240615 01/07/15 a ur L4Nb _
CITY OF CARMEL, INDIANA VENDOR: 354047
d ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $******—65.79*
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK NUMBER: 240615
AVON IN 46123 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 SI-26900383 65.79 OTHER EXPENSES
INVOICE
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The Home Water ExpertsT"' Written B Order No. Y Order Date
7785 East US Highway 36 Account# 1TA' M. 'I MMS
Avon, IN 46123 132M Technician Serv. Date
www.ilovemywater.com Bill to Account# Pb 0
Route Sequence
Name Last Deli MOM $2
9 M
Address
City Install Date Customer Installed
Phone# 397.674
Hardness gpg Iron ppm ph
Ordered By TDS ppm Watertype
Requested Time
No. of People
Comments:
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M1137 IM 5&L" asom
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........ . .
12MM
.
RENTAL WARRANTY
Please pay from this bill. No CHARGE RETURN
1211`12Mother billing will be mailed. Upon HOURS RATE •
Next Delivery Date receipt of merchandise or -°
services, customer agrees to
pay in full by due date:If -
Service/Delivery Tech. /2If 2- i -
_ _ _ - _ -. _ .. - _.-_ -_ payment is not received, you-are •
Customer Name-Please Print subject to collection fees, court
Gas
-- - - /f costs and attorney fees.
Customer Signature /4
I hereby acknowledge satisfactory completion of above described work. --
30 Day Labor Warranty Due Date � • d5, -79
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
(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 greatly appreciated.
For your convenience, you may now pay your bill online at: Ilovemywater.com
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Current Up to 30 Days 31-60 Days Over 60 Days Balance Due
As of order date: OM 0M We 0M 0M
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 12/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 2690383 $65.79
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have auditedsamein accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 146297 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
2690383 01-720H-08 $65.79
Voucher Total $65.79
Cost distribution ledger classification if
claim paid under vehicle highway fund