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Home My WebLink About320371 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 367211, ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $'•'••4,787.00` r- a� CARMEL, INDIANA 46032 6824 UNION MILLS DR. CHECK NUMBER: 320371 P.O.BOX 157 CHECK DATE: 01/04/18 CAMBY IN 46113 " DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 43185 4,787.00 OTHER EXPENSES VOUCHER NO. 173624 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 367211 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER WATER SOLUTIONS UNLIMITED INC CITY OF CARMEL 8824 UNION MILLS DR An invoice or bill to be properly itemized must-show: kind of service,where performed, PO BOX 157 dates service rendered, by whom, rates per day, number of hours, rate per hour, CAMBY, IN 46113 numbers of units, price per unit, etc. Payee $4,787.00 367211 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR WATER SOLUTIONS UNLIMITED INC Terms Carmel Water Utility 8824 UNION MILLS DR Due Date BOARD MEMBERS PO BOX 157 I hereby certify that that attached invoice(s), CAMBY, IN 46113 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 43185 . 01-6180-03 $4,787.00 and received except 12/12/2017 43185 $4,787.00 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 WATER SOLUTIONS wy UNLIMITED P. O. Box 157 Invoice Number:.: 43185 8824 Union Mills Dr.::. Invoice Date: Dec 7,2017 CAMBY,fN .46113 Pager. 1 Voice: (317)736-6868 .... . .. .Fax: (317)7364322 Bill To ; CARMEL UTILITIES CARMEL UTILITIES:- 3450W'. TILITIES:3450W. 131ST STREET 491.5 E. 106TH ST. :. CARMEL, IN 46074 . .. ... . .. PLANT 1... _... .... .. :USA - CARMEL, IN -46033 - USA . ..... Customeir;ID WSU Qelive `'Recut No moment berms _ `- CARMEL .. .. S016103316 Net 30 Days .. Sales Rep fD a..a Shpp�ng`Methodr Ship Date, Due Date q _.. DH DAVID HARVEY p p WSU-FR. 12/5/17 1/6/18 Quantity, Item . , _` f Descnpttori`. f Unit Prtce k r-' AMounf r"k 4,400..00 FLUORIDE LBS,.SODI_UM FLUORIDE 50#BAG 1.08 4;752.00 1.00. DELIVERY CHG. 35..00 . 35.00 Subtotal . . ..... :: .4..787.00 Sales Tax Subtotal Invoice Amount :: 4,787:00. CheckLCredit Memo No: Freight Amount..::. TOTAL ' 4,787 00 -Please remit payment to.. ;: Please-include your invoice;number on yourcheck. Water Solutions Unlimited, Inc. .::.: P.O. Box 3:47 . :: Franklin, IN 46131 : OMWATER SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE UNLIMITED FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL CAMBY,IN USA CARMEL UTILITIES 317-736868 ww gslvvsu.corn SHIPTO: CARMEL UTILITIES US DOT HAZMAT REG NO.:0610816 551 020Y ATTN: JERRY CLOUD 4915 E.106TH ST. CARMEL,IN 46033 317-716-3909 CUSTID DELIVERY RECEIPT NO SALESID SHIP VIA PO NUMBER SHIP DATE DELIVERY DATE CARMEL 16103316 DH SU-CAMBY AS 5934 12/5/2017 12/512017 QTY SHIPPED PACKAGING HM DESCRIPTION NET Wr(LB) GROSS WT(LB) CLASS 88 50 LB BAG XUN1690,SODIUM FLUORIDE SOLID;6.1,111 4400 4400 Ri ceivad ; Dc, t : I 7L P A T Use : a�ell��l�•�I��lr• DELIVERY INSTRUCTIONS: 1 SKID TO PLANT 5 AND 1 SKID TO PLANT 1 For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Call CHEMTREC Day or Night-Within USA and Canada: 1-800-424-9300 Subtotal(Weight subleot to conedon): 4400 4400 This la to ce,iy that Ne above nerved matedab are pmpady daaalfmd,packaged,mbd,ed,and labeled,and ere in propermndid..for bampanalfon according to the applkable mgulatmns of the DOT. NOTE:Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property.The agreed or declared value of the property Is hereby specifically staled by the shipper to be not exceeding $ per COD REMIT TO ADDRESS: COD Amt:$ TOTAL CHARGES:$ FREIGHTCHARGES: cOD FEE: Collect q Collect q Prepaid q Pra aid raEcarvaO.®m)ae m marmaaayanermbea rein«�mm mat na.e men aereee apen mwamg mmre.n me m,aerana.nlpper,aappnmm,em«.tre m me rets,daaelmamu,me wee uut cove men esmmaned sr me mMerem ere evdmue m are wrm>.�reamer ane m ae applmde•ram ane reaeml mgulemn•:ere Pmpeay aaeoMa ebma m apperw gme«ear.asnplea mlae Imnl•nb em mMpmn Mmntema alparlege•unmmxnl.merkb,mnelpnW,ane ee•mee m bdr ba b•bw M,kA,•ata romperry(me v.«a mmpaMmkq meeretma mrmghara w.mrheq ea meenmganY p•rean«mm«eden in posseadondme«omMme«ma mamu)agremmmrymaakvery ai mm aasmmmn,nmmmne.«ourenlsamaepvarmanom«caMaren me,r.aamadeaaaemma nbmameey egreea esmeeM ran�erme�«any Msw PmpaM ov�rm«aMp«Uon Msaia mummeasmamn ane a9meaM pear atony time mt•mst•e m el«eM Maam PrapeaymM avaryeaMw m m pamm�ae mmmder Map m mbjM m M Vm mMinons not PaNbnea by cox,wbem«piMad«xrimn mrem m«amee,r.1ticM1 ere mreby agree b by nra capper eM emepme 1«Nma¢tlend M1b esd�e CUSTOMERSAGENT SHIPPER'SAGENT PRINTED NAME: PRINTED NAME: / SIGNATURE: SIGNATURE: