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HomeMy WebLinkAbout199874 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1 ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200.29 CARMEL, INDIANA 46032 23261 NETWORK PLACE CHICAGO IL 60673 -1232 CHECK NUMBER: 199874 CHECK DATE: 813/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 419677 200.29 BUILDING REPAIRS MA INVOICE Page: I of I ORIGINAL COPY entittance;Aildress CKM AQ,UA CHEMAQUA We Treat Your Woter RIght' REORDE CALL 1 -800- 527 -9921 23261 NETWORK PLACE CORRESPONDENCL FAX 1- 972 -438 -0634 CHICAGO, IL 60673 -1232 PO BOX IR V ING X 750 15 WWW.CHEMAQUA.COM IRINC "1'X *0 Sold Tai Shtp'mTo r 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 4.6032 cac.credit @nch.com or call 1- 800 527 -9919 X0541 Custom er °No tiillingl)5te Elerms' ".'llueDate rShrpDste °'Sal_es 305405 t5- JUL -11 10 NET 25 -JUL -I1 414498 iu�oice No 1',urch:se Order No r SA1ec Rept No Sales l2up: Nanic, 419677 USCA704 COURT'RIGHT Mr. DAVID A rJcel M a tl y vrucreil '.irc,u ipti n r a. P. 3ckul;lri ;_Qfy Billed U�tit'1?t icc "Ainouut 12015268 1 WATER TREATMENT FROGRAM EA 1.00 200.29 200.29 lblcrch ridite State r l uc il T t� �hippang lit ITTV: No CurrciTCy:" t'okal Amounts_. 200.29 0.00 0.00 1 0.00 USD 200.29 IN Tax ID 0101073755 OOI 0 Federal ID 75- 2761907 CHEM -AQUA. INC.. ALL RETURNS CLAIMS 1 ERRORS, OR ADJUSTMENTS OF ANY KIND MUST 13E MADE WITHIN 15 DAYS APi'ER RECEIPTOF GOODS. MFRCHANDISE NOT ACCEPTED FOR CREDIT WIT'ITOUT OUR PRIOR WRITTEN CONSENT. -I DISTRIBUTION SERVICES INCLUDE SHIPPING VOUCHER NO. WARRANT NO. ALLOWED 20 Chem -Aqua IN SUM OF I 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 419677 43- 501.00 $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 Thursday, July 28, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 07/15/11 419677 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