HomeMy WebLinkAbout303286 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 354047
ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $ 71.30
r: ?Q CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK NUMBER: 303286
AVON IN 46123 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 PSI-3206942 71.30 OTHER EXPENSES
VOUCHER # 166156 WARRANT# ALLOWED
354047 IN SUM OF $
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3206942 01-720H-08 71.30
Voucher Total 71.30
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
354047
AQUA SYSTEMS Purchase Order No.
7785 EAST US HIGHWAY 36 Terms
AVON, IN 46123 Due Date 9/13/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/13/2016 3206942 71.30
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
AQUA INVOICE
SYSTEMS
7785 East US Highway 36
Avon,IN 46123 Invoice Number: PSI-3206942
PHONE:(317)272-3000 or(800)447-5582 Sales Order Number:
-- FAX.-(317)272-5000---__
Invoice Date: 7/12/2016
Page: 1
Bill Ship
To: City of Carmel Sewer Dept To: City of Carmel HHW Dept.
Lisa Bill
760 3rd Ave SW 901 N Rangeline Rd.
Carmel,IN 46032 Carmel,IN 46032
USA USA
Ship Via Customer ID 132505
Posted Date 7/12/2016 P.O.Number
Due Date 8/25/2016 P.O.Date 7/7/2016
Shipment Method FOB Shipping Point Ship Date 7/12/2016
SalesPerson Todd Little Service No. SI-3042236
Next Delivery Date
Item No. Description Unit Quantity Unit Price Total Price
5AS 5 Gallon Aqua Systems Bottle Each 12 5.50 66.00
D5AS Deposit 5 gallon Aqua Systems Each 12 6.00 72.00
R5AS RTN 5 gal Aqua Systems bottle Each -12 6.00 -72.00
CONFEE Convenience fee Each 1 5.30 5.30
Amount Subject to Sales Tax 0.00 Subtotal: 71.30
Amount Exempt from Sales Tax 71.30
Total Sales Tax: 0.00
Freight: 0.00
Total: 71.30
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