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175754 08/06/2009
l CITY OF CARMEL, INDIANA VENDOR: 139300 Page 1 of 1 0 ONE CIVIC SQUARE ITT WATER WASTEWATER INDIANA LL�� �CC INDIANA 46032 7615 WEST NEW YORK STREET CFIECK AMOUNT: $13,075.15 CARMEL INDIANAPOLIS IN 46214 CHECK NUMBER: 175754 CHECK DATE: 8/6/2009 DEPARTMEN ACCOUNT PO NU MBER INVOICE NUMBER AMOU DES 651 5023990 013146401 6,258.64 OTHER EXPENSES 651 5023990 013146402 810.32 OTHER EXPENSES 651 5023990 07538770 6,006.19 OTHER EXPENSES ITT "Water Wastewater U. S. A: 14125 SOUTH BRIDGE CIRCLE INVOICE YOUR PURCHASE ORDER CHARLOTTE, NC 28273 S11769 Tel.(704)716 -7600 FaX:(704)716 -7610 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 07538770 599788 7/10/09 753839 P.O. BOX 371630 INVOICE DATE TRN WHS PAYMENT TERMS Pittsburgh,PA 15250 -7630 7/10/09 Al 801 NET 30 DAYS Sold To: Customer! No. 103973 Ship To: CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 ORDER LEAD TIME F.O.BIFREIGHT ORDER PROCESSED BY I 11 or less ex Fi port Frt PP /Add Actual i -WEDECO CHA 1 .RL-- OTTE, ?C SHIP VIA ORDER TEXT CUSTOMER TEXT UPS Ground JULIE ETEMIDESCRIPTION QUANTITY SHIPPED: UNIT PRICE UNE NET. PRICE EXTENDED AMOUNT UM DISCOUNTICHARGE 01 7600000038720 600 66.00 10.000 6,000.00 WIPER HOLDER 063X15 INCL. PTFE EA Reduction by Set Value 56.00 OLD NUMBER: I38720 SUB -TOTAL OF POSITIONS USD 6,000.00 *PLUS ACTUAL FREIGHT CHARGES* 6.19 TOTAL WEIGHT 24.000 LBS NET AMOUNT BEFORE TAXES USD 6,006.19 DISPATCH INFO: 1Z7Y05680355779893 ORDER TOTAL USD 6,006.19 *ITT Water Wastewater U.S.A, Inc.(formerly ITT Flygt Corporation),ITT Water Wastewater Florida,LLC, ITT Water Wastewater Indiana,LLC, and WEDECO Inc. FormN o .301 St -S 1995) counts ACCOUNTS PAYABLE VOUCHER Form No. 301 1995) TO ADDRESS Invoice Date Invoice Number Item Amount I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 1 19 Signature Title 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. C Officer Title /oucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. CARMEL, INDIANA 3 5 q6 ;L Favor Of TT r tO Afc rk (10ASfeWAf" -P© oX 37/65Z) an r s u 5 25 Total Amount of Voucher Deductions 0 53 3"770 Amount of Warrant Month of 19 Acct. VOUCHER RECORD No. Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1- 800 -382 -8702 325 ITT WATER WASTEWATER INDIANA LLC 7615 WEST NEW YORK STREET INDIANAPOLIS, INDIANA 46214 PHONE: (317) 273 -4470 INVOICE'NO. INVOICE DATE ORDER NO: AGE No FAX: (317) 273 -4480 013146402 7/22/09 0131464 1 S 0301685 -001 CUSTOMER 'NO. ORDER DATE H CITY OF CARMEL S11777 P 9609 HAZELDELL PARKWAY TERMS TERR. /SLSMN INDIANAPOLIS IN 46280 NEI 30 DAY S lvj b PLEASE PAY FROM INVOICE. A SERVICE CHARGE OF 1 112% PER MONTH (ANNUAL RATE 18 WILL BE ADDED TO DELINQUENT ACCOUNTS. B I 0301685 -000 L CITY OF CARMEL T 760 3RD AVE SOUTHWEST o SUITE 110 CARMEL IN 46032 NO RETURNS WITHOUT AUTHORIZATION. ITEM NUMBER /DESCRIPTION ORDER OTY: B/O QTY. SHIP QTY. PRICE U/M PRICE EXTENSION a STOCK SHIPPED FROM WHSE. INDY ON (/22; REF !0131464- 03'VIA� *UPS 0000004389600 1 t 1 801.66 EACH 801.66, IMPELLER, CODE 432 NEVA -CLOG I TOTAL THIS ORDER.. 801.66; SHIPPING /HANDLING 8.66j PAYMENT INFORMATION .007. DISCOUNT') NE'T PMT NET DUE- DATE GROSS: AMT GROSS, DUE DATE 810.32 8/21/09 8 110,32 8/21/09 t i i e, TOTAL X810.32 ITT WATER WASTEWATER INDIANA LLC INVOIC 761 S WEST NEW YORK STREET INDIANAPOLIS, INDIANA 46214 PHONE: (317) 273 -4470 INVOICE NO. INVOICE DATE ORDER NO. AGE N0. FAX: (317) 273 -4480 013146401 7/21/09 0131464 1 S 0301685 -001 CUSTOMER NO. ORDER DATE H CITY OF CARMEL S11777 TTi'TT09 P 9609 HAZELDELL PARKWAY TERMS TERR. /SLSMN T INDIANAPOLIS IN 46280 Ntl 3VDAY5 5 PLEASE PAY FROM INVOICE. A SERVICE CHARGE OF 1 1/2% PER MONTH (ANNUAL RATE 18 WILL BE ADDED TO DELINQUENT ACCOUNTS. B I 0301685 -000 L CITY OF CARMEL T 760 3RD AVE SOUTHWEST o SUITE 110 CARMEL IN 46032 NO RETURNS WITHOUT AUTHORIZATION. ITEM NUMBER /DESCRIPTION ORDER QTY.' B/O QTY. SHIP QTY. PRICE U EXTENSION PAO~a STOCK DIRECT SHIP j 0000006018909 1 1� 1113.21 EACH 1113.21 REBUILD KIT 3127 0000006018921 1 1684.23 EACH 1684.23 BASIC REPAIR KIT 3152.181/091 I 0000006784640 i 1 782.13 EACH 782.13 IMPELLER,N CODE 463C.I. I E i 000000.43893 -01 2 2 845.37 .EACH 1690.74 IMPELLER, CODE 435 NEVA -CLOG 0000004300700 1 1 927.21 EACH 927.2C. IMPELLER ITEMS`NOTED'BELOW SCHEDULE =D TO�'SHIP AND.`BILL SEPARATELY TO FILL .ORIGINAL ORDER- 0,000004389600 IMPELLER, CODE 432 NEVA -CLOG TOTAL :THIS ORDER 6197.52', SHIPPING /HAN DLING` 61.12 I PAYMENT. INFORMATION .00 >DISCOU,NT) g NET '.`PMT NET, 'DUE DATE t GROSS AMT GROSS`' DUE DATE 6258.64: 8/20/09 6258 8/20/09 i e r- TOTAL X6258.64 Prescribed by State Board of Accounts City Farm 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 WASTEWATER INDIANA LLC (F1 Purchase Order No. 7615 WEST NEW YORK STREET Terms INDIANAPOLIS, IN 46214 Due Date 7/27/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/27/2009 013146401 $6,258.64 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 0960'88 WARRANT ALLOWED 1.39300 IN SUM OF ITT WATER WASTEWATER INDIANP 7615 WEST NEW YORK STREET INDIANAPOLIS, IN 46214 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1 'j -1 Q 013146401 01- 7200 -03 $6,197.52 1 013146401 01- 7200 -03 $61.12 fo l Voucher Total $&45� Cost distribution ledger classification if claim paid under vehicle highway fund