HomeMy WebLinkAbout210810 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 356597 Page 1 of 1
' ONE CIVIC SQUARE DEZURIK WATER CONTROLS CHECK AMOUNT: $4,050.00
CARMEL, INDIANA 46032 NW 5520 PO BOX 1450
4•�ce�.r MINNEAPOLIS MN 55485-5520 CHECK NUMBER: 210810
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 58004188 4, 050 . 00 OTHER EXPENSES
250 Riverside Ave N 320-259-2000 p
(RDeZURIK ' '
Sartell MN 56377 USA 320-259-2227 f
Aj I WILLAMETTE INVOICE
Customer/ Original/ Page 1
Date Ship Date Customer PO No. Agent Ref. No. Invoice No.
04-04-2012 04-03-2012 W09665 911300 RPI/58004188
SOLD TO 122163 SHIPPED TO
CARMEL UTILITIES CARMEL WATER UTILITIES
760 3RD AVE SW 3450 WEST 131ST STREET
CARMEL, IN ATTN: KENT RHODES
46032 TAG: PLANT 1 BYPASS
CARMEL, IN
46032
DEL.TERMS: Prepaid and Allow TERMS: Net 30 Days
ORDER NO. : 895109 DUE DATE: 05-04-2012
Dea (Customer I quantity) Part Number I Revision I Price iUnit I Amount
Itemlltem I I I I I I
Reference A : 789731
Reference B TAS Project Name CARMEL WATER PKANT # 1 BYPASS
IF PRODUCTS LISTED BELOW REQUIRE MATERIAL SAFETY
DATA SHEETS IN ACCORDANCE WITH OSHA (1910.1200
(B) (5) IV, (C) ) THEY WILL ACCOMPANY PRODUCT
SHIPMENT.
1 1 2.00 9621854 001 2025.00 ea 4050.00
DeZURIK - BAW,16,F1,CI,NBRN-NBR,150B,CI-S1*MS-7-HD8-270
ACTUATOR MTD 270 DEGREES FROM STD
c �
Goods Total USD
4050.00 4050.00
PLEASE REFERENCE OUR INVOICE NO. RPI/58004188 WHEN REMITTING PAYMENT.
RESIT To:DeZURIK, Inc. COURIER TO:DeZURIK, Inc. WIRE TO.DeZURIK, Inc.
NW 5520 Lockbox NW 5520,C/0 Wells Fargo Lock Box Account Number 4121081996
PO BOX 1450 1350 Energy Lane, Suite 200 ABA #121000248 ,Wells Fargo Bank
Minneapolis, MN -55485-5520 Saint Paul, MN -55108 San Francisco, CA
1685-0311
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
356597
DeZURIK WATER CONTROLS Purchase Order No.
250 Riverside Avenue North Terms
Sartell, MN 56377 Due Date 7110/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2012 58004188 $4,050.00
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 O icer
VOUCHER # 121503 WARRANT # ALLOWED
356597 IN SUM OF $
DeZURIK WATER CONTROLS
250 Riverside Avenue North
Sartell, MN 56377
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
58004188 07-1050-06 $4,050.00
0ecY,a
N
Voucher Total $4,050.00
Cost distribution ledger classification if
claim paid under vehicle highway fund