Loading...
HomeMy WebLinkAbout198948 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1 el ONE CIVIC SQUARE CHEM -AQUA, INC CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29 CHICAGO IL 60673 -1232 CHECK NUMBER: 198948 CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 389216 200.29 BUILDING REPAIRS MA INVOICE Page: 1 of 1 ORIGINAL COPY Remittance Address CKM A Q CHEMAQUA We Treat Your Water Rights REORDERS CALL 1- 800 -527 -9921 23261 NETWORK PLACE CORRESPONDENCE TO FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232 I 1X IR VING T x ;o 750 ls NVWAV.CHEN1AQUA.COM 1RNC Sold To Ship 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.com or call 1- 800 -527 -9919 X0541 Custorner No. Billing Date Terms Due Date Ship Date Sales Order 308405 15 -JUN -I 1 10 NET 25- JUN -11 382614 Invoice i`:o. Purchase Order No. Sales Rep. No. Sales Rep. Name 3892!6 IJSCA7C34 COURTRIGHT..Mr- DAVID_A Product Qty Ordered Description, Packaging Qt 13iBed Unit Price` Amowtt 12015268 1 WATER TREATMENT PROGRAM EA 1.00 200.29 200.29 Merchandise State Tax Local Tax Shipping Split Inv. No Currency: -Total Amount 200.29 0.00 0.00 0.00 r SD 200.29 IN Tax ID 0101073755 0010 Federal ID 75- 2761907 CHEM -AQUA. INC.. ALL RETURNS CLAIMS FOR ERRORS, OR ADJUSTMENTS OF ANY KIND MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPFED FOR CREDI WITHOUT OUR PRIOR WRITTEN CONSENT. M DISTRIBUTION SERVICES INCLUDE SHIPPING 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)) 06/15/11 389216 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Chem -Aqua IN SUM OF 23261 Network Place Chicago, IL 60673 -1232 $200.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 I 389216 I 43- 501.00 I $200.29 1 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 Wednesday, June 29, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund