HomeMy WebLinkAbout311612 05/30/17 9W S!M
`'� CITY OF CARMEL, INDIANA VENDOR: 354047
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ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $'"''"*71.30'
s� r' CARMEL, INDIANA 46032 7765 EAST US HIGHWAY 36 CHECK NUMBER: 311612
+,; AVON IN 46123 CHECK DATE: 05/30/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3229579 71.30 OTHER EXPENSES
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A INVOICE
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The Home Water ExpertsTM Order No. SI-3229579 Written By N LAMES Order Date 05/17117
7785 East US Highway 36 Account# 150286
Avon, IN 46123e�� Technician EMOORMAN Serv. Datefhu. 05!181117
www.ilovemywater.com Bill to Account# 13250"1
Route No Sequence 0
Name Citti,of Carrrr--! HHW Dept.
Last Del. SAS 07/12116 17
Address 901 N Hange'ine Rd-
City Carmel INI 46032
Install Date Customer Installed
Phone# 317571-26,Z
Hardness gpg Iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time
NPeople
Comments:
NOT C;PEN ON MONDA)'S-TUESTHRU SAT -IF NOT THERE CAN
LEAVE AT CITY OF CARMEL SEWER DEPT -SAME ADDRESS
Esp.Qty- Act-Qty. No- Description Tax% Price Total
12 5A_, 5 Galion.Aoua Systems bottle 0 550 (�
12 j DSAS Deposit 5 gall-on Aqua Systems 0 6.00
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RS:RS RTN 5.ga! Aqua Systems bottle _ 0 0.00
1 CONK Convenience fee 0 5.30
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Scheduled Deliveries: 05/18/176>
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Customer is taxable __....
r RENTAL WARRANTY
-_ Please pay from this bill. No
CHARGE RETURN
' her bill' will be mailed. Upon
Next Delivery Date 05/-181'17
rec ipt of merchandise or
j se is customer agrees to / f_
full by'"due date. If
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Service/Delivery Tech. , ,/ m tis not received,you are .
�� i s . o collection fees,court - • Q _
Customer Name-Please Print
costs an ttorney fees.
Customer Signature
I hereby acknowledge satisfactory completion of above described w
30 Day Labor Warranty Due Date 06J25/17'