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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 REpEIVED.eiAtadm md,MeerdMrihrodrebaa wnlnxb ewdNw ban ewaad upon Y„reenp astaa,nCrcraXrmd Mrypar,eepDpawwala,oeinwlsamawlteam,de.W5.ft ,ed Mwaml he,a ban eameaehw eyer uMar ane meveNDN aero ahippr,mawroat aromV rime term reeerel mwees,t aro Repatrdmvb,dabin m.00m.nurea anr.,mgoearl(wdwla ane wnenrurdm�mrrt.aWdwaa udaro.p,teased ,anaeadmedummume bkrowmm ask am,omnlma ward wmlmrybmp undenmod ft vy wb wwwmmmdnp airypeemwwrymemm nsa a° 'eemd.ed ntlato—ys.ydm R.p.rre,r mm c.pe<remtl.e� Mme eq m.ee ems.aawrro�mrobpmrmme�ad by ,.�wmmme�.nam sbwre.hroe..h �h op.wae�mM g' pteMaaro rm�,e mmma.mumn menma.a oarrynem CUSTOMERS AGENT SHIPPERS AGENT PRINTED NAME PRINTED NAME: yo SIGNATURE: SIGNATURE: