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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 Thla h to mull,est ere wove need mandalsam Prp&V claeeleed.packaged,owdAand labeled,and me b Proper m.&dm.for transportation-0V ere ep dfl.mpuleeas or me Dor. NOTE Where the rete Is deperMeM an vahm.ahlppam em mquimd to elate specifically In vetting Bre agreed or declared value of the property.The agreed or dedamd value of the property M hereby sped8catiy elated by the chipper to be net a...ding S per FREIGHT CHARGES: CODREMrTTOADDRESS: COD Amt$ TOTAL CHARGES:$ COD FEE: Collect q COIIeCt q Prepaid q Prepaid RECEIVED,miEjedmYmdduyeamnmintl mnammamein Mrebeen apace upmnvaena Eeeremiam arMrmq Nlam,R�pevde.aeeMaebm,area,aeeemmmv,neNa met Mus Even eaeuenea Mmermlerene me amletleb meWam,n mmmt and mel apo®de mete mtlmem.I Iep�6lme:dm RapeM aawmea.mr.m eammapme mire,mapin roma(omimnb mtl mMmn aeomm�eorwwpn melmap.mmlee,mrdprma,ew aeeama n tremae Eenrrsaei,.aM mnpenlRe.ad marry EeK mtlm>mme aleu0edeue mneme manna em/pmeen ampseea N pen.wmdme Pae,ya�e.m�E.a).eeeemmrrmemevnwdeewnsen.emee mum,ermminmeewsm.m,r mdermue®nem Waea.e�nn.ubmuemor.areeanma.ar®ReroeEovenymem Pmpenywntl>nyponlma�amummeeeumuar�.�dmm�drpoymuc ren hbeLe n named We P,amryerrevW mrla b b prbimtlhmrmdm Ntl M mlmbtl ermavva MplvsEeee Mlrm.eereim Prime ormeea I..n mishm4whH1 w hmeEyeprnmgMwerrmtlesaPee bhbmaRmd he ee.Imn CUSTOMERS AGENT SHIPPER'SAGENT �M PRINTED NAME PRINTED NAME: �/4 SIGNATURE SIGNATURE: mW �J