HomeMy WebLinkAbout253786 01/22/16 a'j • CITY OF CARMEL, INDIANA VENDOR: 367113
ONE CIVIC SQUARE WATER SERVICES GROUP CHECK AMOUNT: $*******165.00*
d• �� CARMEL, INDIANA 46032 4914 FOUNDERS COURT CHECK NUMBER: 253786
ANDERSON IN 46017 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10354 165.00 OTHER EXPENSES
INVOICE# 10354
4914 Founders Court/Anderson,Indiana 46017
Tel:(765)617-5193/Fax:(765)378-0562
WATER SERMES GROUP
INVOICE
Sold To: Misc
Name Carmel WWTP Date 12/92015
Address 9609 Hazel Dell Parkway P.O.# Verbal Jeff
City Indianapolis State IN ZIP 46280 Terms: Net 30 days
Attention: Accounts Payable Site: Carmel WWTP
Qty Description Unit Price TOTAL
1 Deliver 55 gallons of Deionized Water to site 10/29/15 $ 140.06-
1 Pump pressure up in system on 10/29/15 $ 25.00
Please provide copy of tax exemption certificate with payment
Order confirmation by Jeff Cooper
SubTotal $ 165.00
Shipping $ -
Payment Tax Rate(s)
Payable To:lWtKeimeiroratyatrAcientito,r WSG TOTAL $- 165.00
4914 Founders Court
Anderson, Indiana 46017 Office Use Only
(765}617T5`I83
SS#305-86 22 86
WSG'4914 Founders 0 'Anderson,Indiana 46017
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
367113
WATER SERVICES GROUP Purchase Order No.
4914 FOUNDERS COURT Terms
ANDERSON, IN 46017 Due Date 12/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201! 10354 $165.00
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
Date Officer
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VOUCHER # 157027 WARRANT # ALLOWED
367113 IN SUM OF $
WATER SERVICES GROUP
4914 FOUNDERS COURT
ANDERSON, IN 46017
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10354 01-7202-06 $165.00
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1
Voucher Total $165.00
Cost distribution ledger classification if
claim paid under vehicle highway fund