206592 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00352366 Page 1 of 1
ONE CIVIC SQUARE ANDRITZ SEPARATION INC
CARMEL, INDIANA 46032 DEPT 0312 CHECK AMOUNT: $235.68
PO BOX 120312 CHECK NUMBER: 206592
DALLAS TX 75312 -0312
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8480025115 235.68 OTHER EXPENSES
MitMTL
Environment Process
Invoice
Invoice No. /Date: 8480025115 02/08/2012
Customer PO No.: S12991
Our Order No. /Date: 321648 02/06/2012
Customer: 8200002075 Contact: Terry Spoonts
Carmel WWTP Phone: +18174191709
760 3rd Avenue SW Fax: +18174191909
Carmel IN 46032 Email: Terry.Spoonts @andritz.com
Sales Responsible LANE, WILLIAM
Ship -To Address: 117845
Carmel WWTP
9609 Hazel Dell Parkway
INDIANAPOLIS IN 46280
USA
Terms of Delivery
FOB ORIGIN,PPD ADD, Acc. to Incoterms 2010
Markings and Numbers: Number, Type of packing: Packing list No. /Date
1 Cardboard Box 80368973 02/07/2012
Volume Gross Weight Net Weight
0.579 FT3 11.000 LB 10.000 LB
Invoice Details
Item Material Quantity Price Price Unit Value USD
Description
Pricing Conditions
000010 131541305 1 PC 225.00 1 PC 225.00
DEEP GROOVE BALL BEARING
6222C3 110 X 200 X 38
WBS- Element: S -48- 321648 -502
Id of migrated system Old material number
VANT_001 6222C3
VANT 001 C- CR2079
000020 131249178 1 EA 10.68 1 EA 10.68
FREIGHT EXW- FREIGHT CHARGE
WBS Element: S -48- 321648 -502
Items. total 235.68
Total Amount 235.68
Page 1 of 2
Remit to Wire instructions:
ANDRITZ Separation Inc. ANDRITZ Separation Inc. Nordea Bank Finland PLC
1010 Commercial Blvd. South Dept: 0312 New York Branch
Arlington, TX 76001 USA P.O. Box 120312 SWIFT: NDEAUS3N
Tel +1 (817) 465 -5611 Dallas, TX 75312 -0312 USA Account: 8879433001
Fax: +1 (817) 468 -3961 Federal Tax ID Number: 59- 3773483 ABA: 026010786
MitMTL
r Environment Process
Invoice No. /Date:
8480025115 02/0812012
Total tax 0.00
Invoice Amount 235.68
Terms of payment:
Within 30 days*'Uue net
Invoice reference number
In case of wire transfer please use the following reference number 8480025115.
Page 2 of 2
Remit to: Wire instructions:
ANDRITZ Separation Inc. ANDRITZ Separation Inc. Nordea Bank Finland PLC
1010 Commercial Blvd. South Dept: 0312 New York Branch
Arlington, TX 76001 USA P.O. Box 120312 SWIFT: NDEAUS3N
Tel +1 (817) 465 -5611 Dallas, TX 75312 -0312 USA Account: 8879433001
Fax: +1 (817) 468 -3961 Federal Tax ID Number: 59- 3773483 ABA: 026010786
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
352366
ANDRITZ SEPARATION INC Purchase Order No.
Dept. 0382, PO Box 120382 Terms
Dallas, TX 75312 -0382 Due Date 2/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/20/2012 8480025115 $235.68
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 Vicer
VOUCHER 116824 WARRANT ALLOWED
352366 IN SUM OF
ANDRITZ SEPARATION INC
Dept. 0382, PO Box 120382
Dallas, TX 75312 -0382
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
8480025115 01- 7202 -06 $235.68
Voucher Total $235.68
Cost distribution ledger classification if
claim paid under vehicle highway fund