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Home My WebLink About212423 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1 ONE CIVIC SQUARE XYLEM WATER SOLUTIONS \i CHECK AMOUNT: $5,130.80 CARMEL, INDIANA 46032 PO BOX 223724 PITTSBURGH PA 15251 CHECK NUMBER: 212423 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07698374 4, 826 . 80 OTHER EXPENSES 651 5023990 07698776 304 . 00 OTHER EXPENSES 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 O I C `E S13192 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE P.O. BOX 223724 07698776 859002 8/13/12 A27187 Pittsburgh,PA 15251-2724 INVOICE DATE TRN FWHS PAYMENT TERMS 8/13/12 A3 11 15 NET 60 DAYS Sold To: Customer No. 103973 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA 760 THIRD AVE SW 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 CARMEL IN 46032 [NCO 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 QUANTITY SHIPPED UNIT PENCE LINE ITEM/DESCRIPTION NET PRICE EXTENDEDAMOUNT �M DISCOUNT/CHARGE. 001 0000000942102 40 7 . 60 7 . 600 304 . 00 CABLE, SUBCAB AWG 14/7 19MM FT SUB-TOTAL OF POSITIONS USD 304 . 00 *FREIGHT CHARGED AS LINE ITEM* TOTAL WEIGHT 16 . 000 LBS NET AMOUNT BEFORE TAXES USD 304 . 00 DISPATCH INFO: 759028740037390 ORDER TOTAL USD 304 . 00 'd-0) 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 I �. ;E S13192 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE P.O. BOX 223724 07698374 859002 8/09/12 A26939 • Pittsburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS 8/09/12 A3 I 115 NET 60 DAYS Sold To: Customer No. ..10 3 9 73 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA R 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 UPS-Ground GREG STARK QUANTITY SHIPPED UNIT PRICE LINE ITEM/DESCRIPTION NET PRICE EXTENDED:AMOUNT UM DISCOUNT%CHARGE 001 0000000841794 1 12 . 00 12 . 000 12 . 00 GROMMET, NBR 21ID 350D 26L EA 002 0000000824061 2 2 . 90 2 . 900 5 . 80 WASHER, SS 24 . 5MM ID 35MM OD EA 003 140000069983ON 1 14 . 00 14 . 000 14 . 00 FREIGHT CHARGE-NO TAX EA 004 0000006018932 1 4 , 632 . 00 4 , 632 . 000 4 , 632 . 00 KIT,REPAIR BASIC 3170/3201 NI EA 005 0000000827034 1 23 . 00 23 . 000 23 . 00 PLUG,M30 STEEL EA 006 140000069983ON 1 140 . 00 140 . 000 140 . 00- FREIGHT CHARGE-NO TAX EA SUB-TOTAL OF POSITIONS USD 4 , 826 . 80 *FREIGHT CHARGED AS LINE ITEM* TOTAL WEIGHT 22 . 000 LBS Cont on 2 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 INVOICE S13192 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE P.O. BOX 223724 07698374 859002 8/09/12 A26939 Pittsburgh,PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS 8/09/12 A3 115 NET 60 DAYS Page 2 Sold To: Customer:No 10397:3 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 UPS-Ground GREG STARK _... _ _.. _ _ _._ _.._ _.... .. _......_...__. __ _ __ __... _ _..._ __.,.. .............._ QUANTITY SHIPPED UNIT PRICE LINE ITEM/DESCRIPTION NET PRICE EXTENDED:.AMOUNT 111,UM DISCOUNT%CHARGE: NET AMOIUNT BEFORE TAXES USD 4 , 826 . 80 DIS ATCH INFO: 1Z4F398X0342821515 ORDER TOTAL USD 4 , 826 . 80 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 8/21/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)). Amount 8/21/2012 07698374 $4,826.80 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5-111.0-1.6 Date Officer VOUCHER # 125525 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 07698374 01-7202-06 $4,826.80 0-7�8677(6 or, ��o�, o� . 301,00 Voucher Total 1$ - 0 Cost distribution ledger classification if claim paid under vehicle highway fund