HomeMy WebLinkAbout200336 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
e CHECK AMOUNT: $86.24
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36
AVON IN 46123 CHECK NUMBER: 200336
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1357960 86.24 MATERIALS SUPPLIES
A UA INVOICE
SYS?M�
7785 East US Highway 36 Order No Written By c Order Date�
Avon, IN 46123 Account
800 447 -5582 i 32504 Technician Serv. Date
ww w.ilovemywater.com Bill to Account f 32505
Route Sequence
Name
Last Del. SAS 09126/11 1
Address 901 N Rangeline Rd
City Install Date Customer Installed
Phone
Hardness gpg Iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
UP. QV. Act Aft. No. Description Taut Price Too
12 W 5 Gallon -Aq0 Syderns,8oftln 0 5.50 .7Z- ;D
12 DW G8poa14 5 gallon aqua svgarnz 0 0.00 or
0 f R5� ITN 5 gel Aqua Sysarns launlo 0.00
l
7 7
s reduled Deliveries: 07/27/11 Customer Is non taxable
a
RENTAL WARRANTY
CHARGE RETURN
Please pay from this bill. No other billing will be mailed. TO TAL
Next Delivery Date Upon receipt of merchandise or services, customer agrees
07/27/11 to pay in full by due date. If payment is not received, you are
subject to collection fees. court cost and attorney fees. MATERIAL (TAXABLE)
Service /Delivery Tech. Due Date 08/25/11 Q
Customer Name Please Print o
Customer Signature
3.74
TAX
I hereby acknowledge satisfactory completion of above described work.
30 Day Labor Warranty TO TAL
VOUCHER 115610 WARRANT ALLOWED
354047 IN SUM OF
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1357960 01- 7200 -01 $43.12
1357960 01- 720H -08 $43.12
Voucher Totaf $86.24
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354047
AQUA SYSTEMS Purchase Order No.
7785 EAST US HIGHWAY 36 Terms
AVON, IN 46123 Due Date 8/5/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2011 1357960 $86.24
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
Date Officer