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HomeMy WebLinkAbout195866 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1 ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200.29 CARMEL, INDIANA 46032 23261 NETWORK PLACE CHICAGO IL 60673 -1232 CHECK NUMBER: 195866 CHECK DATE: 3/29/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1110 4350100 297825 200.29 BUILDING REPAIRS MA INVOICE M Page 1 of 1 ORIGINAL COPY x nR em..., alike Address C HM AAA CHEMAQUA� We Trew Your Woier RIght' REORDERS CALL #.1-800-527-9921 23261 NETWORK PLACE CORRESPONDENCE TO FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232 I 152 R V ]NG T 75 015 W W W.CHEMA UA.COM IR]NG Y 7? Q H a Z Co 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.CRE1)IT @1NCH.00 M or call 1 -800- 527 -9919 X0831 No 'Billing Date' Due Date; Shr hater-. d:. Sules'Oeder, 308405 15 -MAR -11 10 NET 25 -MAR -11 282969 "Invoice No, I,ur`cliase O�der;`No Sales Rep: iSo Sales 1ti 1) Name, 297825 USCA7C34 COURTRIGH:T, Mr. DAVID A. YrotlucN Qty Ordered ;'vise "rijttiiin :'Packugirig r•QCyBilled UnR;Pritie Arnounl 12015268 1 WATER TREATMENT PROGRAM EA 1.00 200.29 200.29 Mcrchandise Stale l y L �I T i< "x Shipping otxl A �Sp1it Iiiv..Nn Gir'rene_ y Tmount 200.29 0.00 0.00 0.00 USD 200.29 IN T I D 0 0010 Federal ID 75- 2761907 ChtER1 P.?! .4 !NC- A L- RETURNS CLAIMS FOR I=RRORS. OR ADJUSTMENTS OF ANY RIND MUST BE MADE WITI IIN 15 DAYS AFTER RECEIIII' OF nnnnc k4lFW 14A NIT1rQ1: mn Arrr =nrr.n vno rucnrr 5 VOUCHER NO, WARRANT NO. ALLOWED 20 Chem -Aqua IN SUM OF 23261 Network Place Chicago, IL 60673 -1232 $20 0.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 297825 43- 501.00 $200.29 I 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, March 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)) 03/15/11 297825 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