188371 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 361030 Page 1 of 1
ONE CIVIC SQUARE ITT WATER WASTEWATER USA
CARMEL INDIANA 46032 P0 BOX 371630 CHECK AMOUNT: $1,776.05
y'.r`zc PITTSBURGH PA 15250 -7630
CHECK NUMBER: 188371
CHECK DATE: 8/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 512223 07591621 1,776.05 COINNECTION
ITT Water Wastewater U. S. A.
7615 W. NEW YORK STREET YOUR PURCHASE ORDER
INDIANAPOLIS, IN 46214 I N v. I- S12223
Tel.(317)273 -4470 Fax:(317)273 -4480 INVOICE NO. PUS NO. DATE SHIPPED I DELIVERY NOTE
07591621 670798 7/21/10 837176
P.O. BOX 371630 INVOICE DATE TRN WHS PAYMENT TERMS
Pittsburgh,PA 15250 -7630 7/21/10 A3 115 NET 60 DAYS
Sold To: C!astomer', No 10 3 9 7 3 Ship To:
CITY OF CARMEL CITY OF CARMEL INDIANA
ATTN: LISA KEMPER MARK :PO# S12223
760 THIRD AVE SW 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
CARMEL IN 46032
ORDER LEAD- T!ME G.O.E!FREIGHT ORDER- PROCESSFD SY
1 1 week or less ex Flygt port Frt PP /Add Actual INDIANAPOLIS, IN BRANCH
SHIP VIA ORDER TEXT CUSTOMER TEXT
FEDEX FREIGHT FORM AM JEFF COOPER M.GAGERMEIER
LINE ITEMiDESGRIPTION NET PRLCE 'EXTENDED AMOUNT
QUANTITY SHIPPED: „UNIT PRISE
DiSCOUNTlCHARGE
01 0000004447006 2 852.00 852.000 1,704.00
CONNECTION,DISCH 5;X6" CI EA
SUB -TOTAL OF POSITIONS USD 1,704.00
*PLUS ACTUAL FREIGHT CHARGES* 72.05
TOTAL WEIGHT 266.000 LBS
NET AMOUNT BEFORE TAXES USD 1,776.05
IS ATCH INFO: 2037837863
ORDER TOTAL USD
1,776.05
*ITT Water Wastewater U.S.A. Inc.(formerly ITT Flygt Corporation). ITT Water Wastewater Florida.LLC. ITT Water Wastewater Indiana,LLC, and WEDECO Inc.
r F
VOUCHER 105030 WARRANT ALLOWED
354642 IN SUM OF
ITT WATER WASTEWATER U S A (U
PO BOX 371630
PITTSBURGH, PA 15250 -7630
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7591621 01- 7200 -03 $1,776.05
LO 3 (/9
Voucher Total $1,776.05
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 19951
a-
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
354642
ITT WATER WASTEWATER U S A (WEDECC Purchase Order No-
PO BOX 371630 Terms
PITTSBURGH, PA 15250 -7630 Due Date 7/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2010 7591621 $1,776.05
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