HomeMy WebLinkAbout181104 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
j'
a ti t CARMEL INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK AMOUNT: $55.50
AVON IN 46123 CHECK NUMBER: 181104
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 120909 55.50 CONT SVS —HAZ WASTE
AQLJA INVOICE
SYSTEMS
7785 East US Highway 36 Order No. SI-16415272 Written By Jails Order Date e
Avon, IN 46123 A ccount 150
800-447-5582 Technician EMOORMAN Serv. Dated. 12/09J09 t
www.ilovemywater.com Bill to Account #13230$
Route No Sequence 1
Name City of Carmel NNW Dept.
Last De$AS OMl10108 6
Address 001 P1 Ranoellne Rd.
City COMM) IN 01032 a
Install Date Customer Installed
Phone 1.17571-2R45
Hardness gpg iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time No. of People J
Comments: NOT OPEN ON MONDAYS DES T1-hI U SAT IF NOT THERE CAN
LEAVE AT CITY OF CANNEL SEVER DEPT SAME ADDRESS
Expo, Act's. No Description Tax Price Total
17 kip a 5 Galion hems i otti-e 5.30
2
Deposit 1 r (9 CIO
Q �t R Rill 5 gal ua'S temts b id a 0 0b
t t_ irk v.?
r s.
Scheduled Deliveries: 12 /0W�{Oi0
dui- Surtargd 2:50
;f`^' RENTAL WARRANTY
12100/00 CHARGE RETURN
Please pay from this bill. No other billing will be mailed. HOURS RATE TOTAL
Next Delivery Date Upon receipt of merchandise or services, customer agree LABOR
to pay in full by due d a t e I f paY rrt r ceived,-you are._.
subject to collection fees, court L U `C n attorney fees.
TOTAL MATERIAL
Service /Delivery Tech. Due Date
SUB -TOTAL
Customer Name Please Print
Customer Signature
TAX
I hereby acknowledge satisfactory completro of above described work.
TOTAL
X 30 Day Labor Warranty f
,VOUCHER 007067 WARRANT ALLOWED
354047 IN SUM OF
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
120909 01-7361-1-08 $55.50
Voucher Total $55.50
Cost distribution ledger classification if
claim paid under vehicle highwa
()''bO9
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354047
AQUA SYSTEMS Purchase Order No.
7785 EAST US HIGHWAY 36 Terms
AVON, IN 46123
Due Date 12/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/2005 120909 $55.50
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
Date Officer