HomeMy WebLinkAbout323263 03/21/18 �Gqq'-
CITY OF CARMEL, INDIANA VENDOR: 367113
d 'r ONE CIVIC SQUARE WATER SERVICES GROUP CHECK AMOUNT: $ ....229 00'
s ;a: CARMEL, INDIANA 46032 4914 FOUNDERS COURT CHECK NUMBER: 323263
9,;,_TON. ` ANDERSON IN 46017 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 100992 229.00 OTHER EXPENSES
. 1
i
VOUCHER NO. 185017 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 367113 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
WATER SERVICES GROUP CITY OF CARMEL
4914 FOUNDERS COURT An invoice or bill to be properly itemized must show: kind of service,where performed,
ANDERSON, IN 46017 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
229.00 367113 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR WATER SERVICES GROUP Terms
Carmel Wasterwater Utility 4914 FOUNDERS COURT Due Date
BOARD MEMBERS
I hereby certify that that attached invoice ANDERSON,IN 46017
(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
100992 01-7362-06 $229,00 and received except 3/13/2018 100992 $229.00
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
INVOICE# 100992
WSG.t-ap-Aft
4914 Founders Court/Anderson,Indiana 46017
Tel.(765)617-5193/Fax:(765)378-0562
WATER-SERVICES GRoup
INVOICE
Sold To: Misc -7
Name Carmel WWTP Date 2/28/2018
Address 9609 Hazel Dell Parkway P.O.# Verbal Jeff
City Indianapolis State IN ZIP 46280 Terms: Net 30 days
Attention: Accounts Payable Site: Carmel WWW
Qty Description Unit Price TOTAL
1 Testing of Boiler system for pH and concentration on 2/5/18 $'. -, 75:00
1 Samples collected for Manufacturer Testing&The Hill Company $ 25.00
1 15 gallon drums of 50% Inhibited Propylene Glycol to site 2/7/18 $ - 104.00-
1 Samples collected from drums on site for testing of manufacturer 2/7/18 $`, 25.00
Please provide a copy of your tax exemption cerFcate with payment
Order confirmation by Jeff Cooper
SubTotal $ 229.0.0`
Shipping $ -
Payment Tax Rate(s)
Payable To: Mike Heirbrandt,Agent for WSG TOTAL $: 229.00.
11995 Dee" "rv+ralk l?ri�e
Cicero, iN 46034 Office.Use Only
(765)617-5193
WSG4914 Founders a 'Anderson,Indiana 46017