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Home My WebLink About214132 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1 ONE CIVIC SQUARE XYLEM WATER SOLUTIONS CARMEL, INDIANA 46032 PO BOX 223724 CHECK AMOUNT: $5,621.32 PITTSBURGH PA 15251 CHECK NUMBER: 214132 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07705909 5, 570 . 25 OTHER EXPENSES 651 5023990 07706576 51 . 07 OTHER EXPENSES Xylem Water Solutions U.S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLIS,IN 46214 1 T 1�T O CIE YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 l�l 1 T VERBAL JEFF COOPER INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE P.O. BOX 223724 07706576 867531 10/04/12 A39307 • Pittsburgh, PA 15251-2724 INVOICE DATE T R N WHS PAYMENT TERMS 10/04/12 A3 115 NET 60 DAYS Sold To: Customer No. 1:03971-1, 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 WW Factory PP/Add Actual surcha FLYGT-INDIANAPOLIS,IN BRA SHIP VIA ORDER TEXT CUSTOMER TEXT FedEx PKG Ground Business GREG STARK _......... _ ....... _ _ _ _ __ ....... .._... _ __ ........ __ ..... _ _ ...................... .............. _ __ _ __ _ _ __ _............ ......... ._............. __ __. _ __ ....... __ __ _.. ................_.. _.... ........_ _ _ _. __ _ _ _ _ _ ...... _ _ _ __ .............. ....... QUANTITY SHIPPED UNIT PRICE LINE fTEM/DESCRIPTION NET PRICE EXTENDED AMOUNT i UM 9 9 r r DISCOUNT/CHARGE: 001 0000000827034 2 23 . 00 23 . 000 46 . 00 PLUG,M30 STEEL EA SUB-TOTAL OF POSITIONS USD 46 . 00 *PLUS ACTUAL FREIGHT CHARGES* 5 . 07 TOTAL WEIGHT 1 . 000 LBS NET MOUNT BEFORE TAXES USD 51 . 07 DIS ATCH INFO: 759028740045418 ORDER TOTAL USD 51 . 07 �kylem-Water Solutions U .S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLIS,IN 46214 �v YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 1 1�I Y �1 513234 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE P.O. BOX 223724 07705909 865978 9/28/12 A38006 P i t t sburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS 9/28/12 C1 123 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 :A IJS `vVH; Factory Prepaid FLYGT-INDIANAPOLIS, IN BRA SHIP VIA ORDER TEXT CUSTOMER TEXT Shipper choice-Ground RP 42552 3170 . 180-0820007 SILVIA STOIANOVA QUANTITY SHIPPED UNIT PRICE LINE ITEM/DESCRIPTION NET PRICE EXTENDED:AMOUNT DISCOUN UM T/CHARGE REPAIR OF FLYGT PUMP MODEL: 3170 . 180-0820007 REPAIR CATEGORY: C OWNER: CITY OF CARMEL WARRANTY CODE :BEPC PRORATIO : 25a INVOICE DATE : 04/04/08 STARTUP TE :N/A 001 0000006018932 1 KIT, REPAIR BASIC 3170/3201 NI EA TOT PRICE/GROUP 001 - 001 3 , 474 . 00 002 0000003452502 1 RING, WEAR ROTATING 304 EA TOT PRICE/GROUP 002 - 002 233 . 25 003 1400000699973 18 LABOR, SERVICE-ININ EA TOT PRICE/GROUP 003 - 003 1, 746 . 00 004 1400000699834 1 ENVIRONMENTAL FEE 11-50HP EA TOT PRICE/GROUP 004 - 004 53 . 00 005 1400000699802 1 -- Cont on 2 Xylem. Water Solutions U .S.A., Inc. 7615 W. NEW YORK STREET INDIANAPOLIS,IN 46214 T 1�T �j YOUR PURCHASE ORDER Tel.(317)273-4470 Fax:(317)273-4480 11� ` 513234 INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE 07705909 865978 9/28/12 1 A38006 P.O. BOX 223724 ' Pittsburgh,PA 15251-2724 INVOICE DATE TRN I WHS PAYMENT TERMS 9/28/12 C11 123 NET 60 DAYS Page 2 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 Prepaid F LYGT-INDIANAPOLIS,IN BRA SHIP VIA ORDER TEXT CUSTOMER TEXT Shipper choice-Ground RP 42552 3170 . 180-0820007 SILVIA STOIANOVA QUANTITY SHIPPED UNIT PRICE LINE ITEM/DESCRIPTION NET PRICE EXTENDED.AMOUNT UM DISCOUNT/CHARGE: 005 1400000699802 MAT' L, LUBES, SOLVENTS-LARGEP MP EA TOT PRICE/GROUP 005 - 005 64 . 00 NET AMOUNT BEFORE TAXES USD 5 , 570 . 25 ORDER TOTAL USD 5 , 570 . 25 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 10/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201; 07705909 $5,570.25 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 VOUCHER # 125945 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 /79g,a� 07705909 01-7360-04 $5;5ZQ25 v// 7200.oV 3»/2S 0-7-70657C oi-�aQa-o6 Sr, 0-7 S �ai. 3a Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund