HomeMy WebLinkAbout302713 08/31/16 CITY OF.CARMEL, INDIANA VENDOR: 367113
® ONE CIVIC SQUARE WATER SERVICES GROUP CHECK AMOUNT: $""'2,132.00`
q CARMEL, INDIANA 46032 4914 FOUNDERS COURT CHECK NUMBER: 302713
ANDERSON IN 46017 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10811 2,132.00 OTHER EXPENSES
VOUCHER # 165967 WARRANT# ALLOWED
367113 IN SUM OF $
WATER SERVICES GROUP
4914 FOUNDERS COURT
ANDERSON, IN 46017
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10811 01-7202-06 1,392.00
10811 01-7362-06 740.00 f
Voucher Total 2,132.00
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
367113
WATER SERVICES GROUP Purchase Order No.
4914 FOUNDERS COURT Terms
ANDERSON, IN 46017 Due Date 8/17/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/17/2016 10811 2,132.00
1 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
INVOICE# 10811
WSG
4914 Founders Court/Anderson,Indiana 46017 7=:;;�
Tel.(765)617-5193/Fax:(765)378-0562
WATER SERVICES GROUP
INVOICE
Sold To: Misc
Name Carmel WWTP Date 8/42016
Address 9609 Hazel Dell Parkway P.O.# Verbal Jeff
City Indianapolis State IN ZIP 46280 Terms: Net 30 days
Attention: Accounts Payable Site: Carmel WWTP
Qty Description Unit Price TOTAL
1 Acid Cleaning of the AHU on Headworks Boiler on 7/28/16 $ 140.00
1 Flushing of boiler and piping with deionized water $ 300.00
1 Filling of Aluminum safe propylene glycol 50%to system $ 300.00
1 Removal of Acid Cleaner Solution $ -
4 55 gallon drums of 50% Inhibited propylene glycol $ 1,392.00
Please provide a copy of your tax exemption cerficate with payment
Order confirmation by Jeff Cooper
SubTotal $ 2,132.00
Shipping $ -
Payment Tax Rate(s)
Payable To: Mike Heirbrandt,Agent for WSG TOTAL $ 2,132.00
4914 FoutZders Court
Anderson, Indiana 46017 Office Use Only
617x519'3
SS#305-305-2$6
WSG*4914 Founders Ct 'Anderson,Indiana 46017