HomeMy WebLinkAbout216932 01/29/2013 a- CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1
ONE CIVIC SQUARE XYLEM DEWATERING SOLUTIONS INC CHECK AMOUNT: $4,918.02
4' CARMEL, INDIANA 46032 PO BOX 935152
ATLANTA GA 31193-5152 CHECK NUMBER: 216932
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07710544 -23 . 60 OTHER EXPENSES
651 5023990 07717470 4, 941 . 62 OTHER EXPENSES
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 INVOICE YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 S13427
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
P.O. BOX 223724 07717470 879149 12/20/12 A55658
' Pittsburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS
12/20/12 A3 1115 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 Actual surcha FLYGT-INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
FedEx PKG Ground Business GREG STARK
LINE ITEM/DESCRIPTION QUANTITY SHIPPED UNIT PRICE NET PRICE EXTENDED AMOUNT
UM DISCOUNT/CHARGE
001 0000004389301 2 1, 041 . 00 1, 041 . 000 2 , 082 . 00
IMPELLER, C MT CODE 435 CI EA
002 0000004391400 1 1, 356 . 00 1, 356 . 000 1, 356 . 00
IMPELLER, C HT CODE 483 CI EA
003 0000004301200 1 1, 486 . 00 1, 486 . 000 1, 486 . 00
IMPELLER, C HT CODE 462 CI EA
SUB-TOT L OF POSITIONS USD 4, 924 . 00
*PLUS ACTUAL FREIGHT CHARGES* 17 .62
TOTAL WEIGHT 50 . 000 LBS
NET AMOUNT BEFORE TAXES USD 4 , 941 . 62
DISPATCH INFO: 759028740059545
ORDER TOTAL USD
4, 941 . G2
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 CREDIT ® � YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 JEFF COOPER
INVOICE NO. FUS NO, DATE SHIPPED I DELIVERY NOTE
P.O. BOX 223724 07710544 871613 10/30/12 A44803
Pittsburgh,PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS
10/30/12 A8 123 NET 30 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 No Freight Charge FLYGT-INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Customer Pick Up FUS: 866251 INV:07705020 GRANT BELLER
LINE ITEM/DESCRIPTION QUANTITY SHIPPED UNIT PRICE NET PRICE EXTENDED AMOUNT
UM DISCOUNT(CHIARGE
QUOTED WRONG GROMMET AND WASHER. THIS CREDIT IS TC RETURN
POS# 2 & POS# 3 ON FUS 866251, INV 07705020 . CSR ERROR.
001 0000000824082 1 4 . 60 4 . 600 4 . 60
WASHER, SS 34 . 5MM ID 52MM OD EA
002 0000000841802 1 19 . 00 19. 000 19. 00
GROMMET,NBR 23ID 520D 26L EA
SUB-TOTAL OF POSITIONS 23 . 60
** ADD NO FREIGHT CHARGES **
NET AMOUNT BEFORE TAXES USD 23 . 60
ti
CREDIT AMOUNT USD
23 . 60
I
I j
RETURN
ROTAEBMT AMOUN
VOUCHER # 126499 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
07717470 01-7200-04
()771�s7� �31 ' 0
Voucher Total $4,918.02
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 12/31/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/201; 07717470 $4,918.02
1 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
ILs/,3 Cam. ytti" 1/Lt
Date Officer