190799 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364770 Page 1 of 1
0 ONE CIVIC SQUARE ICE QUBE INC
CARMEL, INDIANA 46032 141 WILSON AVENUE CHECK AMOUNT: $244.11
GREENSBURGPA 15601 CHECK NUMBER: 190799
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 25617 244.11 MATERIALS SUPPLIES
INVOICE C
f 6 e PAGe 000001
Ice Qube, Inc. I
141 Wilson Avenue Remit To•� 3
Greensburg, PA 15601 1� �J 1 0 Ice Qube, Inc
Phone: 888 867-8234 724 837 -7600 141 Wilson Ave.
Fax: 724- 837 -3386 724 837 -6365 Greensburg, PA 15601
www.iceqube.com
Email: sales @iceqube.com
Sold to: Ship to:
Carmel Utilities Carmel WWTP
SOLD 760 Third Avenue SW SHIPPED 9609 Hazel Dell Parkway
TO Suite 110 TO Indianapolis IN 46280
Carmel IN 46032
'ORDER.NO_ wvSHIP:NO. Ws :LOC �r ,...d SHIPP.fD;YIA, r «`CUL ,PPD iN1/OICEyNO.
38839. 14618 Ol. UFS GROUND Prepaid /Add 25617
.;'ORDERiDATE v =i�. k SHIPPED�DA7E' CUST NO:I' .:i PURCHASE:URDER NO..
6/03/2010 6/03/2010 4011 512179 IQ 6/03/2010
T TY ORDERED TY= SHIPPED TY;BACKORDEREb a
'SE Nd DESCRIPTION NET
Tracking# ZZV49W470352290241
1 IQ203R8 EA 1 1 0
A/C CONTROLLER 203 R8 237.00 237.00 237.00
A/C CONTROLLER 203 R8
Sales Amount 237.00
Misc. Charges .00
Standard Terms are Net 30 Days. Freight 7.11
Sales Tax .00
Terms are net 30 days. Amounts not paid within 30 days of invoice date are subject to an additional charge of 1 -112% per
month. The buyer shall be liable for any legal or collection fees and any other incidental expenses incurred as a result of INVOICE TOTAL
the buyer's default or breach of this agreement. Buyer assumes responsibility/ liability for payment of all state or municipal
taxes applicable to use or resale of products purchased herein. All orders will be subject to a handling fee.
LIMITATION Of LIABILITY: Through the acceptance of the items listed above, you acknowledge and agree that
any claims for damages you may have arising from the sale to you of these items are limited solely to the costs of
the items and under no circumstances shall include claims for consequential or any other kinds of damages. Such
excluded damages include, but are not limited to, harm to other equipment, lost profits, and interruption of business.
CUSTOMER COPY
VOUCHER 106351 WARRANT ALLOWED
364770 IN SUM OF
ICE QUBE INC
141 WILSON AVENUE
GREENSBURG, PA 15601
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
25617 01- 7202 -06 $244.11
Voucher Total $244.11
Cost distribution ledger classification if
claim paid under vehicle highway fund
Pres cribed by State Board of Accounts J 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
364770
ICE QUBE INC Purchase Order No.
141 WILSON AVENUE Terms
GREENSBURG, PA 15601 Due Date 10/5/2010
Invoice Invoice D escription
Date Number (or note attacKWinvoice(s) or bill(s)) Amount
10/5/2010 251617 $244.11
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 cer.