HomeMy WebLinkAbout197125 05/11/2011 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
_oNLO, CHICAGO IL 60673.1232 CHECK NUMBER: 197125
CHECK DATE: 5111/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 329285 200.29 BUILDING REPAIRS MA
INVOICE Page: 1 6f I
ORIGINAL COPY Remittance Address,
�FrEM AQJA CHEMAQUA
We Treat Your water Right REORDERS CALL 1- 800 527 -9921 23261 NETWORK PLACE
CORRESPONDENCE TO FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232
IR VINROTC 162170 WWW.CHEMAQUA.COM
IRE TX 75015
Sold To.. N
U r Shi�i To
To 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
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1$00 -S27 -9919 X0831
"Custoiner'Na _a �Gi M Billiagl) ale Tcims'" i.Ihrcl)ate 'SlaivI?atc Sales.Order:
308405 15- APR I I l0 NF1' 25- APR I I 317081
nTor Ordeallo:. ,.Sa3es.Rcp: Nb. Sales Rep. Name
32y285 USCA704 COURTRIGH"1, Mr. DAVID A
Product QLy.Ordeered I 'llcseeiptimt 1 actcaging Qty Billed Unit Yrtcc Arnriunt
12015268 1 WATER TREATMENT PROGRAM EA 1.00 200,29 200.29
Aicrch�ndrSe 5tatc Tar
Local Tas Shipping Sp1it1nv. No.r Currutc} Total,Anii6uot
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200.29 OAO 0.00 0.00 USD 200.29
IN T 11) 0101073755 0010 Federal Ill 75- 2761907
C1HM AQUA. INC.. ALL RETURNS CLAIMS FOR ERRORS. OR ADJUSTMENTS OF ANY MND MUTST BE MADE WITI -[IN 15 DAYS AFTER.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Chem -Aqua
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
$200.29
ON ACCOUNT OF APPROPRIAT {ON FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 329285 43- 501.00 $200.29 I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 05, 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))
04/15/11 329285 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