223208 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367401 Page 1 of 1
ONE CIVIC SQUARE SOUTHLAND AUTOMATION
CARMEL, INDIANA 46032 PO BOX 1329 CHECK AMOUNT: $2,130.64
BURLINGTON NC 27216
CHECK NUMBER: 223208
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 SI-102087 2, 130 . 64 OTHER EXPENSES
SOUTHLAPJD SALES INVOICE
AUTOMATION SI-102087 7/17/2013
PO Box 1329 Phone:866.736.1286 I IIIIII II�II I III IN Burlington NC,27216 Fax:888.333.4154
Customer Contact Ship To
CARMEL WASTE WATER TREATMENT CARMEL WASTE WATER TREATMENT CARMEL WASTE WATER TREATMENT
PAUL ARNONE PAUL ARNONE BLAINE MALLABER
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
UNITED STATES UNITED STATES UNITED STATES
Tel: (317)-5712634 Tel: (317)-5712634 Tel: (317)-5712634
Fax: (317)-5712629 Fax: (317)-5712629 Fax: (317)-5712629
Account Terms Due Date Account Rep Schedule Date "I
26248 NET 30 8/16/2013 Brad Sowers 7/9/2013
Sales Order PO # Reference Ship VIA Page Printed
SO-102172 UPS Ground 1 7/is120i3
9:57:90AM
L SES Item # Description Order Ship Price UM Discount Amount
IVFD-REPAIR 1336F-B025-AA-EN ALLEN BRADLEY VFD 1 1 $2,100.00 EA $2,100.00
EVALUATION FOR REPAIR 1-YEAR WARRANTY
2 S SHIPPING/HANDLING 1 1 $30.64EA $30.64
All material is FOB High Point, NC. Returns must be within Tax Details Taxable $0.00
30 days. Call 336.472.0216 for Returned Goods Authorization EXEMPT $0.000
(RGA)# Returns are subject to a 20% restocking fee.
Shortages/overages must be reported within 5 business days.
All.products and materials must .be installed and maintained
by a qualified electrical professional. Payment due within Payment Details Total Tax $0.00
30 days of invoice date listed above. A finance charge of Exempt' . $2,130.64
1.5% per month on the unpaid balance accrues from the due _
date listed on this invoice. Total $2,130.64
Payment Disc A $0.00
Paid $0.00
Balance. $2,130.64
VOUCHER # 136132 WARRANT # ALLOWED
367401 IN SUM OF $
SOUTHLAND AUTOMATION
PO BOX 1329
BURLINGTON, NC 27216
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
SI-102087 01-7362-05 $2,130.64
i
Voucher Total $2,130.64
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
367401
SOUTHLAND AUTOMATION Purchase Order No.
PO BOX 1329 Terms
BURLINGTON, NC 27216 Due Date 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 SI-102087 $2,130.64
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