320521 01/11/18 ,� << CITY OF CARMEL, INDIANA VENDOR: 371510:;:
d ONE CIVIC SQUARE PUREVATER PARTNERS CHECK AMOUNT: $********55.00*
a CARMEL, INDIANA 46032 DEPT CH-19648 CHECK NUMBER: 320521
9.hi TaN.�o` PALATINE IL 60055-9648 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 204840 55.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371510 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PURE WATER PARTNERS IN SUM OF$ 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
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT . Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
204840 42-390.99 $55.00 1 hereby certify that the attached invoice(s),or 12/20/17 204840 Engineering Dept Water System $55.00
2200 2200 Prim-Year 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
Friday,January 05,2018
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VIEW ACCOUNT DETAILS ON BACK
(� purewaterpartners-
PURE DEPT CH19648ARTNERS December 20th, 2017
PALATINE IL 60055-9648
loz-#10-1620-1911 YOUR ACCOUNT
CITY OF CARMEL Account Number: 15149
ATTN ENGINEERING
t 1 CIVIC SQ Contract Number: 550-0015149-001
CARMEL IN 46032-2584 Invoice Number: 204840
I'IIIIIIIIt'III"'IIIII"'IIII11'III"'III'll'IIIIIIIIIIIIIIIII" Invoice Date: 12/20/2017
Current Period Due
- - -
$-55.00-
Your
-55.0QYour invoice is due Thursday, January 25th, 2018. 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: 12/26/2017 to 01/25/2018
Download invoices, pay online.
go to www.purewaterpartners.com/access 2200 -42a�o49
Enter Activation Code: H8CE-B2MV-KPCG-7BQ8