HomeMy WebLinkAbout252103 1 2/02/1 5 {����p''". CITY OF CARMEL, INDIANA VENDOR: 369915
`\ CHECK AMOUNT: $********44.00*
` ONE CIVIC SQUARE QUENCH
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CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 252103
9�'��roe(�°' PHILADELPHIA PA 19178 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 200341546 44.00 OTHER MAINT SUPPLIES
quench Contract Invoicing
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PO Box 781393 Account Number: D062495
Philadelphia, PA 19178-1393 Invoice Number: 200341546
Invoice Date: 12/01/2015
Pagel of l
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 12/11/2015 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 11/06/15 -- 12/05/15 44.00
Sales Tax: 0.00
Invoice Sale Amount: 44.00
Total Sales Tax: 0.00
Invoice Total: 44.00
ACCOUNT CURRENT 1-30 31=60 61-90 90+ TOTAL DUE
D062495 $44.00 $0.00 $0.00 $0.00 $0.00 $44.00
Aging report may not reflect payments made in the last 15 days
Quench USA Inc. Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Quench
IN SUM OF$
P.O. Box 781393
Philadelphia, PA 19178-1393
$44.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 200341546 I 42-389.00 I $44.00 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
Fri-a , N ber 20, 2015
6
Ua" 44441&�
Street Commiskoer
1it I
le
C
Title
I
Cost distribution ledger classification if
claim paid motor 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 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))
12/01/15 200341546 $44.00
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