HomeMy WebLinkAbout253186 01/11/16 I
CITY OF CARMEL, INDIANA VENDOR: 369915 CHECK AMOUNT: S"••"""""44.00"
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ONE CIVIC SQUARE QUENCHCARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 253186
PHILADELPHIA PA 19178 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 200364729 44.00 OTHER MAINT SUPPLIES
quench Contract Invoicing
PO Box 781393 Account Number: D062495
Philadelphia, PA 19178-1393 Invoice Number: 200364729
Invoice Date: 01/01/2016
Page 1 of 1
Bill To: Carmel City Street Dept
3400 W 131 St Customer Service: 1 (888)765-7873
Westfield,IN 46074 Billing Inquiries:' billing@quenchonline.com
USA Equipment Service:
quenchservice@quenchonli ne.com
EIN: 26-3264642
Account Terms Due Date PO Contact Sales Person
D062495 Net 10 101/11/2016 N/A Miller,'Katherine E.
Qty Equipment Contract Line Description
1 CHILLER3-UV-HC-CT-U N000068489 1 Quench 640
Quench 640 I
Installed at:Carmel City Street Dept -Westfield,IN,3400 W 131 St,Westfield,IN 46074
Location
Unspecified
Billing Period 12/06/15 -- 01/05/16 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 j $0.00 - $0.00 $0.00 $0.00 $44.00
Agingl report may not reflect payments made in the last 15 days
Quench USA Inc. Page 1 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/01/16 200364729 $44.00
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
' 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
QUENCH
P.O. BOX 781393 IN SUM OF$
PHILADELPHIA, PA 19178
$44.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member;
I 200364729 I 42-389.00 I $44.00 1 hereby certify that the attached invoice(s), or
2201 201
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
/ r
Thurs� y, Dec ber 2015
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Cost distribution ledger classification if
claim paid motor vehicle highway fund _