173891 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 139300 Page 1 of 1
4I ONE CIVIC SQUARE ITT WATER WASTEWATER INDIANA DECK AMOUNT: $1,467.38
CARMEL, INDIANA 46032 7615 WEST NEW YORK STREET
oN INDIANAPOLIS IN 46214 CHECK NUMBER: 173891
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVO N UMBER AMOUNT DESCRIPTIO
651 5023990 07529195 1,467.38 OTHER EXPENSES
315 5 7689 01:10:50 p,m. 06 -04 -2009 1 11
!TT Water Wastewater U. S. k
14125 SOUTH BRIDGE CIRCLE
CHARLOTTE, NC 28273 IN VOICE YOUR PURCHASE ORDER
Tel.(704)716 -7600 Fax:(704)716 -7610 SI1666
INVOICE NO. FUS NO, DATE SHIPPED DELIVERY NOTE
P.O. BOX 371630 07529195 586983 4/30/09 738586
INVOICE DATE TRN WHS PAYMENT TERMS
aw Pittsburgh, PA 15250 -7630 4/30/09 B1 NET 30 DAYS
Sold To: f Cu sto mer No. 103973 Ship To:
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
I
INDIANAPOLIS IN 46280 NDIANAPOLIS IN 46280
ORDER LEAD TIME F.O.BIFREIGHT ORDER PROCESSED BY
NO LT DISCOUNT APPLIES Frt PP /Add Actual WEDECO, CHARLOTTE,NC
SHIP VIA ORDER TEXT CUSTOMER TEXT
UPS- Ground SO 582799,Ig
L {TEI�DESCRI�TtON taUANTITY SHIPPED UNti PRICET EXTEN0�1 AN{OUNT
UM DISC"T1CHFtRGE
THIS IS TO CORRECT INVOICE 07526384 T WHICH
CREDIT MEMO 586947 HAS BE N APPLIED.
01 7600000039898 33 218.90 42.693 1,408.87
UV LAMP SLR32143 /4PHP SINGL P EA
Reduction by Set Value 176.21
OLD NUMBER: I39898
02 1400000699830 1 5R 5n C;a inn co Cn
r itr,ivri i �neitcvE EA
03 7600000039898 7 218.90 .001 ,01
UV LAMP SLR32143 /4PHP SINGL P EA
Reduction by Set Value 218.90
OLD NUMBER: I39898
SUB -TOT L OF POSI IONS USD 1,467.38
*PLUS ACTUAL FREIGHT CHAR ES*
NET AMO T BEFORE TAXES USD 1,467.38
Post -its Fax Note 7671 Date a of
To pagesO
Sz' From
Co. /Dept.
Co.
Phone #i
Phone t{
Fax a Fax ORDER TOTAL USD
3i7.5 o2�1v5
1,467.38
'ITT Water Wastewater U.S.A. Inc.(formerty ITT Flygt Corporation),ITT Water Wastewater Florida,LLC, ITT Water Wastewater Indiana,LLC, and WEDECO Inc.
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_& WASTEWATER INDIANA LLC (R Purchase Order No.
7615 WEST NEW YORK STREET Terms
INDIANAPOLIS, IN 46214 Due Date 6/15/2009
CC
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/2009 07529195 $1,467.38
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 095832 WARRANT ALLOWED
139300 IN SUM OF
ITT WATER WASTEWATER INDIANA
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
07529195 01- 7202 -06 $1,467.38
Voucher Total $1,467.38
Cost distribution ledger classification if
claim paid under vehicle highway fund