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HomeMy WebLinkAbout193396 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1 ONE CIVIC SQUARE CHEM -AQUA, INC 4 0 CHECK AMOUNT: $200.29 CARMEL, INDIANA 46032 23261 NETWORK PLACE CHICAGO IL 60673 -1232 CHECK NUMBER: 193396 CHECK DATE: 1/5/2011 DEPARTMEN ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 213952 200.29 BUILDING REPAIRS MA INVOICE Page: I of I ORIGINAL COPY Remittance Arlilress: CKM AAA CHEMAQUA We Treof Your Woter Right REORDERS CALI, 1- 800 -527- 992'.1 23261 NETWORK PLACE CORRESPONDENCE TO FAX 1- 972 438 -0634 CHICAGO, IL 60673 t232 PO BOX 152170 W W W.CHEMAQUA.COM IRVING TN 75015 SoldTo ��k hipro I P HI S 'o ay by 1. or CARMEL POLICE STATION CARMEL POLICE STATION Direct Debit, Email 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 ACCTSREC @NCH.CONI or call 1- 800 -527 -99.19 X0831 Customer >Nb jB11lIR� Date d "Terms''.,, ='Deie -Date, Sinp Date.. YSales C1rdeE, r's"v. r1�r:= 308405 16- DEC -10 1 10 NET 26- DEC -10 193259 Pilrchase,Ordcr.f�Io s Salcs R %p` No. Sales «Rep. Name a w 213952 USCA7C34 COURTRIGHT, Mr.- DAVID -A Product ;Qty, ©rdercd r w _..E a f'fckagrn rQtyaflled Unit`Pricc,. 'Amount..`1" Dcscri ftiiin w 12015268 1 WATER TREATMENT PROGRAM EA 1.00 200.29 200.29 b4erclf nfdf5c 4tite lax u e 1 ��c t1 1 fe Shipptnl Split hive No Gurrencys LoYaIAenonnt: 200.29 0.00 0.00 1 0.00 UsD 200.29 IN T Ill 4 0101073755 0010 Federal ID 4'75-2761907 £HEM AQUA, -INC. ALL RETURNS CLAIMS FC ?R ERRORC, OR A0.11JSTMENTS OF ANY KIND MUST BE MADE WITHIN 15 DAYS APCER RECEIPI' OF nnnnc nnr:aruntinrcr. Nn•r ACY'F >rrn FnR rRrnrr wrrHnl I"1' flllR PRIOR WR[TTFN CONSEN "r. DISTRIBUTION SERVICES INCLUDE SHIPPING VOUCHER NO. WARRANT NO. Chem -Aqua ALLOWED 20 IN SUM OF 23261 Network Place Chicago, IL 60673 -1232 $200.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO_ ACCT #/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1110 213952 43- 501.00 $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 Friday, December 31, 2010 Chief of Police Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) 12/16/10 213952 monthly payment $200.29 1 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