HomeMy WebLinkAbout250392 10/07/15 '4�'•C,p*ff CITY OF CARMEL, INDIANA VENDOR: 369915
V.
® ONE CIVIC SQUARE QUENCH CHECK AMOUNT: S**.....132.00*
f CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 250392
PHILADELPHIA PA 19178 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 200308182 132.00 OTHER MAINT SUPPLIES
w e n c h Contract Invoicing
Account Number: D062495
PO Box 781393
Philadelphia, PA 19178-1393 Invoice Number: 200308182
Invoice Date: 10/01/2015
Page 1 of 1
Bill To: Carmel City Street Dept Customer Service: 1 (888)765-7873
3400 W 131 St
Westfield,IN 46074 Billing Inquiries: billing@quenchonline.com
USA Equipment Service:
quenchservice@quenchonline.com
EIN: 26-3264642
Account, Terms Due Date -PO Contact Sales Person.
D062495 Net 10 10/11/2015 N/A Miller,Katherine E.
Qty Equipment Contract Line Description
1 CHILLER3-UV-HC-CT-U N000068489 1 Quench 640
Quench 640
Installed at:Carmel City Street Dept -Westfield,IN,3400 W 131 St,Westfield,IN 46074
Location
Unspecified
Billing Period 08/06/15 -- 11/05/15 132.00
Sales Tax: 0.00
Invoice Sale Amount: 132.00
Total Sales Tax: 0.00
Invoice Total: 132.00
ACCOUNT CURRENT 1-30 31-60 61-90 90+ TOTAL DUE
D062495 $132.00 $0.00 $0.00 $0.00 $0.00 $132.00
Aging report may not reflect payments made in the last 15 days
Quench USA Inc. Page I of 1
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/01/15 200308182 $132.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Quench
IN SUM OF $
P.O. Box 781393
Philadelphia, PA 19178-1393
$132.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 1 200308182 1 42-389.001 $132.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
gy Thurs�i y, Oqt ,�40-5
81'r R69AAr`IM� 8fnWrr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund