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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 RECENED,&MWb tdl+matYdabntlmd n—orm,eaem Mdtea bw agmw upon bm®npb,0nen ee r+de and d"w,aappOmll dAaWe w omen ,dmflod .and Mw MR hmben er av ebdared ani avdl6lab M ddow,on recant end b d appabbrffi mdtaded ,a,,M=ftp,op,yda®®eddcveb Nravdpmtl ader.am,ptonwafadmb and mdamidmn�b dpaduge.,oiooan}nmded,aaWas.ad tlaagmtlehid�dbeeewttA cam aonquy ee,�yeabp urtlarmod eamyMMb oonbeda namtrq bypoaiaoenedxem Wbb° darrbad ad��p,oMral—yv,�hambbeDamnMmwdmeleleD�wE}tlmel0e eenmgms,�admlNMmsarrle9v�Pmmmd�wleen nmb ihbed,MWaoaMmi b/� b/��vu�d aaaplad�nimN�ue nVemamNeOm Nemewm pvlrtlem CUSTOMER'S AGENT SHAPERS AGENT PRINTED NAME PRINTED NAME: /✓/y /�/( l�-/ SIGNATURE SIGNATURE: i RLC' DIVEDjjydci 339'2 DAT13 �IMI�t PO. USJ Ill r