HomeMy WebLinkAbout259666 06/14/16 +ur.Lqq�
J�/ �� CITY OF CARMEL, INDIANA VENDOR: 369915
:; ONE CIVIC SQUARE QUENCH CHECK AMOUNT: $""""""""44.00"
4, ;� CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 259666
v' _, PHILADELPHIA PA 19178 CHECK DATE: 06/14/16
Bio"c�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 200466199 44.00 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
QUENCH
P.O. BOX 781393 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PHILADELPHIA, PA 19178 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$44.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
200466199 .42-389.00 $44.00 1 hereby certify that the attached invoice(s), or 6/1/16 200466199 $44.00
2201 201 2201 201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, May 31,2016
0
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
, 20-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
T®s quench Contract Invoicing
Account Number: D062495
PO Box 781393
Philadelphia, PA 19178-1393 Invoice Number: 200466199
Invoice Date: 06/01/2016
Pagel of 1
Bill To: Carmel City Street Dept
3400 W 131 St Customer Service: 1 (888)765-7873
Westfield,IN 46074 Billing Inquiries: billing@quenchonline.com
USA Equipment Service: quenchservice@quenchonline.com
EIN: 26-3264642
Account Terms Due Date PO Contact Sales Person
D062495 Net 10 06/11/2016 N/A Miller,Katherine E.
Qty Equipment Contract , Line Description
1 CHILLERS-UV-HC-CT-U N000068489 I Quench 640
Quench 640
Installed at:Carmel City Street Dept -Westfield,IN,3400 W 131 St,Westfield,IN 46074
Location
Unspecified
Billing Period 05/06/16 06/05/16 44.00
Sales Tax: 0.00
Invoice Sale Amount: 44.00
Total Sales Tax: 0.00
Invoice Total: 44.00
Quench USA Inc. Pagel of 1