324567 04/25/18 r Cqy.
CITY OF CARMEL, INDIANA VENDOR: 371510
® ONE CIVIC SQUARE PURE WATER PARTNERS CHECK AMOUNT: $********55.00*
x aa; CARMEL, INDIANA 46032 DEPT CH 19648 CHECK NUMBER: 324567
gMf'ro`ri E�' PALATINE 1060055-9648 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 236388 55.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371510 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PURE WATER PARTNERS
IN SUM OF$ 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
236388 42-390.99 $55.00 1 hereby certify that the attached invoice(s),or 3/21/18 236388 Dept water system $55.00
2200 2200 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
Monday,April 23,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VIEW ACCOUNT DETAILS ON BACK
(; purewater partners'
PURE DEPT CH 19648ARTNERS March 21st, 2018
PALATINE IL 60055-9648
1oz-#10-1325-1331 YOUR ACCOUNT
CITY OF CARMEL Account Number: 15149
ATTN ENGINEERING
1 CIVIC SQ Contract Number: 550-0015149-001
CARMEL IN 46032-2584 Invoice Number: 236388
'1111'll'llllllll"I'1111111'11111"II"I'I"IIIIIIIIIIIII'lllll' Invoice Date: 3/21/2018
Current Period Due
-- $5-5.00 ` -- _
Your invoice is due Wednesday, April 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): 30-1022340, BILLING PERIOD: 03/26/2018 to 04/25/2018
Z2ao— 4239099
Download invoices, pay online.
go to www.purewaterpartners.com/access
Enter Activation Code: H8CE-B2MV-KPCG-7BQ8
Statement March 21 st,2018 Page 2 of 2
Recent Activity
Contract Description Amount Tax Total Due
550-0015149-001 Water System
Payment Due $55.00 $0.00 $55.00
Current Period Due as of 3/21/2018 $55.00 $0.00 $55.00