HomeMy WebLinkAbout257046 03/31/16 CITY OF CARMEL, INDIANA VENDOR: 367211
ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $"****4,787.00*
CARMEL, INDIANA 46032 PO BOX 347 CHECK NUMBER: 257046
FRANKLIN IN 46131 CHECK DATE: 03/31/16
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 38519 4,787.00 OTHER EXPENSES
VOUCHER # 161019 WARRANT# ALLOWED
367211 IN SUM OF $
WATER SOLUTIONS UNLIMITED INC
PO BOX 347
FRANKLIN, IN 46131-0347
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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r
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
38519 01-6180-03 $4,787.00
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1
Voucher Total $4,787.00
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
367211
WATER SOLUTIONS UNLIMITED INC Purchase Order No.
PO BOX 347 Terms
FRANKLIN, IN 46131-0347 Due Date 3/29/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/29/2016 38519 $4,787.00
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
WATER
SOLUTIONS
UNLIMITED 114VOICE
P. O. Box 347 Invoice Number: 38519
295 Industrial Drive Invoice Date: Mar 18, 2016
Franklin, IN 46131 Page:
Voice: (317)736-6868
Fax: (317)736-4322
Bill To:, –
Ship
CARMEL UTILITIES CARMEL UTILITIES
3450 W. 131ST STREET 4915 E. 106TH ST.
CARMEL, IN 46074 PLANT 1
USA CARMEL, IN 46033
USA
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DH DAVID HARVEY WSU-FR 3/16/16 4117/16
-Quantity" Item
Description Price" Amou nt
4,400.00 FLUORIDE LBS, SODIUM FLUORIDE 50#BAG 1.08 4,752.00
1.00 Delivery 35.00 35.00
PO#JC3716
Subtotal 4,787.00
Sales Tax
Subtotal Invoice Amount 4,787.00
Check/Credit Memo No: Freight Amount
TOTAL 4,787 00
Please remit payment to: Please include your invoice number on your check.
Water Solutions Unlimited, Inc.
P.O. Box 347
Franklin, IN 46131