HomeMy WebLinkAbout196712 04/26/2011 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: 196712
CHECK DATE: 4/2612011
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBE A DESCRIPTION
651 5023990 1894176 61.10 OTHER EXPENSES
AQ,
L INVOICE
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7785 East US Highway 36 Order No. k,;. .fi 1::.' Written By Order Date
Avon IN 46123
Account
800 447 -5582 Technician Serv. Date
Bill to Account
www.ilovemywater.com Route Se
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Name CR of 05M. i Last Del.
Ms 02124111 W
Address 001 IN lfi
City a+ t 4 Install Date Customer Installed
Phone
Hardness gpg Iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
up. QV. AOL f. No. Description Tau'' Pdas TAI
a Gallon Aqua L oma- Batt1t
9._ 0 00._...._
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4 I R gel u� mg �a4ile 0 0 00
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a hiduled 091 genes
Customer Is orrttlx�ble
RENTAL WARRANTY
CHARGE RETURN
pay frorn this Jilt: "'No other billing will be mailed: HOURS RATE
Upon receipt of merchandise or services, customer agrees
Next DelNery Date .-..,to pay in full by due date. if payment is not received, you are
subject to collection fees, court cost and attorney fees.
M TAXAB LE)
Service/Del i very Tech. Due Date
Customer Name Please Print
FUEL SURCHARdE
Customer Signature .810
I hereby acknowledge satisfactory completion of above described work.
30 Day Labor Warranty
VOUCHER 107525 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
1894176 01- 7200 -01 $61.10
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 4/18/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/18/2011 1894176 $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