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Home My WebLink About228435 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 00352366 Page 1 of 1 ONE CIVIC SQUARE ANDRITZ SEPARATION INC CHECK AMOUNT: $6,360.00 s' CARMEL, INDIANA 46032 DEPT 0312 PO BOX 120312 CHECK NUMBER: 228435 DALLAS TX 75312-0312 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 8480041983 145 . 00 OTHER EXPENSES 651 5023990 8480042291 6, 215 . 00 OTHER EXPENSES AMMTL Separation Invoice Invoice No./Date: 8480041983/ 12/27/2013 Customer PO No.: S13817 Our Order No./Date: 496638/12/1112013 Customer: 117845 Contact: Terry Spoonts Phone: +18174191709 Carmel WWTP Fax: +1 81 741 91 909 9609 Hazel Dell Parkway Indianapolis IN 46280 Email: terry.spoonts@andritz.com Sales Responsible: LANE, WILLIAM Ship-To Address: 117845 _ . Carmel WWTP 9609 Hazel Dell Parkway Indianapolis IN 46280 Terms of Delivery FCA ORIGIN PREPAID,Acc.to Incoterms 2010 Markings and Numbers: Number,Type of packing: Packing list No./Date 1 Cardboard Box 80575973/12/26/2013 Volume Gross Weight Net Weight 0.35 FT3 2.00 LB 1.00 LB Invoice Details Item Material Quantity Price Price Unit Value USD Description Pricing Conditions 000040 131320355 1 PC 10.00 1 PC 10.00 O-RING AS568A 2-260 0.139 SECT.X 6.484 AMC 6007 00 00 000 WBS-Element:S-48-496638-528 Id of migrated system Old material number SYTE_003 H28006700250YMA 000050 131284684 1 PC 35.00 1 PC 35.00 O-RING -506.78X5.33 WBS-Element:S-48-496638-528 Id of migrated system Old material number VANT 001 ORG-506.78X5.33V 000060 131284681 2 PC 14.00 1 PC 28.00 O-RING AS568A -120.02X5.33-VITON-SHORE 80A Page 1 of 4 ANDRITZ Separation Inc. Remit to: Wire instructions: 1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC Arlington,TX 76001 USA Dept:0312 New York Branch P.O.Box 120312 SWIFT:NDEAUS3N Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001 Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786 AMMTL Separati®n Invoice No./Date: 8480041983/ 12/27/2013 Item Material Quantity Price Price Unit Value USD Description Pricing Conditions WBS-Element:S-48-496638-528 Id of migrated system Old material number VANT 001 C-CS579V 000070 100023457 1 PC 10.00 1 PC 10.00 ROTARY SHAFT SEAL DIN3760 A-8OX10OX10- NBR WBS-Element:S-48-496638-528 Id of migrated system Old material number SYTE_003 F1112.046.60776 VANT 001 C-JNT/B/LE-N-BA.D080 000080 131071714 1 PC 17.00 1 PC 17.00 V-RING-V-A-140 NBR AMC 6001 00 00 000 WBS-Element:S-48-496638-528 Id of migrated system Old material number VANT_001 V1 40A 000090 131128786 1 PC 2.00 1 PC 2.00 O-RING IS03601-1 -177.47X2.62 WBS-Element:S-48-496638-528 I Id of migrated system Old material number VANT 001 C-CS656 000100 131129762 1 PC 26.00 1 PC 26.00 V-RING-V-A-160 NBR AMC 6001 00 00 000 WBS-Element:S-48-496638-528 Customer Material No.: 1 Id of migrated system Old material number VANT 001 V160A 000110 131320448 1 PC 2.00 1 PC 2.00 O-RING AS568A 2-242 0.139 SECT.X 3.984 AMC 6001 00 00 000 Page 2 of 4 ANDRITZ Separation Inc. Remit to: Wire instructions: 1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC Arlington,TX 76001 USA Dept:0312 New York Branch P.O.Box 120312 SWIFT:NDEAUS3N Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001 Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786 AMMTL Separation Invoice No./Date: 8480041983/ 12/27/2013 Item Material Quantity Price Price Unit Value USD Description Pricing Conditions WBS-Element:S-48-496638-528 Id of migrated system Old material number SYTE_003 652117 SYTE 003 H28004200046YAC SYTE_003 651537 VANT_001 C-CS533 VANT_001 ORG-101.2X3.53 000120 131459829 2 PC 5.00 1 PC 10.00 O-RING IS03601-1 -50.2X5.33 WBS-Element:S-48-496638-528 Id of migrated system Old material number VANT 001 ORG-50.2X5.33V 000140 131130248 1 PC 2.00 1 PC 2.00 GREASE NIPPLE WBS-Element:S-48-496638-528 Id of migrated system Old material number VANT 001 C-GRANA-9.20.00.01 000150 131320423 1 PC 3.00 1 PC 3.00 O-RING AS568A 2-151 0.103 SECT.X 2.987 AMC 6001 00 00 000 WBS-Element:S-48-496638-528 Id of migrated system Old material number SYTE_003 H28003100023YAC Items total 145.00 Total Amount 145.00 Total tax 0.00 Invoice Amount 145.00 Terms of payment: Within 30 days Due net Page 3 of 4 ANDRITZ Separation Inc. Remit to. Wire instructions: 1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC Arlington,TX 76001 USA Dept:0312 New York Branch P.O.Box 120312 SWIFT:NDEAUS3N Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001 Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786 AMMTL Separation Invoice No./Date: 8480041983/ 12/27/2013 Invoice reference number In case of wire transfer please use the following reference number 8480041983. I I � I Page 4 of 4 ANDRITZ Separation Inc. Remit to: Wire instructions: 1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC Arlington,TX 76001 USA Dept:0312 New York Branch P.O.Box 120312 SWIFT:NDEAUS3N Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001 Fax:+1(817)468-3961 Federal Tax ID Number:59-3773483 ABA:026010786 t i 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, mates per day, number of units, price per unit, etc. Payee 352366 ANDRITZ SEPARATION INC Purchase Order No. Dept. 0382, PO Box 120382 Terms Dallas, TX 75312-0382 Due Date 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 8480041983 $145.00 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 VOUCHER # 137213 WARRANT # ALLOWED 352366 IN SUM OF $ ANDRITZ SEPARATION INC Dept. 0382, PO Box 120382 Dallas, TX 75312-0382 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 8480041983 01-7202-06 $145.00 Voucher Total $145.00 Cost distribution ledger classification if claim paid under vehicle highway fund ATL Separation Invoice Invoice No./Date: 8480042291 /01/13/2014 Customer PO No.: S13817 Our Order No./Date: 496638/ 12/11/2013 Customer: 117845 Contact: Terry Spoonts Phone: +18174191709 Carmel WWTP Fax: +18174191909 9609 Hazel Dell Parkway Indianapolis IN 46280 Email: terry.spoonts@andritz.com Sales Responsible : LANE, WILLIAM Ship-To Address: 117845 Carmel WWTP Ship via: 9609 Hazel Dell Parkway 1Z7540350349293854 Indianapolis IN 46280 1Z7540350349515266 Terms of Delivery FCA ORIGIN PREPAID,Acc.to Incoterms 2010 Markings and Numbers: Number,Type of packing: Packing list No./Date 2 PACKAGE(S) 80578863/01/09/2014 Volume Gross Weight Net Weight 2.00 FT3 40.00 LB 38.00 LB Invoice Details Item Material Quantity Price Price Unit Value USD Description Pricing Conditions 000010 131127108 1 PC 2,403.00 1 PC 2,403.00 INLET PIPE DEC-14931 \NIBS-Element:S-48-496638-528 000020 131127377 1 PC 3,812.00 1 PC 3,812.00 FRONT WALL SHAFT DEC-14932 WBS-Element:S-48-496638-528 Items total 6,215.00 Total Amount 6,215.00 Total tax 0.00 Invoice Amount 6,215.00 Terms of payment: Within 30 days Due net Page 1 of 2 ANDRITZ Separation Inc. Remit to Wire instructions: 1010 Commercial Blvd.South ANDRITZ Separation Inc. Nordea Bank Finland PLC Arlington,TX 76001 USA Dept:0312 New York Branch P.O.Box 120312 SWIFT.NDEAUS3N Tel:+1(817)465-5611 Dallas,TX 75312-0312 Account:8879433001 Fax:+1(817)468-3961 Federal Tax M Number:59-3773483 ABA:026010786 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 352366 ANDRITZ SEPARATION INC Purchase Order No. Dept. 0382, PO Box 120382 Terms Dallas, TX 75312-0382 Due Date 1/23/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/23/2014 8480042291 $6,215.00 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 VOUCHER # 137270 WARRANT # ALLOWED 352366 IN SUM OF $ ANDRITZ SEPARATION INC Dept. 0382, PO Box 120382 Dallas, TX 75312-0382 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 8480042291 01-7202-06 $6,215.00 Voucher Total $6,215.00 Cost distribution ledger classification if claim paid under vehicle highway fund