HomeMy WebLinkAbout319560 12/12/17 ,ii.CAF,yff_
CITY OF CARMEL, INDIANA VENDOR: 371008
ONE CIVIC SQUARE WATERCHEM INC CHECK AMOUNT: $*****8,188.00*
CARMEL, INDIANA 46032 1609,OLD FARM LANE CHECK NUMBER: 319560
CHESTERTON IN 352047080 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN4136 8,188.00 OTHER EXPENSES
VOUCHER NO. 176849 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 371008 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
WATERCHEM, INC CITY OF CARMEL
1609 OLD FARM LN. An invoice or bill to be properly itemized must show: kind of service,where performed,
CHESTERTON, IN 46304 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
$8,188.00 371008 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR WATERCHEM, INC Terms
Carmel Wasterwater Utility 1609 OLD FARM LN. Due Date
BOARD MEMBERS
I hereby certify that that attached invoice CHESTERTON, IN 46304
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
IN4136 01-7182-05 $8,188.00 and received except 11/28/2017 IN4136 $8,188.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
Clerk-Treasurer
Waterehem, Inc
1609 Old Farm Lane
Chesterton, IN 46304
Phone 317-201-6105 Fax 317-858-0657
DATE: November 20, 2017
INVOICE# IN4136
Bill To: Carmel WWTP Ship To: Carmel WWTP
9609 Hazel Dell Parkway .9609 Hazel Dell par
Indianapolis, IN 46280
Comments or Special Instructions:
SALESPERSON P.O. NUMBER SHIP DATE SHIP VIA F.O.B. POINT TERMS
Denise Carter ; S17809-. . ;11/13/2017 Best Way Riceb oro, GA Net 30 Days
QUANTITY DESCRIPTION UNIT PRICE, -' AMOUNT
9200 lbs. WC 854 Polymer $.89%Ib '$8,188.00
SUBTOTAL $8,188.00
TAX RATE
SALES TAX
SHIPPING-&HANDLING
4
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..• . - . AL
Make all checks payyable to Waterchem, Inc:
If you have any questions concerning this invoice, contact N(Deni§e Carter, 317-201-61-05, waterchem@indy.-rr.com
THANK YOU FOR YOUR BUSINESS!