206242 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 354686 Page 1 of 1
ONE CIVIC SQUARE GE FANUC INTELLIGENT PLATFORMS I GFECK AMOUNT: $9,006.53
CARMEL, INDIANA 46032 PO BOX 641275
PITTSBURG PA 15264 -1275 CHECK NUMBER: 206242
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 71631189 9,006.53 OTHER EXPENSES
INVOICE
GE Intelligent Platforms, Inc.
Payment Terms: NET DUE 30 PAYS FROM GATE OF INVOICE
2500 Austin Drive
CHARLOTTESVILLE, VA 22911 Transport Terms: FCA SHIPPING POINT
UNITED STATES
PO Number Customer Sales Order Delivery Delivery ,Date Invoice Invoice Date
S12962 18904: SB00324421 61968330
0 2012 7163.1189 01 -24: -2012
CARMEL INDIANA WATER TREATMENT Carmel Indiana Water Treatment
9609 HAZEL DELL PARKWAY 9609 Hazel Dell Parkway
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
UNITED STATES UNITED STATES
UPS GROUND GE Intelligent Platforms, Inc.
P.O. Box 641275
Pittsburgh, PA 15264 -1.275
When making remittance,
M please refer to invoice Number 71631189
f Buyer:
Inquires: Telephone: 800 -433 -2682
Point.: oU Origin Region
Foxboro IA
Ctry. of GELCust Extended
Origin Item Material Qty List Price; Disc Net Value
ATTN: Jeff Cooper
CN 0010 001219040002 1 0.00
Security Key M4 USB
US 0130 IC6471GSBSC M 1 0.00
0 IGS IGS Basic Drivers for M4 keys
US 0140 OC6471FAFLOVM -55 1 0.00
0 iFIX Optn: Ack Failover
US 0150 100010000000 1 297.67 297.67
0 GlobalCare Complete
US 0160 100010000000 1 1,571.65 1,571.65
0 GlobalCare Complete
CN 0170 001219040002 1 0.00
0 Security Key M4 USB
Unless otherwise expressly providing in writing by GF Intelligent Platforms (GEIP) the sale of any products and services or licensing of any software by GEIP is expressly conditioned upon Customer's acceptance of
the following GFIP terms and conditions which are available at http:l w,ge- ip.com /terns Conditions of Sales for all services and equipment, Software License Agreement for all software and Proficy Global Care
Complete Support Terms and Conditions for all Global Care Support. GFIP is not bound by any terms on Customer's order which attempt to impose any conditions that vary from GFIP terms. GEIP's failure to
object to provisions contained in any of Customer's forms shall not be deemed an acceptance of any of Customer's terms or a waiver of the provisions of GFIP terns and conditions. which shall constitute the
entire, final and exclusive statement of the agreement between the parties,
PAGE 1 OF 3
PO .Number Cust6mer Sales Order.:' Delivery Delivery Date Invoice Invoice Date;
S12962 18904: SB00324421 61968330 01 -24 -2012 71631189 0t -24 -2012
Ctry of GE/Gust:.!: Extended
Origin.; Item Material Qty List Price %Disc Net Value
Balance from Previous Page(s) 1,869.32
US 0180 IC6471FPLRN0015OM -55 1 0.00
0 iFIX Plus SCADA 150 1/0 Run
US 0190 IC647IFBOMPLRN00150M -55 1 0.00
0 iFIX Plus SCADA 150 I/O Run
US 0200 OC647HSTSCADA100 -45 1 0.00
0 Proficy Historian for SCADA 100 pts
US 0210 100010000000 1 473.62 473.62
0 GlobalCare Complete
CN 0220 001219040002 1 0.00
0 Security Key M4 USB
US 0230 1C647IFCLNTCRNM -55 1 0.00
0 iF:IX iClient Run
US 0020 IC6471FPLDVUNLMTM -55 1 0.00
iFIX Plus SCADA Unlmt Dev
US 0030 IC647IFBOMPLDVUNLMTM -55 1 0.00
iFIX Plus SCADA Unlmt Dev
US 0040 OC647HSTSCADA100 -45 1 0.00
Proficy Historian for SCADA 100 pts
US 0240 100010000000 1 397.80 397.80
0 GlobalCare Complete
CN 0250 001219040002 1 0.00
0 Security Key M4 USB
US 0260 IC6471FCLNTCRNM -55 1 0.00.
0 iFIX iClient Run
US 0270 100010000000 1 397.80 397.80
0 GlobalCare Complete
CN 0280 001219040002 1 0.00
0 Security Key M4 USB
US 0290 IC6471FCLNTCDVM -55 1 0.00
0 iFIX iClient Dev
US 0300 100010000000 1 662.83 662.83
0 GlobalCare Complete
CN 0310 001219040002 1 0.00
0 Security Key M4 USB
US 0320 IC647HSTSS50OM -45 1 0.00
0 Hist Std Sry 500 -45
US 0330 IC647HSTCC50OM -45 1 0.00
0 Calc Coll Hist -Std Sry 500 -45
US 0050 OC6471FAFLOVM -55 1 0.00
iFIX Optn: Ack Failover
PAGE 2 OF 3
PO Number Customer Sales :Order: Delivery.:..' Delivery Date Invoice Invoice Dater
512962 18904 SB00324421: 61968330 01- 24.2012 71631189 01 -24 =2012
!Ctry, of GE /Gust Extended
Origin,. Item Material Qty List Price !Disc Net Value
Balance from Previous Page(s) 3,801.37
US 0340 100010000000 1 198.40 198.40
0 GlobalCare Complete
US. 0350 100010000000 1 991.20 991.20
0 GlobalCare Complete
US 0360 IC647PRTPRFYM -35 1 0.00
0 Portal. Proficy SQL Connector v3.5
US 0370 IC647HSTCR50OM -45 1 0.00
0 Coll Redun Option Hist -Std Sry 500 -45
US 0380 100010000000 1 198.40 198.40
0 GlobalCare Complete
US 0390 IC647PRTEE005M -35 1 0.00
0 Portal Ent Ed Client Pk 5 Users v3.5
US 0400 100010000000 1 1,650.00 1,650.00
0 GlobalCare Complete
US 0060 100010000000 1 595.34 595.34
GlobalCare Complete
US 0070 100010000000 1 1,571.82 1,571.82
GlobalCare Complete
US 0080 IC647IGSBSC M 1. 0.00
IGS IGS Basic Drivers for M4 keys
CN 0090 001219040002 1 0.00
Security Key M4 USB
US 0100 IC647IFPLDVUNLMTM -55 1 0.00
iFIX Plus SCADA Unlmt Dev
US 0110 IC6471FBOMPLDVUNLMTM -55 1 0.00
iFIX Plus SCADA Unlmt Dev
-US 0120 OC647HSTSCADA100 -45 1 0.00
Proficy Historian for SCADA 100 pts
SUBTOTAL 9,006.53
Total Value 9,006.53 USD
These commodities, technology or software were shipped in accordance with Export Administration Regulations.
Diversion contrary to U.S. law is prohibited.
PAGE 3 OF 3
VOUCHER 116715 WARRANT ALLOWED
T1000 IN SUM OF
GE FANUC INTELLIGENT PLATFORM
I- -po _bxbyl�is
8rmef Wastewater Otility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
71631189 01- 7362 -05 $9,006.53
Voucher Total $9,006.63
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 241 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
s.. 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
T1000
GE FANUC INTELLIGENT PLATFORMS INC Purchase Order No.
C/O INDUSTRIAL NETWORK SYSTEMS Terms
724 E KENSINGTON ROAD Due Date 2/6/2012
ARLINGTON HEIGHTS, IL 60004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/6/2012 71631189 $9,006.53
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