334145 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 369915
`� °� CHECK AMOUNT: $********44.00*
.� ,• ONE CIVIC SQUARE QUENCH
r, ;?�; CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 334145
9.y��ioN_�°, PHILADELPHIA PA 19178 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 INVO1559257 44.00 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 369915
QUENCH IN SUM OF$ CITY OF CARMEL
P.O. BOX 781393 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.
PHILADELPHIA, PA 19178
Payee
$44.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
INVO1559257 42-389.00 $44.00 1 hereby certify that the attached invoice(s),or 1/1/19 INVO1559257 Water Cooler $44.00
2201 2201 2201 2201
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
Huffman, Dave
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Quench USA, Inc. quench INVOICE
630 Allendale Road, Suite 200 Water-as-a-Service-
King of Prussia, PA 19406 Invoice: INVO1559257 Inv Date: 01/01/2019
Account: D062495 Due Date 01/11/2019
REMIT PAYMENT TO: PO# SubTotal: $44.00
PO BOX 781393 Pmt Type Check Tax: $0.00
PHILADELPHIA, PA 19178-1393 Contact: Amy Lunn Inv Amt: $44.00
Terms: Net 10.. Amt Paid $0.00
TOTAL DUE BY 0111112019 $44.00
Carmel City Street Dept
Amy Lunn Interested in SingleCup Coffee.?
3400 W 131 St Check out all the Quench Coffee Service Options at:
Westfield, Indiana 46074
https//guenchwater/g uench-office-coffee-service%
Equipment Address
3400 W 131 St,Westfield, IN 46074
pti Period
1 CHILLER3-UV-HC-CT-U N000068489 01/01/2019-01/31/2019 - $44.00 $44.00
Subtotal: $44.00
Tax: $0.00
Total: $44.00
Please reference your invoice number on your remittance.
EIN: 26-3264642 Website: https://q_uenchwater.com
WHEN YOU PROVIDE A CHECK AS PAYMENT,YOU AUTHORIZE QUENCH EITHER TO USE THE INFORMATION FROM YOUR CHECK TO MAKE A ONE-TIME PAYMENT,
ELECTRONIC FUND TRANSFER FROM YOUR ACCOUNT OR TO PROCESS THE PAYMENT AS A CHECK TRANSACTION.
Billing Questions: billing@guenchonlihe.com I Service:guenchservice0quenchonline.com