HomeMy WebLinkAbout194138 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29
CHICAGO IL 60673 -1232
�o CHECK NUMBER: 194138
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 240227 200.29 BUILDING REPAIRS MA
INVOICE Page 1 of 1
ORIGINAL COPY �a, .,RemittanceAddress
C �Ir1 CHEMAQUA
We treat Your Water Right' REORDERS CALL 1 -800- 527 -9921 23261 NETWORK PLACE
CORRESPONDENCE TO FAX 1-972-438-0634 CHICAGO, IL 606734232
PO BOX 15 2
IRVLNC'I'X 7 501 5 WWW.CHEMAQUA.COM
Scild To Sliijz TO 10 y y
Pa EFT or b E
CARMEL POLICE STATION CARMEL POLICE STATION Direct Pchit, Email
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032 ACCTSREC @NCH.CON1
or call
1- 800 527 -9919 X0831
Customer No. ii, 13illingl)a[e,, Iernis° E DucUate ShIpDaCc'„ Sales:Order.
305405 15 -JAN -1 1 10 NET 25 -JAN -1 1 221729
Invoice rr. :Ptircliase Order, 'No q' -Sales Rep: No Snles�ltup Name;
7 40227 USCA7C34 COUKTRIGHI',Mi.I DAVID A
I'rrnluct t Ordered 1)escri ltioia Packa in ty'13illcd Unit Pricc Amount
12015268 1 WATER TREATMENT PRODUCTS AND /OR SERVICE EA 1.00 200.29 200.29
Merchandise State 'Tax l�dial I.ix Shippm� `Split >Inv. No.' ';Currency� Tull Amouhl
200.29 0.00 1 0.00 0.00 USD 200.29
IN Tax Ill 01.01073755 0010 Federal II) 75- 2761907
CH EM-AQUA. INC.. AL.i.. RCI URNS CLAIMS FOR 13RI201S. OIC A;31USr ,MENTS OF ANY KIND NIUST 131- MADE MII'r1:IN 15 DAYS .4F1'FR RECEIPT OF
GOODS. MERCI IANDISE NOT ACCI CREDIT WI'I'HOU'I:.OUR.1?RIOR WRII CONSE=N 'I'. DISTRIBUTION SERVICES INCLUDE SNIPPING
R I -I A N 1) 1 I N C; CIA A R C7 P C -F_0R IIH.C'1'f N ATI O N
VOUCHER NO. WARRANT NO.
ALLOWED 20
Chem -Aqua
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
1110 240227 43- 501.00 $200.29 hereby certify that the attached invoice(s), or
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, January 28, 2011
Chief o P olice
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 invoice(s) or bill(s))
01/15/11 240227 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