306884 1/06/17 w 4�'4a CITY OF CARMEL, INDIANA VENDOR: 369915
QUENCH
P.O.
CHECK AMOUNT: $*`****""44.00*
g ONE CIVIC SQUARE P.O.BOX 781393 CHECK NUMBER: 306884
CARMEL, INDIANA 46032 PHILADELPHIA PA 19178 CHECK DATE: 01/06/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
OTHER MAINT SUPPLIES
2201 4238900 200615497 44.00
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quench Contract Invoicing
Account Number: D062495
PO Box 781393
Philadelphia, PA 19178-1393 Invoice Number: 200615497
Invoice Date: 01/01/2017
Page ] of 1
Bill To: Carmel City Street Dept Customer Service: 1 (888)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 01/11/2017 N/A Miller,Katherine E.
Qty Equipment Contract Line Description
1 CHILLER3-UV-HC-CT-U N000068489 1 Quench 640
Quench 640
Installed at:Carmel City Street Dept -Westfield,IN,3400 W 131 St,Westfield,IN 46074
Location
Unspecified
Billing Period 12/06/16 -- 01/05/17 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 1