HomeMy WebLinkAbout188757 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
0 ONE CIVIC SQUARE CHEM -AQUA, INC
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29
CHICAGO IL 60673 -1232
CHECK NUMBER: 188757
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 617806 200.29 BUILDING REPAIRS MA
FILE C®FX
A INVOICE
We Treat Your Water Right' REORDERS CALL: 1- 800 527 -9921 CHEMAQUA
CORRESPO,NDFNCFTO; 23261 NETWORK PLACE
P.O. Box 152170 FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232
IRVLNG, TEXAS 75015
www.CHEMAQUA.c
—SO LD: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
I -500`527- 9919 -x OS31
Cust. Acct. Nn: Invoice No. I Invoice Date Terms ISales Ren Order No. Shi Date Customer P.O. No.
CB002439 617806 06 -16 -10 NET 10 DAYS 7C34 0713E 06 -15 -10
Product Packning Description unit Pric Qtv Billed Amount
X005 1 WATER TREATMENT PROGRAM 200.29 1EA 200.29
Merchandise State Tax Local Tax *Shi yin Inv. Total Amount
200,291 1 1 200.29
IN Tax #0101078755 -001 -0 Federal Id# 75- 2761907
MEM -AQUA, INC., ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST HE MADE WITHIN 15 LAYS AFTER RECEIPT W 000DS. MCRCHANDISE NOT ACCEPTED E R CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. *OISTRI6UPION SERVICES INCLULE SHIPPING 6 HANDLIta CHARGES F.O.B. DELVD.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
6/16/10 617806 monthly payment 200.29
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
ChemAqua IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
200.29
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 617806 501 200.29 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
August 11 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund