HomeMy WebLinkAbout173206 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $64.30
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36
AVON IN 46123 CHECK NUMBER: 173206
CHECK DATE: 6/10/2009
DEPA RTMENT ACCO PO NUMBER INVO NUM AM DESCRIPTION
-651 5023990 1538745 64.30 MATERIALS SUPPLIES
A� UA INVOICE
S157MQD
7_785 East US Highway 36 Order No. 9I- 193874R• t" Written By nT�2aU ®!-IRS Order Da [E8129 /AA
Hon, IN 46123 v.
800 447 5582 Account 132305 Technician FMOORM9AN�! Serv. Da D9128tf18
www.ilovemywater.com Bill to Account 1132 Q�
Route No Sequence 0
Name CRY of Carmel Sewer D ept
Last De13A eN1M/t18 1
Address 901 M Ronaallne Rd
City Carmel IN 416032
Install Date Customer Installed
Phone 31771 _91045
Hardness gpg Iron ppm_ ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
F
EX Cft. Aot. ft, No. Dosarlpti Tau Prue Total
2 5 5 Gall Aqua Systems Bow e 0 5.15
2 t B ofal$ 5 "�allcn_�ua S1fr>roa' 0 0.00 7,
i
P 9
d1 l T l 0 1 qua S erna bonne 0 0.00
'5-
e I
Sd eduled ®efivedes:
Fuel Surcharge 2.50
RENTAL WARRANTY
a2g CHARGE RETURN
Plea se ay from $iis bill. o other billing will be mailed. HOURS RATE
pon r eipt of merchandi a or services, customer agrees
Next Delivery Date
pay ir Irby due date.- f p yment is not received, you are
s bject collection fees, c urt cost and attorney fees.,
Service /Delivery Tech. ate
661'Z5/08
Customer Name Please Print
Customer Signature
I here acknowledge 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 t
CITY OF CARMEL
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 6/3/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/2009 1538745 $64.30
F
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095764 WARRANT ALLOWED
354,047 IN SUM OF
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
�C
a
Board members
PO INV ACCT AMOUNT Audit Trail Code
1538745 01- 7200 -01 $64.30
Voucher Total $64.30
Cost distribution ledger classification if
claim paid under vehicle highway fund