HomeMy WebLinkAbout200814 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC
at io CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29
CHICAGO IL 60673 -1232 CHECK NUMBER: 200814
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 451239 200.29 BUILDING REPAIRS MA
INVOICE Page: 1 of 1
ORIGINAL COPY Rel�tittance Address
C iH ir1 AAA CHEMAQUA
We Treal Your Water Right" REORDERS CALL 1- 800 -527 -9921 23261 NETWORK PLACE
CORK SPONDLNCLTO FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1.232
PO BOX 152170 W W W.CHEMAQUA.COM
IRVING TN 75015
Sgid TO SI11pT0
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 Cali
1 -800- 527 -9919 X0541
Customer No ;��Billia� Datc, 'Germs` llue mite..' "'Sliip Date- .';Sales Orticc_
308405 15-AUG-1 l 10 NET 25 -AUG -1 1 449232
iinvoice No Purchase Ord er,No Sales "Rep No Sales`Rep. Nnmc
r
451239 USCA704 COURTRIGHT. Mr.OAVIDA
1 rgduct �Qty_Ordcred- u_ ,a_. llcscri�tioro Pucka ia� :Qty.lillled „Unit Pcicc
12015268 1 WATER TREATMENT PROGRAM EA t.00 200.29 200.29
liercltalSH�se `Statela�LocdTile,_ �51ii,ppmK;: �Splitlov.No. Currency.- 'rot�IAraroRnt''
200.29 0.00 1 0.00 0.00 U5 200.29
IN Tax .lD 010t073755 0010 Federal ID 75- 2761907
CI'IEM -AQUA, INC.. ALL RETURNS CLAIMS I-OR ERRORS. OR ADJUSTMENTS OF ANY KIND MUS r BE MADE WITHIN 15 DAYS AF'I'GR RECEII -1 OF
GOODS, MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRI'l FEN CONSEN '1'. DIS'1'RIBUC10N SERVICES INCLUDE SHIPPING
.P• l- IANr)i wn C'IIAR(7PC P() R r)FSTINATICIN
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# 1 Dept. INVOICE NO. ACCT #£TITLE AMOUNT Board Members
1110
451239 I 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, August 25, 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 bil[(s))
08/15/11 451239 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