HomeMy WebLinkAbout198049 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA INC
l CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29
CHICAGO IL 60673 -1232 CHECK NUMBER: 198049
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 359641 200.29 BUILDING REPAIRS MA
'1
INVOICE, Page 1 of 1
ORIGINAL COPY Remittance Address
C'+F'EM AQ,UA CHEMAQUA
We real Your water Right' REORDERS CALL 1 -800- 527 -9921 23261 NETWORK PLACE
CORRLSPONDENCL TO FAX 1- 972 -438 -0634
CHICAGO, IL 60673 -1232
IR T
ING X7-5 WWW.CHEMAQUA.COiM
IRV'ING 'E'X 75015
or 10 y y EFT 'a b F T
CARMEL POLICE STATION CARMEL POLICE STATION Direct Debit, Email
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032 caccredit @nch.com
or dill
1- 800 -527- 9919 X0541
`Cpslomci ,No ISilling Dptc- Tcrfis, Doe Date ,'Shig 1 ?ate' 5kles Order.
309405 I S -MAY t t 10 NE7' 25 -MAY -1 1 350009
voice No. 1'urcliase Order N6' Sales Rep. No. :Sales Rcp. Name
359641 IJSCA7C34 COURTRIGF +T. Mr. DAVID A
Frodiict QlyOrdered i °.`_yt)cscription• Pack Bing :Qly tlillcd "�Unit•Pricc ;`�m'oimt
12015268 1 WATER'I'REATMENT PROGRAM EA 1.00 200.29 200.29
1liereG111(ise Stale oc l T. s. Shipping Splal lnv No. Gurreucy' I otal-Anwuut -1,
200.29 omo 0.00 0.00 r USD 200.29
IN Tax 11) #1 0101073755 0010 Federal ID 75- 27
Clll --M -AQUA. INC.. ALL RETURNS CLAIMS FOR ERRORS, OR ADJUSTMENTS OF ANY KIND MUST RE MADE WITUIN 15 DAYS AFTI' R RECEIPT' QF W
GC(�DS: tTFRCI IP.Pa]S1= IJ AC 'I:PfEL' I vR CRcvi'F wiT] iGU'i OUR i'2iUR VPt1'1'TGN CONSL•N
I DISTRIBUTION SERVICES INCLUDE SNIPPING
Prescribed by State Board of Accounts City Form No 20t (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))
06/15/11 359641 monthly payment $200.29
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
Chem -Aqua ALLOWED 20
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
$200.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# l Dept_ INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 359641 43- 501.00 5200.29 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
Thursday, June 02, 2011
Chief o Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund