HomeMy WebLinkAbout233954 06/25/14 �@.4�xb
v! 4� CITY OF CARMEL, INDIANA VENDOR: 00350428
"® '� ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $********65.14*
4; ?�; CARMEL, INDIANA 46032 7785 E HIGHWAY 36 CHECK NUMBER: 233954
�,,�*oN�` AVON IN 46168 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2569539 65.14 OTHER EXPENSES
A INVOICE
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The Home Water ExpertSTM Order No. Si-2569639 Written By JBILLS Order Date 06103/14
7785 East US Highway 36 Account# 132604 EMOOPMAN Wart. 06104/14
Avon, IN 46123 132605 Technician Serv. Date
www.ilovemywater.com Bill to Account# N4 0
AQ,,, Route Sequence
Name City of Carmel Sewer Crept ',;AS12!05113 1
Last Del.
Address 901 N R.a ngeline Ind
City Carmel IN 46032
p Install Date Customer Installed
Phone# ., ���"�����'�
Hardness gpg Iron ppm ph
Ordered By TDS ppm Watertype
Requested Time
No. of People
Comments:
Exna.Oty. Act.Q42, rJ®. Descripfvmrt Tax% Price Total
5 Gallon Aqua Systems Suttle 0 6.65 S
g MAS
-- Deposit 5 gallon Aqua Systema 0 - 6.00 CCU
0 ` ME, RTN 5 gal:.qua Srstems bottle 0 0.00
-
0 9 request 0 0.00
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S.cheduled Defiver9 :-- 06/0+4/14 - - - -- - C__�
ustomer ib'nen-taxable
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RENTAL WARRANTY
......._.__ _.—__.__ ............_ __- _ ._._.Pleas_e..pay from this_bll. No
e_ CHARGE RETURN
other billing will.bailed. Upon HOURS RATE
ry Date 06 •
Next Delivery m :•-
__._.._ receipt of-merchandise or
services, customer agrees to
pay in full by cl1�1ue date. If
Service/Delivery Tech. payment is not received,you are - ' • � .
subject to collection fees, court
Customer Name-Please Print -costs and attorney-fees: SURCHARGE •��
Customer Signature - S-.
1 hereby acknowledge satisfactory completion of above described work. ti•.
_
Due Date
30 Day Labor Warranty 06/25f1 � • \`
----------- ---- ---------------------
For
--------------For all your service and delivery needs, please contact the location nearest to you.
Avon,IN Fishers,IN Greenwood,IN Fort Wayne,IN Lafayette,IN Muncie,IN Richmond,IN
VOUCHER # 138239 WARRANT# ALLOWED
354047 IN SUM OF $
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2569539 01-720H-08 $65.14
I
I
Voucher Total $65.14
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
354047
AQUA SYSTEMS Purchase Order No.
7785 EAST US HIGHWAY 36 Terms
AVON, IN 46123 Due Date 6/17/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2014 2569539 $65.14
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