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Home My WebLink About259090 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 184825 ® `1. CHECK AMOUNT: $*****7,473.55* ONE CIVIC SQUARE LIVING WATERS CO. CARMEL, INDIANA 46032 PO BOX 402 CHECK NUMBER: 259090 MONROVIA IN 46157 CHECK DATE: 05/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0082601-IN 362.50 OTHER EXPENSES 601 5023990 0082602-IN 866.41 OTHER EXPENSES 601 5023990 0082603-IN 362.50 OTHER EXPENSES 601 5023990 0082604-IN 776.28 OTHER EXPENSES 601 5023990 0082605-IN 656.00 OTHER EXPENSES 601 5023990 0082606-IN 1,729.59 OTHER EXPENSES 601 5023990 0082607-IN 233.50 OTHER EXPENSES 601 5023990 0082608-IN 380.18 OTHER EXPENSES 601 5023990 0082609-IN 276.00 OTHER EXPENSES 601 5023990 0082610-IN 378.36 OTHER EXPENSES 601 5023990 0082611-IN 486.00 OTHER EXPENSES 601 5023990 0082612-IN 966.23 OTHER EXPENSES VOUCHER # 161439 WARRANT# ALLOWED 184825 IN SUM OF $ LIVING WATERS CO. P.O. Box 402 MONROVIA, IN 46157 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR K L Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0082604 / 01-6200-04 P$776.28 .01 bb`S;;L(a,D4 " ; tbg2t,,b'� �� , /4' Gc Pn� 60aa-L-�-t� 9C ;q(��•2� C�0`82Co06 1( E V7a'� •S447 0�7 -Vt> tv I<ttxk' �S�to l� c� c.��(�•,� �v7-C9d-S ' 3 C.. Voucher Total 7173, 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 184825 LIVING WATERS CO. Purchase Order No. P.O. Box 402 Terms MONROVIA, IN 46157 Due Date 5/9/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/9/2016 0082604 $776.28 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 Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082604-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 IF (317)996-2508 Order Number: 0014354 Order Date 5/2/2016 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 5 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 116.55 233.10 MAINTENANCE KIT FOR 210/510 Whse: 002 REGULATORS MK-V10K EACH 3.00 3.00 0.00 38.85 116.55 MAINTENANCE KIT FOR V10K Whse: 002 M K-AAA4316 EACH 1.00 1.00 0.00 96.39 96.39 MAINTENANCE KIT FOR AAA4316 Whse: 002 INJECTOR WTP16191 EACH 3.00 3.00 0.00 2.60 7.80 LEAD GASKET W2T11773 Whse: 002 WTP41212 EACH 3.00 3.00 0.00 6.48 19.44 STOP W2T16924 Whse: 002 WTPXA26784 EACH 6.00 6.00 0.00 2.26 13.56 O-RING,114,VITON W2T11776 Whse: 002 LW1001-PE1100 EACH 15.00 15.00 0.00 0.30 4.50 3/8"OD TUBING Whse: 002 NSF-61 CERTIFIED LW1003-PE1100 EACH 15.00 15.00 0.00 0.58 8.70 5/8"OD TUBING Whse: 002 NSF-61 CERTIFIED WTP44064 EACH 1.00 1.00 0.00 276.24 276.24 TUBE 100#/DAY W2T422904 Whse: 002 A finance charge of 1.5% (18%APR) Net Invoice: 776.28 Less Discount: 0.00 will be charged on all past due accounts. ' Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total. 776.28 Page: 1 Invoice Customer Living Waters Company, Inc. Invoice Number: 0082602-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014352 Order Date 5/2/2016 �` Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 5A Indianapolis, IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 116.55 233.10 MAINTENANCE KIT FOR 210/510 Whse: 002 REGULATORS MK-V10K EACH 3.00 3.00 0.00 38.85 116.55 MAINTENANCE KIT FOR V1 OK Whse: 002 MK-AAA4310 EACH 3.00 3.00 0.00 64.51 193.53 MAINTENANCE KIT FOR 3/4"INJ Whse: 002 WTP 16191 EACH 2.00 2.00 0.00 2.60 5.20 LEAD GASKET W2T11773 Whse: 002 WTP41212 EACH 3.00 3.00 0.00 6.48 19.44 STOP W2T16924 Whse: 002 LW1001-PE1100 EACH 30.00 30.00 0.00 0.30 9.00 3/8"OD TUBING Whse: 002 NSF-61 CERTIFIED WTAAB2693 EACH 2.00 2.00 0.00 40.93 81.86 BACK HOUSING W2T9971 Whse: 002 SP839072 EACH 1.00 1.00 0.00 2.84 2.84 1/2 X 1/4 PVC 80 BUSH T X T Whse: 002 WTU23016 EACH 1.00 1.00 0.00 204.89 204.89 YOKE W3T107727 Whse: 002 A finance charge of 1.5% (18%APR) ULb Net Invoice: 866.41 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 866.41 Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082608-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia, IN 46157 L W (317)996-2508 Order Number: 0014360 Order Date 5/3/2016 �` Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 TAG:GROUND STORAGE PLANT Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 116.55 233.10 MAINTENANCE KIT FOR 210/510 Whse: 002 REGULATORS MK-ANM4122 EACH 1.00 1.00 0.00 12.75 12.75 GASKET SET 3"RATE VALVE Whse: 002 MK-U27136 EACH 1.00 1.00 0.00 40.40 40.40 MAINTENANCE KIT FOR U27136 Whse: 002 INJECTOR CCD125 EACH 1.00 1.00 0.00 25.90 25.90 DIAPHRAGM Whse: 002 CCD102 EACH 1.00 1.00 0.00 10.90 10.90 DIAPHRAGM Whse: 002 CCOV-11-202 EACH 1.00 1.00 0.00 4.00 4.00 O-RING,VITON,202 Whse: 002 LW1001-PE1100 EACH 15.00 15.00 0:00 0.30 4.50 3/8"OD TUBING Whse: 002 NSF-61 CERTIFIED WTP16191 EACH 2.00 2.00 0.00 2.60 5.20 LEAD GASKET W2T11773 Whse: 002 WTAAB3104 EACH 1.00 1.00 0.00 43.43 43.43 HOUSING STEM W2T9967 Whse: 002 A finance charge of 1.5% (18%APR) Net Invoice: 380.18 Less Discount: 0.00 will be charged on all past due accounts. UWq Freight: 0.00 Thank you for your business. Sales Tax: 0.00 f `�Y Invoice Total: 380.18 Page: 1 Invoice Customer Living Waters Company, Inc. Invoice Number: 0082612-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014364 Order Date 5/3/2016 Salesperson: HTA Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 TAG WATER PLANT 4 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 116.55 233.10 MAINTENANCE KIT FOR 210/510 Whse: 002 REGULATORS MK-V10K EACH 5.00 5.00 0.00 38.85 194.25 MAINTENANCE KIT FOR V1 OK Whse: 002 MK-AAA4310 EACH 2.00 2.00 0.00 64.51 129.02 MAINTENANCE KIT FOR 3/4"INJ Whse: 002 MK-U27136 EACH 1.00 1.00 0.00 40.40 40.40 MAINTENANCE KIT FOR U27136 Whse: 002 INJECTOR WTP16191 EACH 3.00 3.00 0.00 2.60 7.80 LEAD GASKET W2T11773 Whse: 002 WTP41212 EACH 5.00 5.00 0.00 6.48 32.40 STOP W2T16924 Whse: 002 LW1001-PE1100 EACH 30.00 30.00 0.00 0.30 9.00 3/8"OD TUBING Whse: 002 NSF-61 CERTIFIED WTP44062 EACH 1.00 1.00 0.00 264.10 264.10 TUBE 50#/DAY W2T19037 Whse: 002 WTAAB2693 EACH 1.00 1.00 0.00 40.93 40.93 BACK HOUSING W2T9971 Whse: 002 WTP39235 EACH 2.00 2.00 0.00 5.54 11.08 ELBOW W2T11810 Whse: 002 WTPXB39234 EACH 1.00 1.00 0.00 4.15 4.15 NUT W2T12055 Whse: 002 A finance charge of 1.5%(18%APR) Net Invoice: 966.23 Less Discount: 0.00 will be charged on all past due accounts. ` Freight: 0.00 . Thank you for your business. r "� Sales Tax: 0.00 L�(iInvoice Total: 966.23 Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082606-IN P.0.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L w (317)996-2508 Order Number: 0014357 Order Date 5/2/2016 o Salesperson: HTA Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131 st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 1 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 116.55 233.10 MAINTENANCE KIT FOR 210/510 Whse: 002 REGULATORS MK-V10K EACH 6.00 6.00 0.00 38.85 233.10 MAINTENANCE KIT FOR V1 OK Whse: 002 MK-AAA4316 EACH 6.00 6.00 0.00 96.39 578.34 MAINTENANCE KIT FOR AAA4316 Whse: 002 INJECTOR MK-ANM4127 EACH 2.00 2.00 0.00 14.75 29.50 GASKET SET 5"RATE VALVE Whse: 002 WTP16191 EACH 4.00 4.00 0.00 2.60 10.40 LEAD GASKET W2T11773 Whse: 002 WTP52172 EACH 2.00 2.00 0.00 176.16 352.32 5'500#/DAY CL2 TUBE W2T422939 Whse: 002 WTAAB2693 EACH 1.00 1.00 0.00 40.93 40.93 BACK HOUSING W2T9971 Whse: 002 WTAIC5506 EACH 6.00 6.00 0.00 7.14 42.84 TOP STOP W2T11498 Whse: 002 V TP41212 EACH 2.00 2.00 0.00 6.48 12.96 STOP W2T16924 Whse: 002 WTPXA26784 EACH 4.00 4.00 0.00 2.26 9.04 O-RING, 114,VITON W2T11776 Whse: 002 WTPXA26345 EACH 9.00 9.00 0.00 1.95 17.55 O-RING,112,VITON W2T17826 Whse: 002 LW1002-PE1100 EACH 15.00 15.00 0.00 0.46 6.90 1/2"OD TUBING Whse: 002 NSF-61 CERTIFIED LW1003-PE1100 EACH 15.00 15.00 0.00 0.58 8.70 5/8"OD TUBING Whse: 002 NSF-61 CERTIFIED Continued Page: 2 Invoice Customer Living Waters Company, Inc. Invoice Number: 0082606-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014357 Order Date 5/2/2016 �` Salesperson: HTA Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 1 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount WTUXA96295 EACH 1.00 1.00 0.00 153.91 153.91 HEAD BLOCK 10"V1 OK W2T9190 Whse: 002 A finance charge of 1.5% (18%APR) Net Invoice: 1,729.59 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total, 1,729.59 Page: 1 Invoice Customer 1 Living Waters Company,Inc. li Ice Number: 0082610-IN P.O.Box 402 , nvoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 1 der Number: 0014362 Order Date 5/3/2016 falesperson: TERR %ner Number: CARMWAT Sold To: I CARMEL WATER UTILITY(e) 1 i 3450 WEST 131st Street I BEET Westfield,IN 46074 )1 QNT 3 16280 I I Customer P.O. Ship VIA 14 Terms VERBAL KEN OUR TRUCK Net 30 Days Item Number Unit Ordered Shipped 0!rice Amount MK-210/510 EACH 2.00 2.00 1 116.55 233.10 MAINTENANCE KIT FOR 210/510 Whse: 002 REGULATORS j MK-V10K EACH 2.00 2.00 1 38.85 77.70 MAINTENANCE KIT FOR V10K Whse: 002 MK-U27136 EACH 1.00 1.00 1 40.40 40.40 MAINTENANCE KIT FOR U27136 Whse: 002 INJECTOR 1 WTP41212 EACH 2.00 2.00 1 6.48 12.96 i STOP W2T16924 Whse: 002 I WTP16191 EACH 2.00 2.00 1 2.60 5.20 LEAD GASKET W2T11773 Whse: 002 I LW1001-PE1100 EACH 30.00 30.00 1 0.30 9.00 3/8"OD TUBING Whse: 002 NSF-61 CERTIFIED I I i I I I 1 l I I� A finance charge of 1.5% (18%APR) j tet Invoice: 378.36 ILI I ess Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 I Thank you for your business. Sales Tax: 0.00 Invoice Total: 378.36 i Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082609-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L (317)996-2508 Order Number: 0014361 Order Date 5/3/2016 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 TAG:WATER PLANT 3 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-TA EACH 1.00 1.00 0.00 276.00 276.00 SERVICED 210S,(2)V10K,3/4"OS INJECTOR A finance charge of 1.5% (18%APR) Net Invoice: 276.00 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 276.00 Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082605-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014356 Order Date 5/2/2016 Salesperson: HTA Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 1 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK `1 FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-HTA EACH 1.00 1.00 0.00 656.00 656.00 (2)5"RATE VLV,(6)V10K,(6)1"NS INJECTORS A finance charge of 1.5% (18%APR) l Net Invoice: 656.00 \� Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total, 656.00 Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082611-IN P.0.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014363 Order Date 5/3/2016 Salesperson: HTA Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 TAG:WATER PLANT 4 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-HTA EACH 1.00 1.00 0.00 486.00 486.00 SERVICED 210S 1/2TMK,(5)V10K,(2)3/4"NS INJ,3/4"OS INJECTOR A finance charge of 1.5% (18%APR) Net Invoice: 486.00 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 } Invoice Total: 486.00 W Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082607-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014359 Order Date 5/3/2016 �` Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 TAG GROUND STORAGE PLANT Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-TA EACH 1.00 1.00 0.00 233.50 233.50 SERVICED 210S,3"RATE VLV,3/4"OS INJECTOR,CCGVSV A finance charge of 1.5% (18%APR) Net Invoice: 233.50 ( Freight: ss Discount: 0.00 onwill be char ed all ast due accounts.g P 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 233.50 Page: 1 Invoice Customer Living Waters Company, Inc. Invoice Number: 0082601-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L W (317)996-2508 Order Number: 0014351 Order Date 5/2/2016 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 5A Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-TA EACH 1.00 1.00 0.00 362.50 362.50 SERVICE 210S,(3)V10K,(3)3/4"NS INJECTOR A finance charge of 1.5% (18%APR) Net Invoice: 362.50 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 - Invoice Total: 362.50 Page: 1 Invoice Customer Living Waters Company,Inc. Invoice Number: 0082603-IN P.O.Box 402 Invoice Date: 5/2/2016 Monrovia,IN 46157 L yr (317)996-2508 Order Number: 0014353 Order Date 5/2/2016 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER 3450 WEST 131st Street 4915 E 106TH STREET Westfield,IN 46074 PLANT 5 Indianapolis,IN 46280 Customer P.O. Ship VIA F.O.B. Terms VERBAL KEN OUR TRUCK FACTORY Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-TA EACH 1.00 1.00 0.00 362.50 362.50 SERVICED(1/2)210S REGULATOR,(1/2)510S REGULATOR/TMK,(3)V10K,1"NS INJECTOR. A finance charge of 1.5% (18%APR) _ Net Invoice: 362.50 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 362.50 LIVING WATERS COMPANY P O.BOX 402 1-800-382-4601 PHONE . . MONROVIA IN 46157 1-317-996-3093 FAX FIELD SERVICE REPORT JOB NAME: ^ ( JOB ADDRESS: / CITY:. 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C� Date : PO # : ACCT #: 636 Use : 0/64 Z WA-4AAy3roReceived - -rx # oo rN�Ut Z 7 l 3 C3 zc�Q �3 l Cs-(SK/ ACCT 6Zo.3 -7 3 � Service Rep: LIVING WATERS COMPANY P 0 BOX 402 1-800-382-4601 PHONE MONROVIA IN 46157 1-317-996-3093 FAX FIELD SERVICE REPORT DATE: JOB NAME: JOB ADDRESS: CITY: STATE: QTY DESCRIPTION OF SERVICE COMPLETED 46 5-6 well .� Z 7 Alt& v�a� L.14,0 A4 l lb �l C /&(9( C S3 G�e z P V'rz" Z Y .r 2 & �sy 7v z- r l� �1�3lY o Service Rep: LIVING WATERS COMPANY P O BOX 402 1-800-382-4601 PHONE MONROVIA IN 46157 1-317-996-3093 FAX FIELD SERVICE.REPORT' DATE: 10B NAME: �.,�% JOB ADDRESS: CITY: ( � STATE: CITY DESCRIPTION OF SERVICE COMPLETED Z e4,6-,o�e-t elcz 7 ,soda A4 z Z c90 �( Z �•, 7' Z! 7 Z Service Rep: LIVING WATERS COMPANY P 0 BOX 402 1-800-382-4601 PHONE MONROVIA IN 46157 1-317-996-3093 FAX Z'7- f Cc FIELD SERVICE REPORT DATE: JOB NAME: JOB ADDRESS:: CITY: arm! STATE: 17A) CITY DESCRIPTION OF SERVICE COMPLETED F � mak. Z�or y�c c7 t a cp Z y l Z l 'L dd , 2- tC�tq, t 'e- Service 2Service Rep: LIVING WATERS COMPANY P 0 BOX 402 1-800-382-4601 PHONE MONROVIA IN 46157 1-317-996-3093 FAX LZ- Cc FIELD SERVICE REPORT JOB NAME: JOB ADDRESS:: CITY: � we f STATE: QTY DESCRIPTION OF SERVICE COMPLETED � y� Zrors cc7 Service Rep: