HomeMy WebLinkAbout333931 12/27/18 CITY OF CARMEL, INDIANA VENDOR: 371008
® �• ONE CIVIC SQUARE WATERCHEM INC CHECK AMOUNT: $*****9,844.00*
CARMEL, INDIANA 46032 1609OLD FARN A oa�oao CHECK NUMBER: 333931
CHECK DATE: 12/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN112718C 9,844.00 OTHER EXPENSES
VOUCHER NO. 187060 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 371008 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
WATERCHEM, INC CITY OF CARMEL
1609 OLD FARM LN. An invoice or bill to be properly itemized must show: kind of service,where performed,
CHESTERTON, IN 46304 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
$9,844.00 371008 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR WATERCHEM,INC Terms
Carmel Wasterwater Utility 1609 OLD FARM LN. Due Date
BOARD MEMBERS
I hereby certify that that attached invoice CHESTERTON, IN 46304
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
IN 112718C 01-7182-05 $9,844.00 and received except 12/13/2018 IN 112718C $9,844.00
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
; a
Wate
rchem Inc
,
1609 Old Farm Lane
Chesterton, IN 46304
Phone 317-201-6105 Fax 317-858-0657
DATE: December 7, 2018
INVOICE# IN 112718C
Bill To: Carmel WWTP Ship To: Carmel WWTP
ATTN: Paul Arnone 9609 Hazel Dell Par
9609 Hazel Dell Parkway Indianapolis, IN 462
Indianapolis, IN 46280
Comments or Special Instructions:
`SALESPERSON P O� NUMBER SHIP DATE n SHIP\/IA715nkr F O,B POINT ' TERMS r;
v
Denise Carter : S19133.,_. ` 1.1/29/2018 Best.Way Riceboro, GA j Net 30 Days
R
E
; ' DESCRIPTION r � ` NIT P ICAMOUNT
QUANTITY ; � ,_ 7777 77 777-71
r .
z a
x ,
9200 lbs. WC 854 Polymer $1.07/Ib $9,844 0�0
s
eceived by :
•
ate: P® #: 5
4; 01Li
Qy� <
3� t
iK r n
SUBTOTAL $9,844,00
TAX RATE
SALES TAX '
a f;;
SHIPPING & HANDLING .
-.
_ TOTAL. Y9,844 00
Make all_checks,payyable to Waterchem, Inc.
If you have:any:questions:concerning this invoice, contact N;Denise Carter, 317-201-6105,waterchem@indy.rr.com-
THANK YOU FOR YOUR BUSINESS!
Consignee Trailer # X4362 Shipper
CARMEL WASTEWATER TREATMENT POLYCHEMIE
9609 HAZEL DELL PKWY 13931 INDIANA AVE
INDIANAPOLIS DOLTON
IN 46280-2935 US IL 60419 US
FedEx Freight Priority
CES::ii:%bf lGG>::::' >:::i:r11t3:.....H3V1;:::::<.>:::>::::i::i:::1y$G�ilf?'ibN>:;.;:.;:.;::.::.::.::.::.::............::.::....>:.>:.;;.......... :..::.;,::.�::::
..........................:...............:..,.,.:. k1t�� �CBS�::: :?: 3VMFY............P.Cf::GiIS&H:.::r:;.>:.:::.RA .>;:.»::.:ff}7A1
.............:.........:...::........:..:.:.........:.:.....:.:... :.....:......::.....::..:..............,..,,...:.,......::....:::.;..,.,.........;:.,.,:::::,,,..,.,,:......::.;:,.,,,,,.....::.::;.::.,,:
4 WC 854 9860 055
CGT INSPECTING TERMINAL
009684 ORIGINAL WEIGHT
**SHIPMENT REWEIGHED AS ABOVE**
WEIGHT VALIDATION FEE
FUEL SURCHG LTL SHPT24.90i
0000140 DEFICIT WT=LOWER CHARGES 140
RATED AS. . . . . . 10000
285130-9000-FXF-1
*FXF PZONE01/01/18 LS 11106
4 1 4 PREPAID - WILL INVOICE THIRD PARTY 9860
APPLICABLE C AR FOR DELIVERY SERVICES REN ERED INC UDING B T NOT LIMITED T DETENTION
AN
E•• Bill of Lading Number 6655353 0 . 00
Delv. Driver & #:
Date: Arrive: Depart: P.O. Number Page 1 of 1
#of Skids: I#of PCs: JOS&D #:
Shipment received in apparent good order with wrap intact unless otherwise noted. P.O. BOX 840
HARRISON,AR 72602-0840
m,
Received by: Freight fedex.com 1.866.393.4585
❑Over ❑Damage Exceptions:
❑Short ❑Wrap Broken fedex.com/fastfreight