195914 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 355827 Page 1 of 1
ONE CIVIC SQUARE G E BETZ INC
CHECK AMOUNT: $2,008.19
CARMEL, INDIANA 46032 PO BOX 281729
ATLANTA GA 30384 -1729 CHECK NUMBER: 195914
CHECK DATE: 3/2912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 95822744 2,008.19 OTHER EXPENSES
GE Betz, Inc.
r GE 4636 Somerton Rd.
PA 1
Water Process Technologies UN T D STATES 9053 INVOICE
Tel: 1- 866 GEWATER
Fax: 1 -866- 891 -4893 95822744
Telephone: 1- 866 GEWATER
INVOICE DATE SHIPMENT TRACKING ID DATE SHIPPED CUSTOMER PO No
18MAR201 1 10049205311 18MAR201 1 S12433
SALES REP No /NAME ORDERED BY PAYER SALES ORDER
91001218 Andrew Lopshire BRIAN SETTLE 165491 3728250
MAIL TO 430368 SHIP TO 4000080398
CARMEL WASTE WATER CARMEL UTILITES
TREATMENT PLANT WASTEWATER PLANT
ATTN: ACCOUNTS PAYABLE 9609 HAZEL HELL PARKWAY
SUITE 110 INDIANAPOLIS IN 46280 -2935
760 THIRD AVENUE S.W UNITED STATES
CARMEL IN 46032
UNITED STATES
BILL TO 430368 PAYMENT TERMS
Net 30 Days from Date of Receipt of Inv
CARMEL WASTE WATER
TREATMENT PLANT
ATTN: ACCOUNTS PAYABLE
SUITE 110 TERMS OF DELIVERY
760 THIRD AVENUE S.W FOB DESTINATION
CARMEL IN 46032
UNITED STATES
CARRIER: USF _HOLLAND INC SHIPPED FROM: NEW PHILA, OH (HQ
:DELIVERY No: 85071934 FREIGHT: PREPAID
DESTINATION COUNTRY: UNITED STATES CURRENCY: U.S. Dollar
L DESCRIPTION QUANTITY?, UNIT UNIT PRI CE UNIT, AMOUNT..:
PROSWEET OC2533 78.00 i LB 24.52 LI3 1 -912.56 1
PAIL (P2)
GE MATERIAL: 7133783
2 PL
IF PAID AFTER 24APR2011 PLEASE REMIT USD 2,048.35
REMIT TO NET PRICE 1,912.56
ENERGY SURCHARGE 1,912.56 5.000 95.63
GE Betz,lnc.
P. 0. Box 281729
Atlanta, GA 30384 -1729
For ACH Payment:
BANK OF AMERICA, CHICAGO, IL
ABA ROUTING #071000039
ACCT #81880 -11054
PAY THIS AMOLINT 2,008.19
8227: ZNA1 F2 Page 1 of 1 j 0311 8/2 01 1
DUCHER 107397 WARRANT ALLOWED Pr'
55827 IN SUM OF
E B ETZ Z8 t7q
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
Ir
D INV ACCT AMOUNT Audit Trail Code D
3
95822744 01- 7202 -05 $2,008.19
Voucher Total $2,008.19 1 h
GO
:ost distribution ledger classification if
laim paid under vehicle highway fund
,crfbed 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
355827
GE BETZ Purchase Order No.
7796 Collection Center Drive Terms
Chicao, IL 60693 -0077 Due Date 312512011
toice Invoice Description
ite Number (or note attached invoice(s) or bill(s)) Amount
?5/2011 95822744 $2,008.19
reby certify that the attached invoice(s), or bill(s) is (are) true and
'ect and I have audited same in accordance with IC 5- p 11- 10 -1.6
Date Officer