HomeMy WebLinkAbout202498 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200.29
a CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 202498
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 482981 200.29 BUILDING REPAIRS MA
INVOICE Page: 1 of 1
ORIGINAL COPY Remittance Address
CRM A6ZUA REORDERS CALL 1- 800 -527 -9921 CHEMAQUA
We Treat Your Water Right' 23261 NETWORK PLACE
CORRESPONDENCE,TO FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232
PO BOX 152170 W W W.CHEMAQUA.COM
►RUING Tx 75015
So1d,To. aX� ShiEr•:To �h�::
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 cae.credit @nch.com
or call
1- 800 -527 -9919 X0541
Customer,No. Billing Date k Terms Due Date Ship Date Sales.0lder
308405 15- SEP -11 10 NET 25 -SEP -I 1 484209
Invoice No. a Purchase Order No. SalesRep. No.. Sales Rep. Name
482981 USCA7C34 COURTRIGHT, Mr. DAVID A
I roduct_.___ _Qfy_Qrdered> UescritHion Packaging Qfy_13illed 3.? UnitPrice
12015268 1 WATER TREATMENT PROGRAM EA 1.00 200.29 200.29
r
D9crchandisc` State far local Tax Split'Inv, No Currency" Totul Amount
200.29 0.00 0.00 0.00 1 1 USD 200.29
IN Tax 11) 0101073755 001 0 Federal 11) 75- 2761907
CHEM -AQUA. INC.. ALL RETURNS CLAIMS FOR ERRORS. OR ADJUSTMENTS OF ANY KIND MUST BE MADE WITHIN 15 DAYS AF RECEIPT OF
GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT. DISTRIBUTION SERVICES INCLUDE SHIPPING
R I-IANIII IN(: fIIAR(:FC Fnn IIFC'I'INA'I'I/1N
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))
09/15/11 482981 monthly payment $200.29
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 N
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# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 482981 I 43- 501.00 I $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
Wednesday, October 05, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund