HomeMy WebLinkAbout203398 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
a ONE CIVIC SQUARE CHEM —AQUA, INC CHECK AMOUNT: $200.29
1, CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 203398
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 514207 200.29 BUILDING REPAIRS MA
INVOICE Page of
Q�J ORIGINAL COPY
CKMA Renlittance�Address.'.
A REORDERS CALL 1- 800 -527 -9921 CHEMAQUA
We Treat Your Water Right• 23261 NETWORK PLACE
CORRESPONDENCETO FAX 1- 972 -438 -0634 CHICAGO, IL 60673 -1232
PO BOX 152170 W W W.CFIEMAQUA.COM
IRVING TX 75015
S61d I0 3, 3 v a 5111 7O
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 call
1- 800 527 -9919 X0541
Qistomer No. I3illing'Date Terms Ihte Date Ship Date Sales Order
308405 IS- OC "I' -11 10 NET 25 -OCl' -I 1 516769
J
Invoice No Purclmse OrdeP'No. Sales Rep. No. Sales Rep. Namc
USCA.704 COUI. RIGi1l'. N1 r. DAVID A
_-APr6duct Qty Ordered description I Packaging I Qty Billed I UoilTrice Amount
12015268 1 WATER TREATMENT PROGRAM EA 1.00 200.29 200.29
A4crchandisc st Tax Local T.IN Shipping Split Liv: No. Currencc Total Amount
200.29 0.00 0.00 0.00 USD 7 01129
IN Tar 11) 01011173755 001 0 F 11) 75- 2761907
Cl ll;M -AQUA. INC.. ALL RL "I'URNS CLAIMS FOR ERRORS. OR ADJUS "ITIF,NTS 01 ANY FIND MUST 131- MAD!: WITHIN 15 DAYS AFTE=R RECEf II' 01
GOODS. MI512CIIANDISl NOT ACCEPTED FOR CRI:DI "r WITI TOUT (AIR PR I01? U "{'!'n1 rrnN.cc: !;it'1'iziuri'rinu Crta'viri'l� in :r'i i nv= Ci- rii,ninin
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))
10/15/11 514207 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
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# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 514207 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
Thursday, November 03, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund