HomeMy WebLinkAbout224198 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 366022 Page 1 of 1
ONE CIVIC SQUARE XYLEM WATER SOLUTIONS USA INC
CARMEL, INDIANA 46032 PO BOX 223724 CHECK AMOUNT: $3,961.00
PITTSBURGH PA 15251-2724
<,o � CHECK NUMBER: 224198
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07750591 620 . 00 OTHER EXPENSES
651 5023990 07751292 3 , 341 . 00 OTHER EXPENSES
Xylem Water Solutions U .S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 I N V O I C E YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 S13660
INVOICE NO. FUS NO. DATE SHIPPED [DELIVERY NOTE
07751292 909288 8/27/13
P.O. BOX 223724 07133
Pittsburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS
8/27/13 A3 1 088 NET 60 DAYS
Sold To: Customer No. 103973 Ship To:
CITY OF CARMEL CARMEL WWTP
ATTN: LISA KEMPER ATTN: BLAINE MALLABER
760 THIRD AVE SW 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
CARMEL IN 46032
TERMS -- DELIVERY TERMS ORDER PROCESSED BY-
CA/FOB Factory PP/Add Order Positio FLYGT-INDIANAPOLIS, IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Shipper choice-Ground JEFF COOPER ED RYAN
QUANTITY SHIPPED UNIT PRICE
LINE 17EMlDESCRIPTION NET PRICE EXTENDED AMOUNT
UM DISCOUNTlCHARGE:
001 0000007008219 1 1 , 853 . 00 1, 853 . 000 1, 853 . 00
IMPELLER,N SH CODE 256 HC EA
002 0000007044800 1 1, 150 . 00 1, 150 . 000 1, 150 . 00
RING, INSERT HC EA
003 0000006930300 1 208 . 00 208 . 000 208 . 00
RING, INSERT CI EA
004 140000069983ON 1 130 . 00 130 . 000 130 . 00
FREIGHT CHARGE-NO TAX EA
SUB-TOTAL OF POSITIONS 3 , 341 . 00
*FREIGHT CHARGED AS LINE ITEM*
TOTAL WEIGHT 18 . 260 LBS
NET AMOUNT BEFORE TAXES USD 3 , 341 . 00
8/27/13-US PORT expected exit date of 08/27/13
TOTAL WEIGHT ON• D/N:B07133 ORDER TOTAL USD
DISPATCH INFO: 824238
3 , 341 .00
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 ® YOUR PURCHASE ORDER
g
Tel.(317)273-4470 Fax:(317)273-4480 1 S13640
INVOICE NO. FUS NO. DATE SHIPPED I DELIVERY NOTE
P.O. BOX 223724 07750591 909296 8/22/13 B06042
Pittsburgh, PA 15251-2724 INVOICE DATE TRN WHS PAYMENT TERMS
8/22/13 A3 11 23 NET 60 DAYS
Sold To: CustomeF No. 103973 Ship To:
CITY OF CARMEL CARMEL WWTP
ATTN: LISA KEMPER ATTN: BLAINE MALLABER
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 No Freight Charge FLYGT-INDIANAPOLIS, IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
Branch Delivery JEFF COOPER ED RYAN
QUANTITY SHIPPED UNIT PRICE
LINE ITEM/DESCRIPTION NET PRICE EXTENDED AMOUNT:::.
UM,,,,...:: DISCOUNT/CHARGE
001 1409407027245G 4 155 . 00 155 . 000 620 . 00
N-5 GALLON PAIL OF VESTAN EA
MINERAL WHITE OIL 350 USP
SUB-TOTAL OF POSITIONS 620 . 00
** ADD NO. FREIGHT CHARGES **
NET AMOUNT BEFORE TAXES USD 620 . 00
ORDER TOTAL USD
620 . 00
VOUCHER # 136318 WARRANT # ALLOWED
aa2 �4�0x)-• 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
07751292 01-7200-04 $3,341.00
0-71505yI oI-�aa3-�b ; 6ao,00
Voucher Total t$3-,344-89—
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 PUMF Purchase Order No.
PO box 223724 Terms
Pittsburgh, PA 15251-2724 Due Date 9/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2013 07751292 $3,341.00
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
Date Officer