HomeMy WebLinkAbout228753 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 367200 Page 1 of 1
ONE CIVIC SQUARE WESTFALL MANUFACTURING CO
CARMEL, INDIANA 46032 15 BROAD COMMON ROAD CHECK AMOUNT: $4,225.00
•�._° BRISTOL RI 02809 CHECK NUMBER: 228753
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 8552 4, 225 . 00 OTHER EXPENSES
° Invoice
WESTFALL MANUFACTURING CO.
15 Broad Common Road Bristol, RI 02809-2721 • Tel: (401) 253-3799 • (888) 928-3747 Fax: (401) 253-6530
E-mail: info@westfallmfg.net Website: www.westfallmfg.com
Date Invoice#
1/9/2014 8552
Bill To Ship To
Carmel Water Utilities Carmel W.T.P.# 1
Accounts Payable 4915 E. 106th Street
3450 W. 131st St Carmel IN 46033
Carmet IN 46074 Attw Ken"LT#1
P.O.Number Terms Rep Ship Via F.O.B. Project
WO9904 Net 30 1/9/2014 UPS Bristol RI
Quantity Item Code Description Price Each Amount
I Miser 16"Model 2800 static mixer-FRP mounting rung,.8 Beta 316SS mixing 4,160.004,160.00
plate.(2)3/4"CPVC Corp-stops with PVC solution tube,(2) 1/8"
EPDM gaskets
2 O&M 0&M Manuals(shipped with miser) 0.00 0.00
1 Freight Freight 65.00 65.00
Remit to 15 Broad Conn 11 Rd_
Bristol RI 02809-2721 1[PSA Total $4,225.00
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
367200
WESTFALL MANUFACTURING CO Purchase Order No.
15 BROAD COMMON RD Terms
BRISTOL, RI 02809 Due Date 1/19/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/19/2014 8552 $4,225.00
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 # 133901 WARRANT # ALLOWED
367200 IN SUM OF $
WESTFALL MANUFACTURING CO
15 BROAD COMMON RD
BRISTOL, RI 02809
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
8552 07-1052-15 $4,160.00
8552 07-1052-15 $65.00
C-
Voucher Total $4,225.00
Cost distribution ledger classification if
claim paid under vehicle highway fund