HomeMy WebLinkAbout204637 12/13/2011 a- CITY OF CARMEL, INDIANA VENDOR: 356869 Page 1 of 1
ONE CIVIC SQUARE SEEPEX INC
CARMEL, INDIANA 46032 PO BOX 951454 CHECK AMOUNT: $5,263.04
CLEVELAND OH 44193 CHECK NUMBER: 204637
CHECK DATE: 12/1312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30295592 5,263.04 OTHER EXPENSES
seepex
seepex.com Inc.
511 Speedway Drive
Enon, Ohio 45323
USA
Phone (937)864 -7150
Invoice Fax (937)864 -7157
BILL TO: www.seepex.com
Carmel WWTP No. 30295592 sales @seepex.net
760 Third Ave SW Date 11/30/2011
CARMEL IN 46032 Delivery Note No. 1160715
USA Delivery Date 11/30/2011
Our Order No. 2242314 Page 1 1)
Your P.O. No. S12890
SHIP TO: dated 11/28/2011
Carmel WWTP Your Customer No. 204168
REF: PO# S12890
9609 Hazel Dell Parkway
INDIANAPOLIS IN 46280
USA Terms of delivery
FOB Shipping Point Enon
REMIT TO: Shipping terms:
seepex Inc. Fed Ex FEDEX FREIGHT
P.O. Box 951454 Weight total(KG)
Cleveland, OH 44193 165.0
USA Tracking No. 2571794713
Item Material Qty. Price p. unit Discount Total(USD)
10 STAF0060035ODNNX00 1 EAC 5,083.26 5,083.26
stator 60/35 -24 NBR
Items total 5,083.26
Freight /Insurance 179.78
Net value 5,263.04
Final amount (USD) 5,263.04
Terms of payment
within 30 days net
Please note: These commodities, technology, or software were exported from the United States
in accordance with the Export Administration Regulations. Diversion contrary to U.S. law
prohibited.
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
356869
SEEPEX INC Purchase Order No.
PO BOX 951454 Terms
CLEVELAND, OH 44193 Due Date 12/6/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2011 30295592 $5,263.04
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
VOUCHER 116369 WARRANT ALLOWED
356869 IN SUM OF
SEEPEX INC
PO BOX 951454
CLEVELAND, OH 44193
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
30295592 01- 7202 -06 $5,263.04
Voucher Total $5,263.04
Cost distribution ledger classification if
claim paid under vehicle highway fund