HomeMy WebLinkAbout205140 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1
ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $80.74
CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36
AVON IN 46123 CHECK NUMBER: 205140
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2040927 80.74 OTHER EXPENSES
A INVOICE
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MS
sl- 2040927 JEIt -LS 12/
7785 East US Highway 36 Order No. Written By Order Date
Avon, IN 46123 Account o EMOOR111AN Wed. 12/28/11
800 447 5582 Technician Serv. Date
www.ilovemywater.com Bill to Account No 0
City of Carfnel Sew er Dept Route Sequence
Name SAS 10!05111 15
801 N Rangeline Rd Last Del.
Address
City
Carmel IN 48032
X97- �g1 -2��J Install Date Customer Installed
Phone
Hardness gpg Iron ppm ph
Ordered By
TDS ppm Watertype
Requested Time
No. of People
Comments:
et
T
xp. tom. Act Pia. Description Tax price Total
r
DSAS De p It 5 981116h 111A S terns 0 0.00
0 R5AS RT'R 5 gal Aqua sterns battle 0 0.00
-__0__ 12, WednOsday or This", day 0 0.00
1
cheduled- Deliveries: 12/28/11 ___:_Customer IS -no .tic
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RENTAL WARRANTY
CHARGE RETURN
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12!28111 HOURS RATE TO
Next Delivery Date LABOR
MATERIAL (TAXABLE)
Service /Delivery Tech. NO N TAXABLE I t
Customer Name Please Print 174
Customer Signature r`
TAX
hereby acknowledge satisfactory completion of above described work i
30 Day Labor Warranty
Due Date
8111 Customer. 132505 City of Camel Sewer Dept
Please pay from this bill. No other billing will be mailed. Upon receipt of merchandise or services, customer agrees to pay in full by
due date. If payment is not received, you are subject to collection fees, court costs and attorney fees.
Below is your account balance and aging as of the order date above. This balance does not reflect today's service or delivery.
Your prompt payment would be greatly appreciated.
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Current Up to 30 Days 31 -60 Days Over 60 Days Balance Due
o.oa a.aa a.00 a.ao o.oa
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 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 12/30/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 2040927 $80.74
I 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
Date Officer
VOUCHER 116536 WARRANT ALLOWED
354047 IN SUM OF
AQUA SYSTEMS
7785 EAST US HIGHWAY 36
AVON, IN 46123
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2040927 01- 7200 -01 $40.37
2040927 01- 720H -08 $40.37
Voucher Total $80.74
Cost distribution ledger classification if
claim paid under vehicle highway fund