HomeMy WebLinkAbout258064 04/26/16 y u..S�N,M
�. CITY OF CARMEL, INDIANA VENDOR: 367211
;; ® 'i ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $*****2,455.00*
s,. ���; CARMEL, INDIANA 46032 PO BOX 347 CHECK NUMBER: 258064
'M,�TON�O.` FRANKLIN IN 46131 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 38339 2,455.00 OTHER EXPENSES
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 4/11/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/2016 38339 $2,455.00
I 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
VOUCHER # 161203 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
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
38339 01-6180-03 $2,455.00
Voucher Total $2,455.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
r
WATER ,
SOLUTIONS
UNLIMITED
P O. Bccx 347 Invoice Number: 38339
Invoice Date: Feb 1
29�Intlustrial Drive 2, 2016
Franklin, IN 46131 Page: 1
Voice: (317)736-6868 Duplicate
Fax: (317)736-4322
hip`to
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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ustomerlC3 ,„ VYSU liweey kleipt No ayme
nt Teres
CARMEL 147690 Net 30 Days
Sales Rep"ID 'r Siatpping Mett3cid ;;Ship Ctate " i3ue.[fate
DH DAVID HARVEY WSU-FR 2111/16 3/13/16
Quantity Item _... , _ Descrlptllan " : '` Uinot Price . .4 Arnvunt
%
2,200.00 FLUORIDE LBS,SODIUM FLUORIDE 50#BAG 1.10 2,420-00
1.00 Delivery 35.00 35.00
PO No.: Plant#1
s
W �
Subtotal2,455.00
_.
...._.....
___._. .._. _
Sales Tax
Subtotal Invoice Amount 2,455.00
Check/Credit Memo No: Freight Amount
TOTAL 2,435:00:
Please remit payment to: Please include your invoice number on your check.
Water Solutions Unlimited,Inc.
P.O.Box 347
Franklin, IN 46131