237052 09/10/14 �! � CITY OF CARMEL, INDIANA VENDOR: 367211
ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $*****5,255.75*
r. =Q CARMEL, INDIANA 46032 PO BOX 347 CHECK NUMBER: 237052
+.y`,�TON��°` FRANKLIN IN 46131 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 35350 5,255.75 OTHER EXPENSES
AM WATER
SOLUTIONS INVOOCE
UNLIMITED
P.O. Box 347 Invoice Number: 35350
295 Industrial Drive Invoice Date: Aug 19,2014
Franklin, IN 46131 Page: 1
Voice: (317)736-6868
Fax: (317)736-4322
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Bill T
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CARMEL UTILITIES CARMEL UTILITIES
3450 W. 131ST STREET 4915 E. 106TH ST.
CARMEL, IN 46074 CARMEL, IN 46033
USA USA
`Payment Tdrrnsx.
,I `Customer P 'P
Customer
CARMEL--- Net 30 Days
Ship.:DateDue Date
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ng
-,wp-pi` ,, t6
"Sales:. ID me
41 Rep 01
DH DAVID HARVEY VENDOR DIRECT 9/18/14
Quantity Item
b Unit Price
Amount
e�scrip ion,
2,475.00 TRAMFLOC 725 TRAMFL OC 725 COAGULENT 1.93 4,776.75
Subtotal 4,776.75
Sales Tax
Subtotal Invoice Amount 5,255.75
Check/Credit Memo No: Freight Amount 479.00
TOTAL
Please remit payment to: Please include your invoice number on your check.
Water Solutions Unlimited, Inc.
Box 347
P.O.rFran6lin,IN 46131
VOUCHER# 141601 WARRANT# ALLOWED
367211 IN SUM OF $
WATER SOLUTIONS UNLIMITED INC
PO BOX 347
FRANKLIN, IN 46131-0347
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
35350 01-6180-03 $5,255.75
1
I
Voucher Total $5,255.75
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
367211
WATER SOLUTIONS UNLIMITED INC Purchase Order No.
PO BOX 347 Terms
FRANKLIN, IN 46131-0347 Due Date 8/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/30/2014 35350 $5,255.75
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
y
Date Officer