334144 01/04/19 %'���. CITY OF CARMEL, INDIANA VENDOR: 371510
`�' CHECK AMOUNT: $********55.00*
�= �• ONE CIVIC SQUARE PURE WATER PARTNERS
f? _� CARMEL, INDIANA 46032 DEPT CH 19648 CHECK NUMBER: 334144
v\,_% PALATINE IL 60055-9648 CHECK DATE: 01/04/19
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 340984 55.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 371510
PURE WATER PARTNERS IN SUM OF$ CITY OF CARMEL
DEPT CH 19648 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
PALATINE, IL 60055-9648
Payee
$55.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
340984 42-390.99 $55.00 1 hereby certify that the attached invoice(s),or 12/19/18 340984 Dept water system $55.00
2200 2200 Prior Year 2200 2200
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, January 02,2019
Jeremy Kashman
Director
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
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VIEW ACCOUNT DETAILSON BACK
d purewaterpartners- 2 z OD— 423q 0't9
PURE DEPT CH 19648 ARTNERS December 19th, 2018
PALATINE IL 60055-9648
loz-#10-1618-1705 YOUR ACCOUNT
CITY OF CARMEL Account Number: 15149
ATTN ENGINEERING
_ 1 CIVIC SQ Contract Number: 550-0015149-001
CARMEL IN 46032-2584 Invoice Number: 340984
'1111111'Ilnllu111'111111'IIInnlllln'111111'I"n1'11"I'll' Invoice Date: 12/19/2018
Current Period Due
$55.00
Your invoice is due Friday, January 25th, 2019. Please remit payment to avoid late
charges.This invoice does not include previously billed and unpaid amounts of $60.00.
• Also consider paying online and setting up autopay.
Customer Service
For equipment service or for new orders please call: 866-621-6910 Office H2O
For online payment or account issues call Paydici: 855-729-3424 x1 or email support@paydici.com
For billing inquiries Call: 866-630-1608 or EMAIL billingsupport@financial-svcs.com
Tax ID Number(TIN): 30-1022340, BILLING PERIOD: 12/26/2018 to 01/25/2019
Download invoices, pay online.
go to www.purewaterpartners.com/access
Enter Activation Code: H8CE-B2MV-KPCG-7BQ8