HomeMy WebLinkAbout237099 09/16/14 CITY OF CARMEL, INDIANA VENDOR: 354047
ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $********89.29*
4 4 CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK NUMBER: 237099
AVON IN 46123 CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2632892 89.29 OTHER EXPENSES
Aaj� AU `:( '`�` INVOICE
The Home Water Ex ertsTM Order No. S62832802 Written By�AHEl Ind c Order Date!.94QJG4A
7785 East.US Highway 36 Account# 1R49i)�
Avon IN 46123 Technician F--M( rR,!AAN Serv. Dat r # t
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www.ilovemywater.com Bill to Account# I'4Mn5
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Name C`i;.,rei i':arrv;al `-;e;nrar llanf
Last Del.a ,,• a
Address QQ1 MPgr,gr}linr-, PH
City rr 02i Il4—� 80=�' Install Date Customer Installed.
Phone# T a v�,1
o - Hardness gpg Iron ppm ph
Ordered By
, TDS ppm Watertype
Requested Time
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No. of People
Comments:
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10 1 ? dSAS Deposit h gel1onAgua yy:�f`d�ms 0 6.00 <
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RF;AS RTIIJ 5 gal_Aqua-Sy_sttms bcati:le - - - - G 0.00
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RENTAL WARRANTY
_.. . _ . CHARGE RETURN
._._...__ Please a fromthis_bill. No__.„
HOURS RATE
other billing will..be mailed. Upon • '
Next Delivery Date _ l3td/1 fi,1 :•-
-_ _- _ receipt of-merchandise-or-_.............
services, customer agrees to MATERIAL(TAXABLE
pay-in-full by due date If .. -
Service/Delivery Tech.
_ payment is not received,you are_. A (NON-TAXABLE)
subject to collection fees, court
Customer Name-Please Print
costs and attorney fees. - - 5•?g
Customer Signature . - _._......_ ....
TAX
1 hereby acknowledge satisfactory completion of above described work�,;` f
30 Day Labor Warranty Due Date f+d�� f'I`� • ;7f.'� !�~
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For all your service and delivery.needs, please contact the location nearest to you.
Avon,IN Fishers,IN Greenwood,IN FoH Wayne,IN Lafayette,IN Muncie,IN Richmond,IN
(317) 272-3000 (317) 594-0644 (317) 889-6829 (260) 483-3963 (765) 447-3397 (765) 281-8820 (765) 935-5450
Saint Louis, MO Canal Winchester, OH Columbus, OH
(314) 832-5500 (614) 833-2800 (614) 265-9000
Below is your account balance and aging as of the order date above. This balance does not reflect today's service or delivery.
Your prompt payment would be ce tly recia ed..
For your converflence, ��� ����� �`���� ������x ��»����he ai : �I����e��syVJa,er.com
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Current Up to 30 Days 31-60 Days Over 60 Days Balance Due
As of order date: 0.00 0.00 CLOG 0.80 0.00
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VOUCHER # 145519 WARRANT# ALLOWED
354047 IN SUM OF $
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility 1
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
2632892 01-720H-08 $89.29
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Voucher Total $89.29
Cost distribution ledger classification if
claim paid under vehicle highway fund
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, 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 9/11/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
'
9/11/2014 2632892 $89.29
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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 f&
er