161263 07/11/2008 \,f CITY OF CARMEL, INDIANA VENDOR: 00350428 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $59.15
f a CARMEL, INDIANA 46032 7785 E HIGHWAY 36
AVON IN 46168 CHECK NUMBER: 161263
CHECK DATE: 7/1112008
DEPARTMENT ACCOU PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
651 5023990 1502289 59.15 OTHER EXPENSES
e v- r
AQUA Invoice
Aqua Systems Invoice Number: PSI 1502289
7785 East US Highway 36 Invoice Date: 06/18/08
Avon, IN 46123 Page: 1
PHONE: (317) 272 -3000 or (800) 447 -5582
FAX: (317) 272 -5000
Bill Ship
To: City of Carmel Sewer Dept To: City of Carmel Sewer Dept
Lisa 901 N Rangeline Rd
760 3rd Ave SW Carmel, IN 46032
Carmel, IN 46032
Customer ID 132505
Ship Via P.O. Number
Posted Date 06/18/08 Service Date 06/09/08
Due Date 07/25/08 Our Order No. SI- 1354864
SalesPerson Todd Little
Item Description Unit Quantity Unit Price Total Price
5AS 5 Gallon Aqua Systems Bottle Each 11.00 5.15 56.65
DSAS Deposit 5 gallon Aqua Systems Each 11.00 6.00 66.00
RSAS RTN 5 gal Aqua Systems bottle Each -11.00 6.00 -66.00
FUEL SUR Fuel Surcharge- Service /Install Each 1.00 2.50 2.50
Amount Subject to Amount Exempt Subtotal: 59.15J
Sales Tax from Sales Tax Invoice Discount: 0.00
0.00 59.15 Total Sales Tax: 0.00
Total: 59.15
VOUCHER 085771 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
1502289 01- 7360 -01 $59.15
Voucher Total $59.15
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
N
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 6/26/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2008 1502289 $59.15
hereby certify that the attached invoice(§), or bill(s) is (are) true and
=rect and I have audited same in accordance with IC 5- 11- 10 -1.6
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Date Officer
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