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
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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
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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
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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