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