317231 10/11/2017 CITY OF CARMEL, INDIANA VENDOR: 354047 CHECK AMOUNT: S""""'"""71.30"
q ONE CIVIC SQUARE AQUA SYSTEMS
ro. CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK NUMBER: 317231
AVON IN 46123 CHECK DATE: 10/11/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 PSI3476355 71.30 OTHER EXPENSES
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A04LUA INVOICE
SY57 MS
7785 East US Highway 36
Avon,IN 46123 Invoice Number. PSI-3476355
PHONE:(317)272-3000 or(800)447-5582 Sales Order Number:
FAX:(317)272-5000
Invoice Date: 9/28/2017
Page: 1
Bill Ship
To: City of Carmel Sewer Dept-Carmel Utilities To: City of Carmel HHW Dept.
Lisa Bill
30 West Main St 901 N Rangeline Rd.
Ste 220 Carmel,IN 46032
Carmel,IN 46032 USA
USA
Ship Via Customer ID 132505
Posted Date 9/28/2017 P.O.Number
Due Date 10/25/2017 P.O.Date 9/26/2017
Shipment Method FOB Shipping Point Ship Date 9/28/2017
Sales Person Todd Little Service No. SI-3308954
Next Delivery Date
Item No. Description Unit Quantity Unit Price Total Price
5AS 5 Gallon Aqua Systems Bottle Each 12 5.50 66.00
D5AS Deposit 5 gallon Aqua Systems Each 12 6.00 72.00
R5AS RTN 5 gal Aqua Systems bottle Each -12 6.00 -72.00
CONFEE Convenience fee Each 1 5.30 5.30
Amount Subject to Sales Tax 0.00 Subtotal: 71.30
Amount Exempt from Sales Tax 71.30
Total Sales Tax: 0.00
Freight: 0.00
e0y,
Total: 71.30
THANK YOU FOR YOUR BUSINESS