157883 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC
t> CARMEL, INDIANA 46032 23261 NETVVCRK PLACE CHECK AMOUNT: $183.76
CHICAGO IL 60673 -1232 CHECK NUMBER: 157883
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 488261 183.76 BUILDING REPAIRS MA
ORIGINAL em t
C MAQUA INVOICE
We Treat Your Water Right' REORDERS CALL: 1- 800 -527 -9921 CHEMAOUA
CORRESPONDENCE TO: 23261 NETWORK PLACE
P.O. BOX 152170 FAX 1 -972- 438 -0634 CHICAGO. IL 60673 -1232
IRVING, TEXAS 75015 www.CHEMAOUA.com
SOLD TO: SHIPPED TO:
.Electronic Funds Transfer
(EFT)
CARMEL POLICE STATION
CARMEL POLICE STATION 3 CIVIC SO payments are encouraged
CARMEL IN
3 CIVIC SO 46032
CARMEL IN 46032 1'o enroll please call
1- 800 -52 7- 9919 x0831.
Cust. Acct No. Invoice No. I Invoice Date Terms Sales Rep I Order No. I Ship Date I Customer P.O. No.
CB002439 488261 03 -19 -08 NET 10 DAYS 704 0711C 1 03 -18 -08
Product Packaging Description Unit Price Ot_y Billed Amount
X005 1 WATER TRTMT PROD /OR SVC 183.76 1 EA 183.76
Merchandise State Tax Local Tax I Shipping I Inv. Total Amount
183.76 1 1 1 183.76
IN Tax 003512371 -001 -3 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 ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. —DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES F.O.H. DELVD.
Prescribed by Stale Board ofAccounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
ChemAqua Purchase Order No.
23261 Network Place Terms
'Chicago, ITS 60673 -1232 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/19/08 488261 monthly payment 183.76
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
C hemAqua IN SUM OF
23261 Network Place
Chicago, IL 60673 --1232
183.76
ON ACCOUNT OF APPROPRIATION FOR
p olice generalf and
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 488261 501 183.76 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
March 24 2008
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund