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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