185641 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00350428 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
CHECK AMOUNT: $55.50
CARMEL, INDIANA 46032 7705 E HIGHWAY 36
AVON IN 46168 CHECK NUMBER: 185641
CHECK DATE: 5/2612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 51310 55.50 OTHER EXPENSES
A' U INVOICE
SY�MS� v
785 East US Highway 36 Order No. Written By Order Date
von, IN 46123 Account Techniclan mock /h�1 Serv, Pate `a:' I
30 -447 -5582 Bill to Account
ww,ilovemywa COm Route Sequence
lame Last Del.
.duress Q t I
LA 6Q: ;ity fir, Install beta Customer Installed
'none 3 I 2 Hardness gp9 Iron ppm` ph
}rdered By TDS ppm Watertype
',equested Time No. of People
Comments:
O
RENTAL WARRANTY
CHARGE RETURN
UR5 RAT
Please pay from this 611CNo other billing will bo ma fed.
Upon receipt of merchandise or services, customer agrees
Next_ Delivery bate lD•pay In full by due -date; if PRymont is-not recelvad, yov'ere-
subject to coll0ctlon fe0s, court cost and attorney ices. 0
Service /Delivery Tech. Duo Data
Customer Name- Please Print
Customer Signature
I hereby acknowledge satisfactory corrlpletlon of above descrlbed work.
30 Day Labor Warranty
TOO i8 52aMa f Ida SS :9T OTOZiZT /SO
:VOUCHER 105503 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
51310 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 5120/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/20/2010 51310 $55.50
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have same in accordance with IC 5- 11- 10 -1.6
Date Officer