325065 05/09/18 CITY OF CARMEL, INDIANA VENDOR: 371510
ONE CIVIC SQUARE PURE WATER PARTNERS CHECK AMOUNT: $"*'"""**55.00"
CARMEL, INDIANA 46032 DEPT CH 19648 CHECK NUMBER: 325065
y.TON,`o, PALATINE IL 60055-9646 CHECK DATE: 05/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 246622 55.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371510 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PURE WATER PARTNERS IN SUM OF$ 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
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Engineering
Date Due
PO# ACCT* DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
246622 42-390.99 $55.00 1 hereby certify that the attached invoice(s),or 4118118 246622 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
Tuesday, May 08,2018
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
Clerk-Treasurer
VIEW ACCOUNT ON BACK
purewaterpartners-
PURE
DEPT CH 19648ARTNERS April 18th, 2018
PALATINE IL 60055-9648
1oz-#10-1317-1438 YOUR ACCOUNT
CITY OF CARMEL Account Number: 15149
ATTN ENGINEERING
1 CIVIC SQ Contract Number: 550-0015149-001
CARMEL IN 46032-2584 Invoice Number: 246622
II'1111'll'll�'��III'I'1111'IIIII�IIIII'll�l"I�I�IIIII'I'I�III�I Invoice Date: 4/18/2018
Current Period Due
`Z-?o 0 y'239 o q 9 $55.00
Your invoice is due Friday, May 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@p
For billing inquiries Call: 866-630-1608 or EMAIL billingsupport@financial-svcs.comFAPRC3
EIVED
Tax ID Number(TIN): 30-1022340, BILLING PERIOD: 04/26/2018 to 05/25/2018
0 2018
CARMEL 4-
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