HomeMy WebLinkAbout182797 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29
y2icn'ce.: CHICAGO IL 60673 -1232 CHECK NUMBER: 182797
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 597608 200.29 BUILDING REPAIRS MA
ORIGINAL
't%KM-AQ,UA
INVOICE
We Treat Your Woter Right' REORDERS CALL: 1- 800 -527 -9921 CHEMAQUA
CoRRESPONDENCETO: 23261 NETWORK PLACE
P.O. BOX IS2170 FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
TI2\rllVG,`1'E!iAS 75015
www.CHEMAQUA.com
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
(EFT)
CARMEL POLICE STATION
3 CIVIC SQ payments are encouraged
CARMEL POLICE STATION CARMEL IN
3 CIVIC SQ 46032 To enroll please call
CARMEL IN 46032
1- 800-527- 9919 -x0831
Cust. Acct. No. Invoice No. I Invoice Datel Terms ISales Re Order No. I Shi Date I Customer P.O. No.
CB002439 597608 02 -16 -10 NET 10 DAYS 7C34 07136 1 02 -15 -10
Pro P- ack4iinpw Description Unit Price tv 13illed Amount
X005 1 WATER TRTMT PROD S /OR SVC 200.29 1 E 200.29
Merchandise State Tax Local Tax *Shi ting Inv. Total Amount
200.291 1 1 1 200.29
IN Tax #0101073755-001-0 Federal Id# 75- 2761907
CHEM -AQUA, INC_, ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST RE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. LERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT_ DISTRIBUTION SERVICES INCLUDE SHIPPING c HANDLING CHARGES F.O.B. DELVD.
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
ChemAqua Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673 -1232 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/16/10 597608 monthly a ent 200.29
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
A
ALLOWED 20
ChE.mAqua IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
200.29
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or DEPT a op INVOICE NO. ACCT /TIT AMOUNT I hereby certify that the attached invoice(s), or
1110 597608 501J 200.29 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
8'
received except
February 23 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund