191255 10/27/2010 *4 CITY OF CARMEL, INDIANA VENDOR: 139300 Page 1 of 1
ONE CIVIC SQUARE ITT WATER WASTEWATER INDIANA LLLL
Q CN
EGK AMOUNT: $4,826.93
CARMEL, INDIANA 46032 PO BOX 371630
oGO PITTSBURGH PA 15250 -7630 CHECK NUMBER: 191255
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 07605114 4,826.93 OTHER EXPENSES
ITT Water Wastewater U. S. A.
7615 W. NEW YORK STREET YOUR PURCHASE ORDER
NDIANAPOLIS,IN 46214 I W09422
Tel. (317)273 -4470 Fax:(317)273 -4480 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
07605114 687059 10/13/10 858379
P. O. BOX 371630 INVOICE DATE TRN WHS PAYMENT TERMS
Pittsburgh, PA 15250 -7630 10/13/10 A3 123 NET 60 DAYS
Sold To I Customera No 1437 Ship To:
CARMEL UTILITIES -WATER CARMEL UTILITIES -WATER DEPT.
ATTN: KEN R
3450 WEST 131ST STREET 5484 EAST 126TH STREET
CARMEL IN 46074
WESTFIELD IN 46074
ORDER LEAD TIME F.O.BIFREiGHT ORDER PROCESSED BY
l week or less ex WWW or port Frt PP /Add Actual INDIANAPOLIS, IN BRANCH
SHIP VIA ORDER TEXT CUSTOMER TEXT
UPS- Ground JASON HALL
T'( SHIPPED UNIT PRISE
.LINE 3TE.MlDESCRIPTiON NET PRICE EXTENDELkA[NOUN7
pUANTI
a l)M[ OISCOUNTfCHARGE
001 0000006018932 1 4,586.00 4,586.000 4,586.00
KIT,REPAIR BASIC 3170/3201 NI EA
02 0000003846300 1 233.00 233.000 233.00
WEAR RING,STATIONARY, NITRITE EA
SUB -TOT L OF POSITIONS USD 4,819.00
*PLUS ACTUAL FREIGHT CHARGES* 7.93
TOTAL WEIGHT 17.000 LBS
NET AMOUNT BEFORE TAXES USD 4,826.93
ORDER TOTAL USD
4,826.93
*ITT Water Wastewater U.S.A. Inc.(formerly ITT Fiygt Corporation(,ITT Water Wastewater Florida,LLC, ITT Water Wastewater Indiana,LLC, and WEDECO Inc.
VOUCHER 103067 WARRANT ALLOWED
139300 IN SUM OF
ITT, WATER WASTERWATER INDIAN
PO BOX 371630 a
PITTSBURGH, PA 15250 7630,*
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
07605114 01- 6200 -04 $4,826.93
Voucher Total $4,826.93
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
139300
ITT WATER WASTERWATER INDIANA (WA' Purchase Order No.
PO BOX 371630 Terms
PITTSBURGH, PA 15250 -7630 Due Date 10118/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201( 07605114 $4,826.93
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 11- 10 -1.6
Date Officer