HomeMy WebLinkAbout307741 01/27/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 367211
"ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $`• `4,787.00`
CARMEL, INDIANA 46032 PO BOX 347 CHECK NUMBER: 307741
FRANKLIN IN 46131 CHECK DATE: 01/27/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 40578 4,787.00 OTHER EXPENSES
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WATER INVOICE
SOLUTIONS
UNLINKED
P. O. Box 347 Invoice Number: 40578
295 Industrial Drive Invoice Date: Jan 12,2017
Franklin, IN 46131 Page: 1
Voice: (317)736-6868 Duplicate
Fax: (317)736-4322
CARMEL UTILITIES CARMEL UTILITIES
3450W. 131ST STREET 4915 E. 106TH ST.
CARMEL, IN 46074 PLANT 1
USA CARMEL, IN 46033
USA
CARMEL SO 16101117 Net 30 Days
DH DAVID HARVEY WSU-FR 1/12/17 2/11/17
fl<br#
4,400.00 FLUORIDE LBS, SODIUM FLUORIDE 50#BAG 1.08 4,752.00
1.00 DELIVERY CHG 35.00 35.00
1 SKID TO PLANT 1, 1 SKID TO PLANT 5
Subtotal 4,787.00
Sales Tax
Subtotal Invoice Amount 4,787.00
Check/Credit Memo No: Fre ig ht Amount
------------------
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Please remit payment to: Please include your invoice number on your check.
Water Solutions Unlimited, Inc.
P.O. Box 347
Franklin, IN 46131
WATER
SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE
UNLIMITED
FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL
FRANKLIN,IN USA CARMEL UTILITIES
317-7368868
www.getwsu.com
SHIPTO: CARMEL UTILITIES
US DOT HAZMAT REG NO.:0610816 551 020Y ATTN: JERRY CLOUD
4915 E.106TH ST.
CARMEL,IN 46033
317-7163909
CUSTID DELIVERY RECEIPT NO SALESID SHIP Vb`wq PO NUMBER SHIP DATE DELIVERY DATE
CARMEL 16101117 DH WSU-FR 1kh1.6B26' Itl" 1/12/2017 1/122017
OTY SHIPPED PACKAGING HM DESCRIPTION NET WT(LB) GROSS WT(LB) CLASS
88 50 LB BAG X UN1690,SODIUM FLUORIDE SOLID,6.1,III 4400 4400
Received : Alf 3-392
Date : i t
T # . �.
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DELIVERY INSTRUCTIONS: i SKID TO PLANT 1,1 SKID TO PLANT 5
For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Call CHEMTREC Day or Night-Within USA
and Canada: 1-800,424-9300
Sphma wegMeaga m oma uon): 4400 4400
This ism cerdly that tha above named mwerlels are aroo.dY classified,Packaged,marked,and labeled,and we in Proper condition for transportation according m one eppikeble regulefions of the DOT.
NOTE:Where Be rate is dependent on value,shippers are required to state specifically in%siting the agreed or declared value of the property.The agreed or declared value of the property is hereby specifically slated by the shipper to be 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: