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HomeMy WebLinkAbout320977 01/17/18 �4q"fCITY OF CARMEL, INDIANA VENDOR: 369915 . q ONE CIVIC SQUARE QUENCH CHECK AMOUNT: $********44.00* CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 320977 9 �roeE°` PHILADELPHIA PA 19178 CHECK DATE: 01/17/18 DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 INVO0994479 44.00 OTHER MAINT SUPPLIES Prescribed by State Board of Accounts City Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. Vendor# 369915 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER QUENCH IN SUM OF$ CITY OF CARMEL P.O. BOX 781393 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. PHILADELPHIA, PA 19178 Payee $44.00 ON AC_ COUNT OF APPROPRIATION FOR Purchase Order# Street Department 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 INVO0994479 42-389.00 $44.00 1 hereby certify that the attached invoice(s),or 12/1/17 INVO0994479 $44.00 2201 2201 Prior Year 2201 2201 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,January 15,2018 Huffman, Dave 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Quench USA, Inc. q u e n c hG INVOICE P.O. Box 781393, Water-as-a-Service" Philadelphia, PA 19178-1393 Invoice No. INVO0994479 Invoice Date 12/01/2017 EIN: 26-3264642 Account No. D062495 Net Terms Net 10 Website: http://guenchonline.com Payment Method Check Due Date 12/11/2017 TOTAL DUE BY 12/11/2017 $44.00 InterestediinxSi041e>Cu,p Coffseef? Carmel City Street Dept Check out all the QuenchiCoff 6e,Service`Optlon`s at: Amy Lunn https://'guenchorilin:e:com7coffee service/ 3400 W 131 St Westfield, Indiana 46074 Equipment Address Contact Name Purchase Order 3400 W 131 St,Westfield, IN 46074 Amy Lunn • �- • • •- �- •e • •- 1 CHILLER3-UV-HC-CT-U N000068489 12/01/2017-12/31/2017 $44.00 1 $44.00 Subtotal: $44.00 Tax: $0.00 Total: $44.00 Payments & Adjustments Subtotal Freight Tax Invoice Amount Total Amount Paid Total Amount Due $44.00 $0.00 $0.00 $44.00 $0.00 $44.00 Please reference your invoice number on your remittance. Remit payment to: Quench USA, Inc. P.O. Box 781393, Philadelphia, PA 19178-1393 WHEN YOU PROVIDE A CHECK AS PAYMENT,YOU AUTHORIZE QUENCH EITHER TO USE THE INFORMATION FROM YOUR CHECK TO MAKE A ONE-TIME PAYMENT ELECTRONIC FUND TRANSFER FROM YOUR ACCOUNT OR TO PROCESS THE PAYMENT AS A CHECK.TRANSACTION. Billing Questions: billingP-guenchonline.com I Service:guenchservice(u?quenchonline.com I Phone: (888)765-7873