308237 02/13/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 369915
ONE CIVIC SQUARE QUENCH CHECK AMOUNT: $********44.00*
CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 308237
PHILADELPHIA PA 19178 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 200635080 44.00 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369915 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
QUENCH IN SUM OF$ CITY OF CARMEL
P.O. BOX 781393 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
PHILADELPHIA, PA 19178
Payee
$44.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
200635080 42-389.00 $44.00 1 hereby certify that the attached invoice(s),or 2/1/17 200635080 $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,January 31,2017
Huffman, Dave
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 5711-10-1.6
, 20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
(19&&
• quench Contract Invoicing
PO Box 781393
Account Number: D062495
Philadelphia, PA 19178-1393 Invoice Number: 200635080
Invoice Date: 02/01/2017
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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 02/11/2017 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 01/06/17 -- 02/05/17 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