319333 12/05/2017 u�.4qq
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J�/ "� . CITY OF CARMEL, INDIANA VENDOR: 371510
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ONE CIVIC SQUARE PURE WATER PARTNERS CHECK AMOUNT: $********55.00*
Via. CARMEL, INDIANA 46032 DEPT CH 19648 CHECK NUMBER: 319333
9y,, PALATINE IL 60055-9648 CHECK DATE: 12/05/17
SON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 195773 55.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371510 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PURE WATER PARTNERS IN SUM OF$ CITY OF CARMEL
DEPT CH 19648 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.
PALATINE, IL 60055-9648
Payee
$55.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Engineering
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
195773 42-390.99 $55.00 1 hereby certify that the attached invoice(s),or 11/22/17 195773 Department water system $55.00
2200 2200 2200 2200
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
Monday, December 04,2017
Jeremy Kashman
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 5-11-10-1.6
,20
Clerk-Treasurer
VIEW ACCOUNT • BACK
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PURE WATER
DEPT CH19648ARTNERS November 22nd, 2017
PALATINE IL 60055-9648
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1oz-#10-1262-126s YOUR ACCOUNT
CITY OF CARMEL Account Number: 15149
-�: ATTN ENGINEERING
1 CIVIC SQ Contract Number: 550-0015149-001
CARMEL IN 46032-2584 Invoice Number: 195773
'�I�"IIID"IIIII"'I'II���II'IIIA'���III'lll'I'll'�'�II�III'�II Invoice Date: 11/22/2017
Current Period Due
- $55.00
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Your invoice is due Monday, December 25th, 2017. Please remit payment to avoid late
charges.This invoice does not include previously billed and unpaid amounts of $60.00.
Also consider paying online and setting up autopay.
Customer Service
For equipment service or for new orders please call: 866-621-6910 Office H2O
For online payment or account issues call Paydici: 855-729-3424 x1 or email support@paydici.com
For billing inquiries Call: 866-630-1608 or EMAIL billingsupport@financial-svcs.com
Tax ID Number(TIN): 46-3033694, BILLING PERIOD: 11/26/2017 to 12/25/2017
Download invoices,. pay online.
go to www.purewaterpartners.com/access
Enter Activation Code: H8CE-B2MV-KPCG-7l3Q8