HomeMy WebLinkAbout212005 08/14/2012 *f CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1
ONE CIVIC SQUARE XYLEM WATER SOLUTIONS CHECK AMOUNT: $111.00
PO BOX 223724 CARMEL, INDIANA 46032
PITTSBURGH PA 15251 CHECK NUMBER: 212005
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07696772 111 . 00 OTHER EXPENSES
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 I N V O I C E YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 VERBAL JEFF COOPER
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
P.O. BOX 223724 07696772 857031 7/30/12 A24351
Pittsburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS
7/30/12 A3 11 15 NET 60 DAYS
Sold To: Customer 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 Order Positio FLYGT-INDIANAPOLIS, IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
FedEx PKG Ground Busin GREG STARK
LINE QUANTITY SHIPPED UNIT PRICE
ITEM/DESCRIPTION NET PRICE EXTENDED AMOUNT
UM DISCOUNT/CHARGE;
001 0000000827897 2 53 . 00 53 . 000 106 . 00
O-RING 594 . 0 X 5 . 7 NBR EA
002 140000069983ON 1 5 . 00 5 . 000 5 . 00
FREIGHT CHARGE-NO TAX EA
SUB-TOTAL OF POSITIONS USD 111 . 00
*FREIGHT CHARGED AS LINE ITEM*
NET AMOUNT BEFORE TAXES USD 111 . 00
DIS ATCH INFO: 759028740034849
ORDER TOTAL USD
111 . 00
VOUCHER # 125478 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
9—
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07696772 01-7202-06 $111.00
Voucher Total $111.00
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 PUMP Purchase Order No.
PO box 223724 Terms'
Pittsburgh, PA 15251-2724 Due Date 8/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2012 07696772 $111.00
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 Officer,