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Home My WebLink About212822 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1 ONE CIVIC SQUARE XYLEM WATER SOLUTIONS CARMEL, INDIANA 46032 PO BOX 223724 CHECK AMOUNT: $6,575.00 PITTSBURGH PA 15251 CHECK NUMBER: 212822 CHECK DATE: 9112/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07699791 6, 575 . 00 MATERIALS & SUPPLIES Xylem Water Solutions U .S.A., Inc. 7615 W. NEW YORK STREET 1NDIANAPOLIS,IN 46214 INVOICE YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 S13208 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE 07699791 860716 8/20/12 A29285 P.O. BOX 223724 Pittsburgh, PA 15251-2724 INVOICE DATE TRN I WHS PAYMENT TERMS 8/20/12 A3 115 NET 60 DAYS Sold To: Customer No. 1.03973 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA ATTN: LISA KEMPER ATTN: JEFF COOPER 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 LINE ITEM/DESCRIPTION QUANTITY SHIPPED UNIT PRICE NET PRICE EXTENDED AMOUNT UM DISCOUNT/CHARGE 001 0000003035000 2 81 . 00 81 . 000 162 . 00 RING,WEAR STATIONARY STEEL/ BR EA 002 0000003989200 2 112 . 00 112 . 000 224 . 00 RING, WEAR STATIONARY BRASS EA 003 0000003148800 2 164 . 00 164 . 000 328 . 00 RING, WEAR STATIONARY BRASS EA 004 0000003093600 1 243 . 00 243 . 000 243 . 00 RING,WEAR STATIONARY STEEL/ BR EA 005 0000003036600 1 129 . 00 129 . 000 129 . 00 RING, WEAR STATIONARY STEEL/ BR EA 006 0000006018906 1 765 . 00 765 . 000 765 . 00 KIT, REPAIR BASIC+ NI EA 3102 . 090, 180 007 0000006571708 1 1, 412 . 00 1, 412 . 000 1, 412 . 00 KIT, REPAIR BASIC 3153 EA - — - - Cont 6ri 2 "Xylem Water Solutions U .S.A., Inc. 7615 W. NEW YORK STREET 1NDIANAPOLIS,IN 46214 INVOICE YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 S13208 INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE P.O. BOX 223724 07699791 860716 8/20/12 A29285 Pittsburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS 8/20/12 A3 115 NET 60 DAYS Page 2 Sold To: Customer No. 10 3 9 7 3 Ship To: CITY OF CARMEL CITY OF CARMEL INDIANA ATTN: LISA KEMPER ATTN: JEFF COOPER 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 UM DISCOUNT/CHARGE NET PRICE EXTENDED AMOUNT 008 0000006018909 008 0000006018909 1 1, 246 . 00 1, 246 . 000 1, 246 . 00 KIT, REPAIR BASIC+ NI EA 3127 . 090/180 009 0000006018921 1 1, 885 . 00 1 , 885 . 000 1, 885 . 00 KIT, REPAIR BASIC+ NI EA 3152 . 091, 181 010 140000069983ON 1 181 . 00 181 . 000 181 . 00 FREIGHT CHARGE-NO TAX EA SUB-TOTAL OF POSITIONS USD 6, 575 . 00 *FREIGHT CHARGED AS LINE ITEM* TOTAL WEIGHT 27 . 000 LBS NET AMOUNT BEFORE TAXES USD 6, 575 . 00 DIS ATCH. INFO: 1Z4F398X0340799018 ORDER TOTAL USD 6, 575 . 00 VOUCHER # 125609 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 07699791 01-7202-06 $6,575.00 I 1 Voucher Total $6,575.00 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 8/31/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/31/2012 07699791 $6,575.00 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