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Home My WebLink About328501 08/09/18 CAq- u' CITY OF CARMEL, INDIANA VENDOR: 368518 ® ONE CIVIC SQUARE CULLIGAN WATER OF BOONE COUNTYCHECK AMOUNT: $'•*"'"`275.95` CARMEL, INDIANA 46032 PO Box 797 CHECK NUMBER: 328501 ATTN: ACCTS RECEIVABLE CHECK DATE: 08/09/18 LEBANON IN 46052 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 275.95 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 368518 - ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CULLIGAN WATER OF BOONE COUNTY IN SUM OF$ CITY OF CARMEL PO BOX 797 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ATTN: ACCTS RECEIVABLE rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. LEBANON, IN 46052 Payee $275.95 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 0 43-501.00 $275.95 1 hereby certify that the attached invoice(s),or 8/3/18 0 $275.95 1120 101 1120 101 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,August 06,2018 David Haboush Fire Chief 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Culligan of Boone County Account Number Amount Due PO Box 797 113738 275.95 Lebanon,IN 46052 Closing Date Amount Remitted (765)482-2570 07/31/2018 (317)873-8772 Bill To: Deliver To: CARMEL FIRE DEPT STATION#41 CARMEL FIRE DEPT STATION#41 JIM SPELBRING JIM SPELBRING 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Closing Date:07/31/2018 Please pay new balance before Aug 25 RETURN THIS TOP PORTION WITH YOUR PAYMENT CALL TO SET UP DELIVERY TEXT NOTIFICATION!!! ACCOUNTS ARE SUBJECT TO A LATE PAYMENT FINANCE CHARGE FINANCE CHARGE SCHEDULE To avoid additional Delivery Dates are: finance charges Over Periodic . Annual please pay new Rate Percentage balance before $ 5 1.75% 21.00% Aug 25 To Min $ 5 0.00% 0.00% Charge 2.00 PREVIOUS BALANCE > 0.00 DATE QUANTITY TRANSACTION DESCRIPTION REFERENCE 07/26 1 CULLIGAN SERVICE CALL 80.00 07/26 1 EVERPURE INSURICE COMM SALE 130.00 07/26 1 FILTER AQUA CLEER RO KIT 65.95 FINANCE CHARGE > 0.00 NEW BALANCE > 275.95 Culligan of Boone County Balance Subject To Finance Charge 0.00 PO Box 797 Lebanon,IN 46052 Closing Date Account Number 07/31/2018 113738 (765)482-2570 (317)873-8772 Company Address Work Order -Directions Culligan of Boone County 126371 146TH TO CLAY TERRACE TO PO Box 797 RANGELINE RD PAST.8 STORY Lebanon,IN 46052 BLDG.1 ST STOP LIGHT/TURN RT 765-482-2570 317=873=8772 ON GRADLE DR.BY FOUNTAIN filling Address Serviced By CARMEL FIRE DEPT STATION#41. Schd:08:OOA-08:OOA. Service Address JIM SPELBRING Tax Ex CARMEL FIRE DEPT STATION#41 2 CIVIC,SQUARE JIM SPELBRING. CARMEL IN 46032 2.CIVIC SQUARE CARMEL IN 46032 Key.- #Fam/Loc- dsnyder@carmel.in.gov Account CELL. 1 CELL WORK Order Date Type Call Sched Dt Sery Dt 113738 317-557-3241 07/17/2018 Charge No 07/23/2018 Water Test 16/ Service Call Reason Salt Set Cont Info Installer MB RO-CHANGE 3 FILTERS Test Date Warr Date Prev Owner FILTER CHANGE Addn Equip. Addn Equip Addn Equip Addr1 Equip RO AND ENSURICE:FILTER DUE TO BE Addn Equip CHANGED Addn Equip Equipment Description Own Wty Dt Inst Dt Serial Number aAQUACL"EER:50.- C 0010010 06118114 RP14032164 EVERPURE INSUR-ICE 2000 C 00100/0 06/18/14 x061920142 - Parts and Materials Qty Pal Nbr .Description Price Total Service.History 08/01/20.17 RO.-CHANGE 3 FILTERS MB RO-ALL FILTERS.REPLACED 07/2:1/2016 RO-CHANGE 3 FILTERS RM R0.-ALL FILTERS REPLACED 07/14/2015 RO--CHANGE 3 FILTERS RM RO-ALL-FILTERS REPLACED Start Finish I Labor#Hrs @S perhr Trip Charge i Mileage @ /Mi Parts Total Labor Charge Checklist Parts Total 1. CHECK FOR LEAKS 8; CHECKED CYCLES _ 2. WATER TESTS 9. CLEAN UP Others Total / 3. LEFT IN REGEN 10. NEED SALT 4. DRAIN FLOW 11. UNIT PLUGGED IN Sales Tax Exempt 5. TIMER SETTINGS 12. BYPASS CHECKED 6. WATER PRESSURE 13. THANK CUSTOMER 7. CHECK FILTERS 14.. LOCK DOOR '7 G Amount Due 1 ' l Corrective.Measures.Taken ed By ate a By/Date