HomeMy WebLinkAbout326411 06/15/18 ® f` CITY OF CARMEL, INDIANA VENDOR: 367211
ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $*****4,787.00*
CARMEL, INDIANA 46032 8824 UNION MILLS DR. CHECK NUMBER: 326411
P.O.BOX 157 CHECK DATE: 06/15/18
CAMBY IN 46113
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 44670 4,787.00 OTHER EXPENSES
VOUCHER NO. 181795 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 367211 IN SUM OF$ 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
$4,787.00 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
44670 01-6180-03 $4,787.00 and received except 6/6/2018 44670
$4,787.00
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
WATER
SOLUTIONSrh V G,
' CE'
A :UNLIMITED
P.:O, Box 157 Invoice'Number:: 44670
8824,Union Mills DY. Invoice Date:: : May 31, 2018
CAMBY, IN 46113Page: :. 1
Voice: (317)736-6868
:..: Fax:: (317)736-4322:
CARMEL UTILITIES a CARMEL UTILITIES ...
3450:W..131ST STREET ::.. :: 4915 E. 106TH ST..:::
CARMEL-, IN 46074 . ... . . . PLANT.1:.. . .. .
USA CARMEL;SIN: 4.6033
USA. .. .
n> � WSU pelivery" Receipt No t �,�,, ayment�'erms
:. .CARMEL. .. SO16104681.. .. . . .. . ..Net 30 Days
es Repap : TM Z.Shipping Method Ship Date _.z. Due Date:
DH DAVID;HARVEY.
WSU-CAMBY 5/31/18 6/30/18
Quantity s =Item u. De`scnpt�on Unit Price Amount
M
4,400.00 FLUORIDE LBS;SODIUM FLUORIDE 50#BAG 1.08 ;4,752.00
. .. ..
1.00: :DELIVERY CHG 35.00 .: : . 35.00
. ...... . .
Subtotal
.. .. 4,787.
Sales Taz
4,787.00,
Subtotal Invoice Amount
.
q.
-Check/Credit Memo No: Freight Amount
Please remit payment to: Please:include your invoice:number on you rcheck.
Water Solutions Unlimited, Inc:
P.O. Box 157.. ..
Camby, IN 46113 = __
WATER
SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE
UNLIMITED
FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL
8824 UNION MILLS DR. CARMEL UTILITIES
CAMBY,IN USA
317-7366868
www.getwsu.com SHIPTO: 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 DELIVERY DATE
CARMEL 16104681 DH SU-CAMBY TH 7078 6112018 6112018
QTY SHIPPED PACKAGING HM DESCRIPTION NETWT(LB) GROSS WT(LB) CLASS
88 50 LB BAG X UN1690,SODIUM FLUORIDE SOLID,6.1,111 4400 4400
ncEivEn�
DRAM S 31
PO#�
ACCT#
USE ,Pla►,f 5� �n
For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Call CHEMTREC Day or Night-Within USA and Canada: 1.800.424-9300
saMsw(WNpM®Alerttowrtxtbey 4400 4400
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FREIGHT CHARGES:
CODREMrTTOADDRESS: COD Amt$ TOTAL CHARGES:$
COD FEE: Collect q COIIeCt q Prepaid q
Prepaid
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CUSTOMERS AGENT SHIPPER'SAGENT �M
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