HomeMy WebLinkAbout225607 10/23/2013 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: $3,087.00
PITTSBURGH PA 15251-2724
CHECK NUMBER: 225607
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07758258 3 , 087 . 00 OTHER EXPENSES
Xylem Water Solutions U.S.A., Inc.
7615 W. NEW YORK STREET
INDIANAPOLIS,IN 46214 YOUR PURCHASE ORDER
Tel.(317)273-4470 Fax:(317)273-4480 I N V O I C 513754
INVOICE NO. FUS NO. DATE SHIPPED DELIVERY NOTE
07758258 923666 10/10/13i B17414
P.O. BOX 223724
Pittsburgh, PA 15251-2724 NVOICE DATE TRN WHS PAYMENT TERMS
10/10/13 A3 115 NET 60 DAYS
Sold To: Customer No. 1039,7.3,::, 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 Order Positio FLYGT-INDIANAPOLIS,IN BRA
SHIP VIA ORDER TEXT CUSTOMER TEXT
FedEx PKG Ground Business REQUESTED PARTS GRANT BELLER
QUANTITY SHIPPED UNIT PRICE
LINE ITEM/DESCRIPTION NET PRICE EXTENDED'AMOUNT
UM DISCOUNT/CHARGE'
001 0000006018909 2 1, 284 . 00 1, 284 . 000 2 , 568 . 00
KIT, REPAIR BASIC+ NI EA
3127 . 090/180
002 0000003148800 2 181 . 00 181 . 000 362 . 00
RING,WEAR STATIONARY BRASS EA
003 140000069983ON 1 157 . 00 157 . 000 157 . 00
FREIGHT CHARGE-NO TAX EA
SUB-TOTAL OF POSITIONS 3 , 087 . 00
*FREIGHT CHARGED AS LINE ITEM*
TOTAL WEIGHT 12 . 000 LBS
NET AMOUNT BEFORE TAXES USD 3 , 087 . 00
DIS ATCH INFO: 429794364789
ORDER TOTAL USD
3 , 087 . 00
i
VOUCHER # 136637 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
07758258 01-7200-04 $3,087.00
i
1
t
Voucher Total $3,087.00
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 PUMF Purchase Order No.
PO box 223724 Terms
Pittsburgh, PA 15251-2724 Due Date 10/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201: 07758258 $3,087.00
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