HomeMy WebLinkAbout332602 11/21/18 � CITY OF CARMEL, INDIANA VENDOR: 367211
• ONE CIVIC SQUARE WATER SOLUTIONS UNLIMITED INC CHECK AMOUNT: $*'*"*4,787.00'
CARMEL, INDIANA 46032 8824 UNION MILLS DR. CHECK NUMBER: 332602
P.O.BOX 157 CHECK DATE: 11/21/18
CAMBY IN 46113
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 46610 4,787.00 OTHER EXPENSES
VOUCHER NO. 183410 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 367211 IN SUM.OF$ 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
46610 01-6180-03 $4,787,00 and received except 11/14/2018 46610 $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
4%WATER
SOLUTIONS INVOICE
UNLIMITED
P. O. Box 157 Invoice Number: 46610
8824 Union Mills Dr. Invoice Date: Nov 8,2018
CAMBY, IN 46113 Page: 1
Voice: (317) 736-6868
Fax: (317) 736-4322
Bill To: Ship to:
CARMEL UTILITIES CARMEL UTILITIES
3450W. 131ST STREET 4915 E. 106TH ST.
CARMEL, IN 46074 PLANT 1
USA CARMEL, IN 46033
USA
Customer ID WSU Delivery Receipt No. Payment Terms
CARMEL 16106328 Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
DH DAVID HARVEY WSU-CAMBY 11/7/18 12/8/18
Quantity Item Description Unit Price Amount
4,400.00 FLUORIDE LBS, SODIUM FLUORIDE 504 BAG 1.08 4,752.00
1.00 DELIVERY CHG 35.00 35.00
PO#AC 110518
Subtotal 4,787.00
Sales Tax
Subtotal Invoice Amount 4,787.00
Check/Credit Memo No: Fre ig ht Amount
TOTAL 4,787.00
Please remit payment to: Please include your invoice number on your check.
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
317-7363868
www.getwsU.mrn SHIP TO: CARMEL UTILITIES
US DOT HAZMAT REG NO.:0610816 551 020Y ATTN: JERRY CLOUD
4815 E.106TH ST.
CARMEL,IN 46033 A
317-7163909
CUSTID DELIVERY RECEIPT NO SALESID SHIPVIA PO NUMBER SHIP DATE DELIVERY DATE
CARMEL 16106328 DH AS RENTAL— AC110518 ttreaote lverzole
72500
OTYSHIPPED PACKAGING HM DESCRIPTION NET WT(LB) GROSS WT(LB) CLASS
88 50 LB BAG WEGO X UN1690,SODIUM FLUORIDE SOLID,6.1,III 4400 4400
Received
® ate : >2
PO # :
ACCT 4
U S e :
DELIVERY INSTRUCTIONS: 1 SKID TO PLANT 1,1 SKID TO
PLANT 5
For Chemical Emergency Spill,Leak,Fire,Exposure,or Accident,Cali CHEMTREC Day or Night-Within USA and Canada: 1-800-024.9300
Slmmtel(Welghtwgedtemmedlml: 4400 4400
This Is to ceft thidthe abm named materials aro pmp*N dsessbd,padaged,marled,and labeled,and ore In proper condrean mrbansporietlon a®rdteg to the gokoblo repvtetlwm of the DOT.
NOTE:Whom the rete Is dependent on value,skippers ere required to state epecilirafly In vnidng the agreed or declared value of the property.The agreed or declared value of the property is hereby epect8oelty stated by the shipper to be not expending $
per
COD REMIT TO ADDRESS: COD Amt•$ TOTAL CHARGES:$ FREIGHT CHARGES:
COD FEE: Collect q Collect q Prepeld q
Preald
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SIGNATURE: SIGNATURE: