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315456 8/30/2017
CITY OF CARMEL, INDIANA VENDOR: 358403 Yc` CHECK AMOUNT: $*****1,750.00* '•_ ONE CIVIC SQUARE CHARDON LABORATORIES INC CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 315456 -�MCrorc°'. REYONO DSBURG OHROAD 43068 CHECK DATE: 08/30/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 I0162432 1,750.00 OTHER CONT SERVICES 0 w -4 > n < « \ § § § k z k 0 A # > 0 / @ qcr q n 0 m z m K § 2 C E D < 2 2 / § C. --I a § M69 0 m R � I Q 0 k O k (A) X § @ ;0 $ / q W m > 3 \ \ CL \ 0 o # k ° > 2 § 0 w } 2> -n O -4 0 O Z | � 8 Z £ _ J % a E » > nCD . m (n r PL CD / C / c 0 C _ £ l< 0 m � ^ � / k CD k \ m / CL 0 f 0 ( 3 _ C m , £ E > 9 » C e @ t k § / ) } \ § ' \ \ C ° CL CD E 2 K k / / & f - * ƒ § Z C 3 o / k� \ @ m U) CLl -4 § m k U). 03n CD [ # D / 2 ) \ E ° � § c < ° ( /} o ( § 0 E ] _ w # m 0 \ C ° CD0 ~ Z > 0 \� CD / C-) e /0. cr ,CD © C#) CD(/ ¢ )o & [ 0 D 0qCL > 03 :3 / \ Q / 0 U / \ * G z CD CD ] r / ) = c , q 2 w � § CD CD » n § 2 2 CD M f ) / ƒ a CL /\ k _ fA 2 ( k \ 8 ® / CHARDON LABORATORKS Corporate Service&Research Center Invoice No. 10162432 7300 Tussing Road Reynoldsburg,Ohio 43068 1.800.848.9526 Fax: 614.759.2558 Web: www.chardonlabs.com SOLD TO SHIP TO ACCOUNTS PAYABLE JOHN DUFFY CITY OF CARMEL-DEPT OF ADMIN CARMEL ENERGY CENTER ONE CIVIC SQUARE 777 THIRD AVENUE SW CARMEL, IN 46032 CARMEL, IN 46032 To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed information on these schedules,please see you Master Service Agreement. CUSTOMER P 0 NO. TERMS SAI FS PI PSON CUSTOMF R NO INVOICE DATE NET 30 MARK HEIRBRANDT 297709 4/16/2017 ZSERVICE PowerPure/Tower/Loop service 1,750.00 1.00 1,750.00 Subm tied To AUG 2 9 2017 Clerk Treasurer REMIT TO: CHARDON LABORATORIES, INC. ACCOUNTS RECEIVABLE Sales Total 1,750.00 7300 TUSSING ROAD Trade Discount 0.00 REYNOLDSBURG, OHIO 43068 Shipping&Handling 0.00 Misc.Charges 0.00 We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00 requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 1,750.00 United States Department of Labor issued under Section 14,thereof. Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00 1,750.00