HomeMy WebLinkAbout176653 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 56 CHECK AMOUNT: $64.30
AVON IN 46123 CHECK NUMBER: 176653
CHECK DATE: 9/2/2009
DEPA ACCOUNT PO NUMBER IN VOIC E NUM BER AMOUNT DES
651 5023990 1598589 64.30 OTHER EXPENSES
I
A INVOICE
U
7785 East US Highway 36 Order No. written By JEIl.LS Order Da% 09
Avon, IN 46123 Account 132504
800 447 5582 Technician EMOORMAN Serv. Dat 08/27/09
www.ilovemywater.com Bill to Account 132305
Route NO Sequence 0
Name Clty of Carmel Sewer Dept 13A 05/28/09 12
Last D A
Address 909 N Rangeline Rd
city Carmel IN 46032
Install Date Customer Installed
Phone 397 -571 -2643
Hardness gpg Iron ppm_ ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
Ettp g. AUL My. Nu. r v pri Total
12 W 5 Gallan ftiA SjGft itg'I tP~ =n 0 5.95
9 DW Doposlt 5 gallon ,qua shams 0 6.00
RW RTW 5 gel .qua Systems t►ottle 0 0.00 7
�1
Sa eduled Deliveries.
Fuel Surcharge 2.50
RENTAL WARRANTY
CHARGE RETURN
Please pay from this bill No'otherfii Ili ng will be mai led. Rouas RATE TO
Next Delivery Date Upon receipt of merchandise or services, customer agrees
-to pay in full by due date. payment is not received, are LAB
subject to collection fees, court cost and attorney fees.
08/27/09 TOTAL MATERIA
Service /Delivery Tech. Due D0 12MIR
SUB-TO
Customer Name Please Print
Customer Signature TAX
I hereby a satisfactory completion of above described work.
30 Day Labor Warranty
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL r'
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 8/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/28/2009 1589589 $64.30
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have a d same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096312 WARRANT ALLOWED
X54047 IN SUM OF
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
T'
Board members
PO INV ACCT AMOUNT Audit Trail Code
1589589 01- 7200 -01 $64.30
Voucher Total $64.30
Cost distribution ledger classification if
claim paid under vehicle highway fund