183188 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
CHECK AMOUNT: $55.50
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36
AVON IN 46123 CHECK NUMBER: 183188
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1687537 55.50 MATERIALS SUPPLIES
INVOICE
7785 East US Highway 36 Order No. Written By MRIOUX Order DaI -1/10
Avon, IN 46123 Account 132504
800 447 -5582 Technician EMOORMRN Serv. DaV 03104110
www.ilovemywater.com Bill to Account 132303
Route NO Sequence a
Name CKVof Carmel Senor Dept ;;,,'Last De G A S 13Mf4s t
Address 401 N Rsinnollne RA i
City Caffnal IN 4003
Install pate Customer Installed
Phone 1 117471--284 5
Hardness gpg Iron ppm_ ph
Ordered By TDS ppm Watertype
Requested Time No. of
,r
Comments:
Eu Q_ ACLM. No. Dwerlptiorn Tau R5 price Tot
9 Q 5 Giallon Aquip Syg9m son Is 5.30 3-
k
o
MiliS RTN 5 al Aq uin Symems baplo 0 0.60 VV
Scheduled Deliveries. 03!04110 r
Fuel S 210
((JJ RENTAL WARRANTY
03104110 CHARGE RETURN
Please pay from this bill. No"diher billing will be mailed. HOURS I narE
Next Delivery Date Upon receipt of merchandise or,s customer agrees
____to pay in full by due date If paym �Sqceived you "are-
subject to collection fees, court ndd ttorney fees.
T
Service /Delivery Tech. Due Date
SU
Customer Name Please Print
Customer Signature TAX
I hereby acknowledges atisfactory completion of above described work.
30 Day Labor Warranty
t'VOUCHER 105 =038•' 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
1687537 01- 7200 -01 $55.50
Voucher Total $55.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 3/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2010 1687537 $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