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HomeMy WebLinkAbout325104 05/09/18 r Gqq. CITY OF CARMEL, INDIANA VENDOR: 367211 ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $****10,000.00* ?4 CARMEL, INDIANA 46032 8824 UNION"MILLS DR. CHECK NUMBER: 325104 P.O.BOX 157 CHECK DATE: 05/09/18 CAMBY,IN 46.113 - DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBERAMOUNT DESCRIPTION 609 5023990 44260 10,000.00 OTHER EXPENSES VOUCHER NO. 181393 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 367211 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER WATER SOLUTIONS UNLIMITED INC CITY OF CARMEL 8824 UNION MILLS DR An invoice or bill to be properly itemized must show: kind of service,where performed, PO BOX 157 dates service rendered, by whom, rates per day, number of hours, rate per hour, CAMBY, IN 46113 numbers of units, price per unit,etc. Payee $10,000.00 367211 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR WATER SOLUTIONS UNLIMITED INC Terms Carmel Water Utility 8824 UNION MILLS DR Due Date BOARD MEMBERS PO BOX 157 I hereby certify that that attached invoice(s), CAMBY, IN 46113 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 44260 07-1052z23 $10,000.00 and received except 4/25/2018 44260 $10,000.00 "Connection 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 WATER SOLUTIONSN VO I C E � - -IMITED N _. ... _Invoice Number: 44260 P.0. Box 157 Invoice Date: .:. . Apr.20, 2018 8824 Union Mills Dr. CAMBY, IN 46113 Page: : 1 Voice: (317)736-686.8. Fax: (317)736-4322 s Shipto �� CARMEL UTILITIES CARMEL UTILITIES 3450W. 131STSTREET 491.5 E. 106TH ST. :.. :. CARMEL, IN 46074 - PLANT 1.... - - USA CARMEL, IN .46033 USA. . . .� Customer"ID �� � WSU�f)e6very Receipt No Payment Terms ���. $ _-__ CARMEL S016104112 Net30 Days , Sales Rep IDp Shipping`Method art' Ship=Date Due Date : DH DAVID_HARVEY W S U-CAM BY .4/16/18 5/20/18 Quantity � Item �f Description � �lJnit Frice� Amount�� !1.00 FILTERMEDIA EA, FILTER-MEDIA PROJECT 10,000.00 101000.00 P O#KR 010418-B PLANT 1 w. as w s. Subtotal 10,000.00 Sales Tax Subtotal Invoice Amount 10,000.00: .: Amount Check/Credit Memo No: Freight. . TOTAL '(0,000 00 _. .. ::Please remit payment:to: Please:include your invoice number on your check. Water Solutions Unlimited, Inc. Box- .151'_. Camby, IN 46113._ ® WATER SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE UNLIMITED FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL 8824 UNION MILS DR. CARMEL UTILITIES CAMBY,IN USA 317-736.6868 w .getwsu.com SHIP TO: CARMEL UTILITIES US DOT HAZMAT REG NO.:0610816 551 020Y ATTN: JERRY CLOUD 4915 E.106TH ST. CARMEL,IN 46033 317-716-3909 CUSTID DELIVERY RECEIPT NO SALESID SHIP VIA PO NUMBER SHIP DATE DELIVERYDATE CARMEL 16104112 DH SU-CAMBY AS 5934 FILTER CLEANING JOB 4!712018 41W018 QTY SHIPPED PACKAGING HM I DESCRIPTION NETWT(LB) GROSS WT(LB) CLASS 4 55 GAL DRUM X UN2014,.HYDROGEN.PEROXIDE,AQUEOUS SOLUTIONS,5.1'(8), 2000 2100 II 22 275.6 LB DR WSU MC444 FILTER CLEANING AID(Contains Oxalic Acid) 6063 6270 10 50 LB BAG SODIUM BICARBONATE 500 514 Received : 33�0 ®ate: y .I Flo ACCT '#: cel©3 se.: 411 71 For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Call CHEMTREC Day or Night-Within USA and Canada:1-BOD-424-9300 SddeblIN.10 M.dmconeclianr 8563 8884 Thls Is to wNy dmt tm abme named mdedeb em pue&V dmaffied,packaged,marked,and labeled,and one In proper mrhmuoc for bmepormtlon aaadkp m Me aWcable regulaHo-of Me DOT. NOTE Where 11 rate T.dependent on value,shippers are required to state specifically in%TWM the agreed ordedamd value of the property.The agreed ordedered value of the property is hereby epedfically stated by the shipper to be not a ceading $ per COD REMIT TO ADDRESS: ICODAmt$ TOTAL CHARGES:$ FREIGHT CHARGES: CCD FEE: Collect q Collect q Prepaid q Prepaid RECEIVED.aupkdmki9Mdu%eeteMnoe mlae aemtreNdmtluwemha9�ead apm N�Me9 E�ween ae aderend di4Da5 Hep0�k�e.o9nMemm mb0.dalEuemu.mtl MstlmtMmbom edabONeE Mee embrmd em evel�lem Ae�bpe.en reC�et atl meeep0ee0b rttlaWmdsel rekdmmc ee Prap.cramvmee sews h�psaegcoeader,e�pree roma(ommnm and ommean dmiceb d Wdmko mmc.n),mabd,oa,dyea,�eeemea®Yhmodaa beleeehmh®m omnpmy(seemd mipirybehgvndanmoe v,ugartHe aoitred o memkig®e'per®n ormpmamnm wrkibis9eed m�Nr dPRpr1 1mdewrsed me.wrrudmad�i.m�meerd uaatl muse oesrdilau MmP M�. p w,IEmimwnmb NLa4.1 n sgwm Me QdbOe�®vmdItl,�mXm�erue UOM m,eememmin.doma�wMaem CUSTOMER'SAGENr SHIPPERSAGENT /t PRINTED NAME PRINTED NAME: 2- 1u1" SIGNATURE: SIGNATURE: