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Home My WebLink About209402 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1 ONE CIVIC SQUARE XYLEM WATER SOLUTIONS CARMEL, INDIANA 46032 PO BOX 223724 CHECK AMOUNT: $12,266.14 PITTSBURGH PA 15251 CHECK NUMBER: 209402 CHECK DATE: 5/2212012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 07682595 1,891.07 OTHER EXPENSES 652 5023990 07685213 5,234.07 OTHER EXPENSES 651 5023990 07685214 5,141.00 OTHER EXPENSES Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET 1NDIANAPOLIS,IN 46214 T 1�T O T j� YOUR PURCHASE ORDER Tel.(317)273 -4470 Fax:(317)273 -4480 111 i 1� S13016 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE P.O. BOX 223724 07685214 832408 5/08/12 A06655 Pittsburgh, PA 15251 -2724 INVOICE DATE TRN WHS PAYMENT TERMS 5/08/12 A3 088 NET 60 DAYS Sold To: Customer No. 1039 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA ATTN: LISA KEMPER 760 THIRD AVE SW 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 CARMEL IN 46032 INCO TERMS DELIVERY TERMS ORDER PROCESSED BY CA US WH /Factory PP /Add Actual surcha FLYGT- INDIANAPOLIS,IN BRA SHIP VIA ORDER TEXT CUSTOMER TEXT Shipper choice Ground GREG STARK QUANTITY SHIPPED UNIT PRICE LINE ITEMIDESCRIPTION NET PRICE EXTENDED AMOUNT i UM DISCOUNT /CHARGE' 001 0000007084815 1 5,141.00 5,141.000 5,141.00 IMPELLER,N 510MM CI 3312 EA SUB-TOTAL OF POSITIONS USD 5,141.00 *PLUS ACTUAL FREIGHT CHARGES* NET AMOUNT BEFORE TAXES USD 5,141.00 ORDER TOTAL USD 5,141.00 Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLIS,IN 46214 YOUR PURCHASE ORDER Tel.(317)273 -4470 Fax:(317)273 -4480 I N; V Q S13016 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE P.O. BOX 223724 07682595 832408 4/19/12 A02681 Pittsburgh, PA 15251 -2724 INVOICE DATE TRN WHS PAYMENT TERMS 4/19/12 A3 088 NET 60 DAYS Sold To: Customer No. 1039 13 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA ATTN: LISA KEMPER 760 THIRD AVE SW 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 CARMEL IN 46032 ORDER LEAD TIME F.O.B /FREIGHT ORDER PROCESSED BY 1 week or less ex WWW or port T PP /Add Actual surcha FLYGT- INDIANAPOLIS,IN BRA SHIN VIA ORDER TEXT CUSTOMER TEXT Shipper choice Gro GREG STARK QUANTITY SHIPPED UNIT PRICE LINE ITEM /DESCRIPTION NET PRICE EXTENDED AMOUNT UM DISCOUNT /CHARGE 001 0000006904601 1 1,798.00 1,798.000 1,798.00 RING,INSERT CI EA SUB-TOTAL OF POSITIONS USD 1,798.00 SINGLE FREIGHT CHARGE/SHIPMENT 93.07 TOTAL WEIGHT 135.300 LBS r ,f NET AMOUNT BEFORE TAXES USD 1,891.07 ALL FREIGHT +WEIGHT FOR D /N:A02681 DISPATCH INFO: 819469 ORDER TOTAL USD 1,891.07 Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLIS,IN 46214 I N' V o C YOUR PURCHASE ORDER Tel.(317)273 -4470 Fax:(317)273 -4480 S13016 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 07685213 832408 5/08/12 A06557 P. O. BOX 223724 INVOICE DATE TRN WHS PAYMENT TERMS Pittsburgh, PA 15251 -2724 5/08/12 A3 10 88 NET 60 DAYS Sold To: Gustomec No. 103973 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA ATTN: LISA KEMPER 760 THIRD AVE SW 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 CARMEL IN 46032 INCO TERMS DELIVERY TERMS ORDER PROCESSED BY CA US WH /Factory PP /Add Actual surcha FLYGT- INDIANAPOLIS,IN BRA SHIP VIA ORDER TEXT CUSTOMER TEXT Shipper choice- Ground GREG STARK QUANTITY SHIPPED UNIT PRICE LINE ITEWDESCRIPTION NET PRICE: AMOUNT UM DISCOUNT %CHARGE.' 001 0000007084815 1 1 5,141.00 5,141.000 5,141.00 IMPELLER,N 510MM CI 3312 EA SUB-TOTAL OF POSITIONS USD 5,141.00 SINGLE FREIGHT CHARGE /SHI MENT 93.07 TOTAL WEIGHT 179.300 LBS NET AMO NT BEFORE TAXES USD 5,234.07 ALL FREIGHT +WEIGHT FOR D/N:A06557 DIS ATCH INFO: 412153 ORDER TOTAL USD 5,234.07 VOUCHER 117365 WARRANT ALLOWED 352772 IN SUM OF Xylem Water Solutions USA Inc (GODW PO box 223724 Pittsburgh, PA 15251 -2724 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 07685213 02- 2308 =00 $5,234.07 Depreciation 07W 595 Voucher Total t$5 -24 Cost distribution ledger classification if claim paid under vehicle highway fund 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 352772 Xylem Water Solutions USA Inc (GODWIN PUMF Purchase Order No. PO box 223724 Terms Pittsburgh, PA 15251 -2724 Due Date 5/18/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/18/2012 07685213 $5,234.07 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