HomeMy WebLinkAbout306225 CITY OF CARMEL, INDIANA
VENDOR: 367211 CHECK AMOUNT: 5"""3,285.00"
ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK NUMBER: 306225
PO BOX 347
'' ?a CARMEL, INDIANA 46032 FRANKLIN IN 46131 CHECK DATE: 12112116
AMOUNT DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER 3,285.00 OTHER EXPENSES
609
5023990 40323
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WATER
SOLUTIONS INVOICE
UNLIMITED invoice Number: 40323
P. O. Box 347
295 Industrial Drive 1 nvo ice Date: Nov 30,2016
Franklin, IN 46131 Page: 1
Voice: (317)736-6868
Fax: (317)736-4322
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CARMEL UTILITIES CARMEL UTILITIES
3450 W. 131ST STREET 4915 E. 106TH ST.
CARMEL, IN 46074 PLANT 1
USA CARMEL, IN 46033
USA
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CARMEL S016100744 Net 30 Days
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DH DAVID HARVEY WSU-FR 11/30/16 12/30/16
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13.00 POLYMER 2712 5GAL, POLYMER 2712 5 GAL PAIL 250.00 3,250.00
1.00 DELIVERY CHG 35.00 35.00
Subtotal 3,285.00
Sales Tax
Subtotal Invoice Amount 3,285.00
Check/Credit Memo No: Freight Amount
sq
Please remit payment to: Please include your invoice number on your check.
Water Solutions Unlimited, Inc.
P.O. Box 347
Franklin, IN 46131
46WATER
SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE
UNLIMITED
FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL
FRANKLIN,IN USA CARMEL UTILITIES
317-736-6868
vyww.getvvsu.com
SHIP TO: CARMEL UTILITIES
ATTN: JERRY CLOUD
4915 E.106TH ST.
CARMEL,IN 46033
317-716-3909
CUSTID DELIVERY RECEIPT NO SALESID SHIP VIA PO NUMBER SHIP DATE DELIVERY DATE
CARMEL 16100744 DH WSU-FR MR 1 11/30/2016 11/30/2016
QTY SHIPPED PACKAGING HM DESCRIPTION NET WT(LB) GROSS WT(LB) CLASS
13 5 GAL PAIL POLYMER 2712 5 GAL PAIL 546 585
Receiv d : �3
Date : /I- 3,v
PO _J m l 1 22/�
ACCT #: 0-7
use : lA�� F `r ie
For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Call CHEMTREC Day or Night-Within
USA and Canada: 1-800.424-9300
Subtotal(Might subject tocorrection): 546 585
This is to oeoly that ate above named materials are pmpedy classified,packaged,marked,and labeled.end are in proper condition for transportation a000rdi,g to the applicable regulations of the DOT.
NOTE:Where the rate is dependent on value,shippers are required to state specifically in wdeng the agreed or declared value of the property.The agreed or declared value of the property is hereby specifically stated by the shipper to bre not
exceeding $ per
COD REMIT TO ADDRESS: COD Amt:$ TOTAL CHARGES:$ FREIGHT CHARGES:
COD FEE: Collect q Collect q Prepaid q
Prepaid
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CUSTOMER'S AGENT SHIPPER'S AGENT
PRINTED NAME: PRINTED NAME:
SIGNATURE: SIGNATURE: