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
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IR VING T x ;o 750 ls NVWAV.CHEN1AQUA.COM
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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