HomeMy WebLinkAbout204191 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $200.29
CHICAGO IL 60673 -1232
CHECK NUMBER: 204191
CHECK DATE: 12/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 545956 200.29 BUILDING REPAIRS MA
INVOICE Page: 1 of 1
ORIGINAL COPY Remittance Address
CPEM AAA REORDERS CALL 1 -800- 527 -9921 CHEMAQUA
We Treat Your Water Right` 23261 NETWORK PLACE
CORR ESPONDENCE TO FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
PO BOX 152170 WWW.CHEMAQUA.COM
IRVING Tx 75015
ShtpTo
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 @ncii.com
or call
1- 800 -527 -9919 X0541
Customer No. If 'Date' Terms A)ue Date Ship Date Sales Order
308405 15- NOV -11 10 NE T 25 -NOV -I 1 551956
ivoice
h'No. Purchase OrderN6. r 'Sales Re No. Sales Rep. Natn"
a. p a
`545956_ 'USCA 7C3 COUR "IRIvf9 "I:'i4if. vAViD'Fi
"Product �Qty Oedcred '`Description, z Packaging QtyBilW Unit Price: 'Amount";
12015268 1 WATER TREATMENT PROGRAM EA 1.00 200.29 200.29
Merchandise State Tax' =s Local Tax'' Shipping Split hTV. No. I Currency' Total Amount
200.29 0.00 0.00 0.00 1 USD 200.29
IN Tax ID 0101073755 0010 Federal Ill 75- 2761907
CIIEM -AQUA. INC.. ALL RI ?TURNS CLAIMS FOR ERRORS. OR ADJUSTMENTS OF ANY KIND MUST BE MADE WI MIN 15 DAYS AFITR RECEIPI
GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITf TOUT OUR PRIOR WRITTEN CONSENT. DISTRIBUTION SERVICES INCLUDE SHIPPING
R FIANDI.ING CIIARC7PS- P.O.R. DESTINATION
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))
11/15/11 545956 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_ l 545956 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, December 01, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund