLECTION CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 4/26/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) cr bill(s)) Amount
4/26/2010 6481801 $83.88
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
Date Officer