HomeMy WebLinkAbout198013 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
t CHECK AMOUNT: $61.57
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36
.o AVON IN 46123 CHECK NUMBER: 198013
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1820328 61.57 OTHER EXPENSES
A q ,,.,LU A INVOICE
7785 East US Highway 36 Order No. Written By 0TRAU0HEE Order Date QRQp /41
Avon, IN 46123 Account 132504
800 447 -5582 Technician EM0CIRMAN Serv. Date Thu. 05126121
www.ilovemywater.com Bill to Account 137505
Route No Sequence a
Name may/ of Carmal Smar Doll
Last Del. SAS 041111!± 1 41
Address 901 hi Raingeline Rd
City Camel IN 46032 Install Date Customer Installed
Phone
Hardness gpg Iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
J
I l
ACL Katy. N o. [Description T ax Pri T otal
12 SAS Gallen. u�t_S`>�>te c its 0 -30
12 �Z .5_.._. :_aeoeft-1 _a16on.0 kp4pmg__ 8.00-
q -.R ...jg�l_� uai..5' 4ems.:b�1i41e_ z
cheduled- Deliveries...
Cu�omer Is non -noble
RENTAL WARRANTY
CHARGE RETURN
Please pay this bill Noother billing will be mailed.` HOURS RATE
Upon receipt of merchandise or services,- customer agrees T
Next Delivery Date LABOR
to pay in full by due date. If payment is not received, are
058/i] 1 subject to collection fees, court cost and attorney fees.
MATERIAL (TAXABLE)
Service /Delivery Tech. Due Date 06!23/11 MATE RIAL (NO
Custom Name Please Print
FUEL SURCHAR
Customer Signature l 5 7
TAX
I hereby acknowledge satisfactory completion of above described work. v
30 Day labor Warranty TOTAL. 40
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 5/31/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2011 1820328 $61.57
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
VOUCHER 115171 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
"0.0
1820328 01- -00 $30.78
7vgH -o$
1820328 01- 0-0H $30.79
Voucher Total $61.57
Cost distribution ledger classification if
claim paid under vehicle highway fund