HomeMy WebLinkAbout256229 03/15/16 �`%'v,A,,F. CITY OF CARMEL, INDIANA VENDOR: 354047
ONE CIVIC SQUARE AQUA SYSTEMS
CHECK AMOUNT: $********71.30*
_� CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK NUMBER: 256229
y,�TON�. AVON IN 46123 CHECK DATE: 03/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 • 5023990 SI-2960218 71.30 OTHER EXPENSES
AqNYA INVOICE
USI=j 16
The Home Water ExpertSTM Order No. SI-2960218 �Written By Order Date
7785 East US Highway 36 Account# a rrriQ0RMM.M fifed 02/26
Avon, IN 46123 1325u5 Technician Serv. Date
www.ilovemywater.com Bill to Account# No 0
City of Carmel HHW Dept. Route Sequence
Name
SAS . 09/15/15 12
•
901 N Rangeline Rd. Last Del.
Address
Carrrrel IN 46032
City
317571-2645 Install Date Customer Installed
Phone#
Hardness gpg Iron ppm pfd
Ordered By
I TDS ppm Watertype
Requested Time i
No. of People
Comments:NOT OPEN ON MONDAYS-TUES THRU SAT-IF�OT�THERE CAN
LEAVE AT CITY OF CARMEL SEWER DEPT-SAME ADDRESS, -
Ixp_Qty_ .Act_Qty- No- Description Tax% Price �otal
J
12 / SAS `_+ 08 !on Aqua SVsterns Sottle U b.bU QU
_
F D5As DePoiit 5 gdlloin Aqua 5vsterr�� 0 _p 00 --. --
0--..._ 1 Z R5AS _ .. _RTN 5 gal Aqua WS"ferm 156fd
1 -
TL
- CONFEE-- C- - nvetiience fee. - - - _0 -- 5.30--
_l. _
..SeheduIed Deliveries......... 02/24/16 CD.
RENTAL WARRANTY
_ `._
Please-pay-from-this bill CHARGE RETURN
No _._.
02J'�4j16 other billing will.,be mailed Upon HOURS RATE
Next Delivery Date
- -receipt of merchandise or
tN
services, customer agrees to MATERIAL(TAX-ABLE)
pay in full by due date.Ifs
Service/Delivery Tech. payment is not:received, you.are. MATERIAL(NON-TAXABLE)
subject to collection fees, court
Customer Name-Please Print - -
- - - costs and attorney fees. - FUEL SURCHARGE(TAXABLE)
-
Customer Signature - ......... -- -
_ I hereby acknowledge_patisfactory completion of above described.work.- `
--- — .......
(30
Day Labor Warranty 03/`5`1.bTOTAL (L ��
Due Date t�7
VOUCHER# 157391 WARRANT# ALLOWED
354047 IN SUM OF $
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2960218 01-720H-08 $71.30
I
Voucher Total $71.30
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354047
AQUA SYSTEMS Purchase Order No.
7785 EAST US HIGHWAY 36 Terms
AVON, IN 46123 Due Date 3/7/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2016 2960218 $71.30
hereby certify that the attached invoice(s), or bill(s) is (are)true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer