176124 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00350893 Page 1 of 1
ONE CIVIC SQUARE AQUATIC CONTROL INC CHECK AMOUNT: $1,030.18
CARMEL, INDIANA 46032 PO BOX 100
SEYMOUR IN 47274 CHECK NUMBER: 176124
CHECK DATE: 8/19/2009
D EPARTM EN T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 22231 93264 1,030.18 LAKE CHEMICALS
a 0 Ma40C� L 7 CO TR®L
P.O. Box 100 Seymour, Indiana 47274 INVOICE NO. 93264
812-497-2410 07/16/09
812 497 -2410 800- 753 -LAKE
www.aquaticcontrol.com
C ACCOUNT NO: 32425
Carmel Clav Parks and Recreation Carmel Clay Parks and Recreation
1427 E 116th Street 1427 E 116th Street
Carmel, IN 46032 Carmel, IN 46032
Net 30 Days 111877
jTEM UNIT PRICE EXTENSION -1
quaPro 2.5 Gallon 45.000 900.00
7" L00075 Cide Kick II 1 Gallon 20.330 60.99
Purchase LAVE C4-I EN i CA L.S
Description
P.O. P orC
Bud Descr 1�"i I SC.
Purchaser Date
Approval Date WICC, WIZ- 1
OK 0K per 5fi -rte
1--_I-4
COMMENTS SUB -TOTAL 960.99
SALES TAX 0.00
FREIGHT 69.19
INVOICE TOTAL 1030.18
AMOUNT RECEIVED 0.00
1030.18
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
An invoice of 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.
00350893 Aquatic Control Terms
P.O. Box 100
Seymour, IN 47274
invotce Invoice ber (or note attached invoice(s) or bill(s)) Description
Date Num PO Amount
7116/09 93264 Lake chemicals 22231 F 1,030.18
Total 1,030.18
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
Voucher No. Warrant No.
00350893 Aquatic Control Allowed 20
P.O. Box 100
Seymour, IN 47274
In Sum of
N. 1,030.18
i
ON ACCOUNT OF APPROPRIATION FOR
1
101 General Fund
PO# or INVOICE NO. ACCT #iTITLE AMOUNT Board Members
Dept
22231 F 93264 4239000 1,030.18 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
13 -Aug 2009
2 �m
Signature
1,030.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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