HomeMy WebLinkAbout190652 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
i CHECK AMOUNT: $83.94
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36
AVON IN 46123 CHECK NUMBER: 190652
CHECK DATE: 10113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1788246 83.94 MATERIALS SUPPLIES
i
INVOICE
SY57LFH V
7785 East US Hig hway 36 Order No. a1. ¢°xe�e Written By a Order D rw..e
Avon, IN 46123 9 y aae L
Account X504
800 447 -5582 Technician �4nr,nr,.aa.i Serv. Da te• �nenL r id
www.iloveniywater.com Bill to Account
Route No Sequence
Name slur Doip Last De�A
Address 991 aRang lins Rd
City G ame IA�1 /G4FR4
�ame v� Install Date Customer Installed
Phone Hardness gpg Iron ppm_ ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
:a
1 t
JJ gg �i
E Act Qty Nos Descirilpidon tax Prue ToM
I t
6.30
t MAS Deposit 5 -gall oan Aqua Seems 6.00
M RTN.5 gal AqIuia SWoma=;..bat41 0:00
9 10 0
,,.�.�..r.
SCl!I ,dtlled .DitlU'eriis f
Customer {s no� tb�ls
�Fiae9 t"a rge (T(Mable) 2.34
RENTAL WARRANTY
CHARGE RETURN
Please pay from this bill. No other billing will be mailed. HOURS RATE
Next Delivery Date Upon receipt of merchandise or services, customer agrees
to pay in full by due date if payment is not received, -you are
subject to collection fees court cost and attorney fees.
00123110-
fi�3FfQ
Service /Delivery Tech. Due Date
Customer Name Please Print
Customer Signature TAX
I hereby acknowledge satisfactory completion of above described work. a
TOTAL
30 Day Labor warranty
f
VOUCHER 106283 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
1788246 01- 7200 -01 $83.94
Voucher Total $83.94
Cost distribution ledger classification if
claim paid under vehicle highway fund
o
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 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2010 1788246 $83.94
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 e