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184161 04/14/2010
CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1 ONE CIVIC SQUARE AQUA SYSTEMS CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK AMOUNT: $60.80 AVON IN 46123 CHECK NUMBER: 184161 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1702082 60.80 OTHER EXPENSES INVOICE SysffMS® 1 0 ©32 Written B W� 03/31110 7785 East US Highway 36 Order No. y. Order Date Avon, IN 46123 Account EM66RMAN Thu. 04/01110 800 447 -5582 1 Jz*u* Technician Serv. Date www.ilovemywater.com Bill to Account NO g City of Carmel $=or Dept Route Sequence Name 3A9 03/04/10 10 901 N Riaugellne Rd Last Del. Address Carmel IN 46032 City 31771 Install Date Customer Installed Phone i:r; ,j Hardness gpg Iron ppm_ ph Ordered By hr l us ppm Watertype Requested Time No. of People Comments: Ex p. e t I I, 2 5 5 Callen Aqua SymGma 8&W6 A 55.30 )U 12 D Doposh 6 giallan Aq uia Syajoms 6.00 y RW RTN 5 gal Aqua SWeMs .6_iKI6 0 f 0.00 w d Sch eduled Fuel 2:50 RENTAL WARRANTY CHARGE RETURN Please pay from this bill. No other billing will be mailed. r+ouas RATE Next Deliv Date Upon receipt of merchandise or services, customer agrees to pay in full by due date. if payment is not received; -you are 04f01/1® subject to collection fees, court cost and attorney fees. T 04125/10 0000 Service/Delivery Tech. Due Date 0.000. 0000.__„ 000.0_... Customer Name Please Print Customer Signature TAX 1 hereby acknow ledge satisfactory completion of above described work. ._0000 TOTAL 30 Day Labor Warranty VOUCHER 105182' 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 1702082 01- 7200 -01 $60.80 Voucher Total $60.80 Cost distribution ledger classification if claim paid under vehicle highway fund a Prescribed by State Board of Accounts C[ty 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 4/712010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/7/2010 1702082 $60.80 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 ff Date Officer