HomeMy WebLinkAbout305266 11/14/16 +ui.C4gM
CITY OF CARMEL, INDIANA VENDOR: 369915
J4/ "tl ONE CIVIC SQUARE QUENCH CHECK AMOUNT: $...."""44.00•
:ro ,=a CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 305266
.y��TON�, PHILADELPHIA PA 19178 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 200573243 44.00 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
QUENCH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
P.O. BOX 781393 IN SUM OF$ 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
200573243 42-389.00 $44.00 1 hereby certify that the attached invoice(s),or 11/1/16 200573243 $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, November 01,2016
Dave Huffman
Director
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
• ' quench Contract Invoicing
(S )e
PO Box 781393 Account Number: D062495
Philadelphia, PA 19178-1393 Invoice Number: 200573243
Invoice Date: 11/01/2016
Pagel of 1
Bill To: Carmel City Street Dept Customer Service: 1 (88.8)765-7873
3400 W 131 St
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 11/11/2016 N/A I Miller,Katherine E.
Qty Equipment Contract Line Description
1 CHILLER3-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 10/06/16 -- 11/05/16 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 l