HomeMy WebLinkAbout302099 08/22/16 +yr_C4q,M
CITY OF CARMEL, INDIANA VENDOR: 368518
ONE CIVIC SQUARE CULLIGAN WATER OF BOONE COUNTYCHECK AMOUNT: $......*247.95*
CARMEL, INDIANA 46032 PO BOX 797 CHECK NUMBER: 302099
ATTN: ACCTS RECEIVABLE CHECK DATE: 08/22/16
LEBANON IN 46052
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 122975 247.95 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CULLIGAN WATER OF BOONE COUNTY
PO BOX 797 IN SUM OF$ CITY OF CARMEL
ATTN: ACCTS RECEIVABLE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
LEBANON, IN 46052 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$247.95 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-501.00 $247.95 1 hereby certify that the attached invoice(s),or 8/10/16 0 Sta.41 $247.95
1120 1 a�S� 101 1120 101
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
Friday,August 12,2016
David Haboush
Fire Chief
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
V 1
Company 'Address Directions -
Culligan of Boone County � 146TH TO CLAY TERRACE TO I
PO Pox 797 Mork Order RANGEL.INE RD CAST 8 STORY
Lebanon, IN 46052 122975 BLDG. IST STOP LIGHT/TURN RT
765-482-2570 317-873-8772 ON GRADLE DR. BY FOUNTAIN
Serviced By
-- Pilling Address __ Schd: 08:0008:00A
Service Address _
CARMEL FIRE DEPT STATION #41
JIM SPELBRING Tax Ex CARMEL FIRE DEPT STATION #fi41
c CIVIC SQUARE JIM SPELRRING
CARMEL IN 41032 2 CIVIC SQUARE
CARMEL IN 46032
Key - #Fam/Loc -
Accountj CELL CELL j WORN Order Dt Type Call Sched Dt Sery Dt
113735 317-557-3241 i07/07/16�Ren�al No 07/21/4
Water Test 16/ Service Call Reason
Salt Set Cont Info Installer MB
Test Date Warr Date prev Owner RD - CHANGE 3 FILTERS
Addn Equj p Addn Equj p FILTER CHANGE
Addn Equip Addn Equip
fTHURSDAY- CHANGE RD
--- ----- ----+ FILTERS, EYERPURE
Cd E ui.pment Description - Own Wty Dt Inst Dt Serial Number INSUR-ICE 2000 FILTER
AC5 A UACLEER 50 C 06/18/14 RP14032184
EPI EVERPURE INSUR-ICE 2000 C 06/18/14 za061920142 �
parts and Materials
-Qty part Nbr Description price Total Service History -
f;
07/14/15 RD - CHANGE 3 FILTERS
Rill RO - ALL FILTERS REAL
its wo
Start Finish
Labor #Hrs « per hr
Trip Charge
Mileage @ /Mi
parts Tota Labor Labor- Charge
Checklist — �D
Parts Total '
1. CHECK FOR LEAKS8. CHECKED CYCLES
2. WATER TESTS S. CLEAN Up Others Total
3. LEFT IN REGEN r- 10. NEED SALT .....
4. DRAIN FLOW 11. UNIT PLUGGED IN Sales Tax Exempt r /�
5. TIMER SETTINGS `T- 12. BYPASS CHECKED
6. WATER PRESSURE 13. THANK CUSTOMER
7. CHECK FILTERS 14. LOCK DOOR ;- --- Amount Due __ M
--Q Corrective Measures Taken - ----�-----�-
-- ---------
90vice Received By f Dat e ___ Se �v ii?,e By / Date
PREVIOUS bALANGt: $0.00
DATE' -' QUANTITY DESCRIPTION ".:REF AMOUNT BALANCE
07/22/2016 1.00 CULLIGAN SERVICE CALL 80.00 80.00
07/22/2016 1.00 EVERPURE INSURICE COMM SALE 130.00 210.00
07/22/2016 1.00 FILTER RO KIT 37.95 247.95
ACCOUNTS ARE SUBJECT TO A LATE PAYMENT FINANCE CHARGE
FINANCE CHARGE SCHEDULE PLEASE PAY NEW
OVER PERIODIC RATE ANNUAL RATE GALANCEBEFORE
s 5 1.75' 1.00 ' AUG ' 5 Balance Due $247 . 95
TO 5 ()•0(1% (j•(10 % CHARGE -•Uo
0-30 31-60 51-90 Over 90 Next Deliveries
247.951 CI.UQ rI•CJCI O.00
Culligan cf Ec-one County -Bottled Water Available :.-:Call for - -
PO E 797 More Information!
Lekan-,n, IH 46053
.........
(755) 483-257 ) 317 R73-8772
SERVICE ADDRESS: _
CARMEL FIRE DEPT STATION #41
JII,1 SPELE:RII IG STATEMENT DATE j ACCOUNT NUMBER NAME
CI'•i"IC SQUARE
CAF:P1EL IH 4603" 07/31/3016 113738 CARMEL FIFE DEPT STP.TIOI,l 441
113738