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248806 08/26/15 ,C.IN . `� .,_,F CITY OF CARMEL, INDIANA VENDOR: 00351811 ® j ONE CIVIC SQUARE ENVIRONMENTAL RESOURCE ASSOCIAgV§CK AMOUNT: $""'"500.54' r. ?� CARMEL, INDIANA 46032 DEPT CH19753 CHECK NUMBER: 248806 oy_roH,�: PALATINE IL 60055-9753 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 760438 500.54 OTHER EXPENSES InJoice': :-.;':;.r 760438 Account': ;< C397201� ERA Date:';:'� 7/1/2015 A Waters Company Federal Tax ID: 36-2912479 Bill To: Ship To: Carmel Utilities Carmel Utilities Accounts Payable 9609 Hazel Dell Parkway 9609 Hazel Dell Parkway Indianapolis, IN 46280 Indianapolis, IN 46280 USA USA Payment Terms'-.,*..'.. Shipping'Method Purchase Ord&No: -` Order No: e; a. ' . NET 30 FEDEX ECON S14561 1-5KQFM3070115FE Cat# Item Description Lot/Project Quantity Unit Price Ext. Price 4032 Solids, Concentrate,WasteWatRTA° P231-4032 1.00 $76.00 $76.00 083 WasteWatRTM Coliforms P236-083 1.00 $118.00 $118.00 505 Simple Nutrients,WasteWatRTM P235-505 1.00 $68.00 $68.00 977 pH,WasteWatRTM P234-977 1.00 $59.00 $59.00 516 Demand,WasteWatRTM P236-516 1.00 $78.00 $78.00 525 Complex Nutrients, WasteWatRTM P235-525 1.00 $59.00 $59.00 n�J7 Remit To: For ACH/EFT: Subtotal:'.-' ' $458.00 Environmental Resource Associates Environmental Resource AssociatesPayment:"°: :., $0.00 Dept CH 19753 HSBC Bank USA, NA >_ :;.:;,.; Palatine, IL 60055-9753 452 5th Avenue New York, NY 10008 Handling: $10.00 ;.: :..::�:z, ,:. Phone: 800-372-0122/303-431-8454 Account#: 000-16397-0 Tax:;::• ���.�. �a $0.00 Fax: 303-421-0159 ABA#: 021001088 www.eragc.com Swift: MRMDUS33 Currency: USD Freight:,.<: $32.54 Discount:; $0.00 Amount Due: $500.54 Page 1/1 Prescribed ty State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CfTY OF CARMEL \n invoice or bili to be prop r!y ite,ri-ed must show, kind of service, where performled, dates of service rendered, b'y whom, rates per day, number of units, price per unit, etc. Payee 351811 ENVIRONMENTAL RESOURCE ASSOCIA Purchase Order No. DEPT. CH 19753 Terms PALATINE, IL 60055-9753 Due Date 8/18/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/18/2015 760438 $500.54 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 N/n iI i_f LE R('") -1 5 1 3 7 y f,rl-\ n R A Y T '` A!- L_i`����/E D --- — -------- ./lJ �1 1 L�i �, J l.) 1 .� v ��I 3518111 !N SUM OFENVIRONMENTAL RESOURCE RESOURCE ASSOC ' DEPT. CH 19753 -- -- -----.-- -- P,-,!A.T1;NE, IL 50355-9753 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 760438 01-7202-05 $500.54 f i t Voucher Total $500.54 Cost distribution ledger classification if claim paid under vehicle highway fund