HomeMy WebLinkAbout193642 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 CHECK AMOUNT: $61.10
AVON IN 46123
CHECK NUMBER: 193642
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1846459 61.10 MAT SUPP -HAZ MATERI
AQ,,. INVOICE
,4 A V
SYS7 91- 1646459 Written B DTRAUGHBI'= Gill 01111
7785 East US Highway 36 Order No. y Order Date
Avon, IN 46123 Account 13250 EMOORMAN Tue. 01/11/11
800- 447 -5582 1 Technician Serv. Date
www.ilovemywater.com Bill to Account No 0
Carmel CRY of Sewer Doppt Route Sequence
Name SAS 11/17!16 13
901 N Rangeiine Rd Last Del.
Address
City Carmel IN 40032
Install Date Customer Installed
Phone 317- 579-2645
Hardness gpg Iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People J.
Comments:
1
82 WAIZ 5 Gallen Aqua SyMems .Donis 0 5.30
P 0 wems 0 B_QO
92 DDS Dry �s� 5 �I {l�n tai C i
0 RIB RTM 5 gal A uat
0 ems' bo4tle 0 0.00 w
6be.du Deliveries:
Culdomer Is non- twmble
t
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._.._
01/11/1 subject to collection fees, court cost and attorney fees.
Service /Delivery Tech. Due Date 65111 t1
(N ON TA X ABLE
fi
Customer Name Please Print
Customer Signature
1 hereby acknowledge satisfactory completion of above described work
1 30 Day Labor Warranty TOTAL
VOUCHER 106926 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
1846459 01- 720H -08 S61.10
Voucher Total $61.10
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 1/18/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/18/2011 1846459 $61.10
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 Officer