HomeMy WebLinkAbout194994 03/02/2011 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
CHECK NUMBER: 194994
CHECK DATE: 312/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 268260 200.29 EQUIPMENT MAINT CONTR
INVOICE Page. 1 of 1
ORIGINAL COPY Reniittavtct :Address
CKM AqA CHEMAQUA
We Treat Your Water Right" REORDERS CALL 1-800-527 23261 NETWORK PLACE
CORRESPONDENCETO FAX 1- 972 438 -06134 CHICAGO, IL 60673 -1232
1>101 BOX 152170 WWW.CHEMAQUA.COM
IRVING TX 75015
Sold To r ShiP`To
ro Pay by EFT or
CARMEL POLICE STATION CARMEL POLICE STATION Direct Debit, Email
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032 CAC.CREDIT@NCH.CO
NI
or call
1- 800 -527 -9919 X0831
Co_stomer No ISillin uic
g ;Terms- a `:DueDate Ship�ate'o Sa1c "s Order_;.-_,
308405 15- FE-13 -I 1 10 NIA 25-1 252040
r` slnvoicc Vo: Purcliax Ordc� "No T ,;,Sales R'tp- No. Sales Rep: Naiiic o
�r
268260 USCA7C.,4 COU'RTRIGHI' -Mr. DAVID-A
"'�=Prodact 'Qty Ordemd Descript,ion 'Packaging Qtj�.l3illed Unit 1?r ce �rinmunt
12015268 l WATER TREATMENT PROGRAM EA 1.00 200.29 200.29
'R4ercGaiidise
State .Tax Loc d r4z Shipping :';Splitlnv. No. Currency,. Total- Amow�t
200.29 0.00 0.00 0 -00 1 USD 200.29
IN Ta x U) 01 0010 Federal 11);175- 276.1907
CI IFN4- AQUA,-INC- A.I.I. REM JRNS CLAIMS FOR ERRORS, OR ADJUSTMENTS OF ANY KIND A4US'1' 131: MADE WITHIN l5 DAYS AFTER RGCFIPT OF
CC ms nIC'rRl Ili 1T1ON 1 ZFRVI( 1 1 -C IN!'I I Inv, QI -01POINCl
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 268260 43- 515.01 $200.29 f 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, February 25, 2011
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 invoice(s) or bill(s))
02115111 268260 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