HomeMy WebLinkAbout329374 08/27/18 c,q
CITY OF CARMEL, INDIANA VENDOR: 367211
® ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $.....7,163.00•
CARMEL, INDIANA 46032 8824 UNION MILLS DR. CHECK NUMBER: 329374
P.O.BOX 157 CHECK DATE: 08/27/18
CAMBY IN 46113
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 45569 7,163.00 OTHER EXPENSES
VOUCHER NO. 182468 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 367211 IN SUM OF$ 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
$7,163.00 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
PO# ACCT# or bill(s)is(are)true and correct and that
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
45569 01-6180-03 $7,163.00 and received except 8/15/2018 45569 $7,163.00
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
SOLUTIONSINVOR
4w UNLIMITED
Invoice Number: 45
569
P.O: Box 157
8824 Union Mills Dr.. . ' . Invoice Date: .. : Aug 9,2018
CAMBY, IN 46113 Page:. 1
Voice: (317)736-6868 . .
: .: .Fax: (317)736-4322
..... ..... ... .
1131111"r = y> Ship to
y
CARMEL UTILITIES CARMEL UTILITIES"
3450:W..131 ST STREET ": . .4915 E. 106TH ST.
:CARMEL, IN 46074... PLANT.1.. .. _.
USA CARMEL,.IN:.46033
USA
Customer lb WSU°D61ivery Rete pt No _ � Payment Terms
CARMEL -: SO16105399 ..... ... Net 30 Days
"� .Sales RepID Shipping Methacl Ship„'Date. ” Due Date
DH DAVID:HAkVEY WSU-CAMBY : 8/7/18 9/8/18
Quantity, „' :item p Description "Unit Price Amount
::.6,600..00 FLUORIDE. LBS:SODIUM FLUORIDE 50#BAG 1.08 7,128.00
1.00: DELIVERY CHG. 35..00 35.00
i .
Subtotal 7,163.00
Sales:Tax:.
Subtotal Invoice Amount 7,163:00:
Check/Credit Memo No: ..... ... Freight Amount:. .
TOTAL7,'163.00
,
IN
Please remit payment to: _ . Please include your invoice number on your:check.
Water Solutions Unlimited, Inc: .
P.O. Box.!57: '.
-
Camby, IN 46113:
WATER
SOLUTIONS STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE
UNLIMITED
FROM: WATER SOLUTIONS UNLIMITED SOLD TO: CARMEL
9824 UNION MILLS DR. - CARMEL UTILITIES
CAMBY,IN USA
317-736-6868
www.gelwsu.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 SALESIDSHIP VIA PO NUMBER SHIP DATE DELIVERY DATE
CARMEL 16105399 DH WSU-CAMBY TH 8!72018 W2018
70788
QTY SHIPPED PACKAGING HM DESCRIPTION NET WT(LB) GROSS WT(LB) CLASS
132 50 LB BAG WEGO X UN1690,SODIUM FLUORIDE SOLID,6.1,III 6600 6600
DELIVERY INSTRUCTIONS: 1 PALLET TO PLANT 1-2 PALLETS
TO PLANT 5
For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Cell CHEMTREC Day or Night-Within USA and Canada: 1-900-0249300
Smmmttwelgmaabledmaorroamy 6600 6600
Thm Is In adgM ft above nmrmd—ladam am prowlyclos0ed,pedmged,muted,and labeled,and are In propamObon roreaespMaOan aRcrdIng m the apWrable agulegona&the DOT.
NOTE Whole the rata le dependent an value,shlppere ale required to state spea81w0y In wdWg the agreed or declared value ofthe property.The agreed or declared value of the properly is hereby specl6celly elated by the shlpperto he not exceeding $
per
COD REMIT TO ADDRESS: jCODAfft$ TOTAL CHARGES:$ FREIGHT CHARGES:
COD FEE: Collect q Collect q Prepaid q
Pneaid
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CUSTOMER'S AGENT SHAPERS AGENT
PRINTED NAME PRINTED NAME: /✓/y /�/( l�-/
SIGNATURE SIGNATURE:
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