HomeMy WebLinkAbout180025 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC
CARMEL, INDIANA 46032 23251 NETWORK PLACE CHECK AMOUNT: $200.29
CHICAGO IL 60673 -1232 CHECK NUMBER: 180025
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 583051 200.29 BUILDING REPAIRS MA
ORIGINAL,
eni fitancMffi °a
CHM-AQUA
INVOICE
We beat Your Water Right' CHEMAQUA
REORDERS CALL: 1 -800- 527 -9921 2
CORRGSPONULNCE'PO: 3261 NETWORK PLACE
r.o. sox 152170 FAX 1- 972 -438 -0634 CHICAGO, lL 60673 -1232
IRVING, "TEXAS 75015 WWw.CHEMAQUA.coni
SOLD TO: SHIPPED TO:
r
Electronic Funds Transfer
(EFT)
CARMEL POLICE STATION
CARMEL POLICE STATION 3 CIVIC SO. payments are encouraged
CARMEL IN
3 CIVIC SQ 46032 To enroll please call
CARMEL IN 46032
1- 800 -52 7- 9919 x0831
Cost. Acct. No. I Invoice No. I Invoice Date Terms Sales Rep Order No. I Ship Date Customer P.O. No.
CB002439 -1--583051 11 -17 -09 NET 10 DAYS 7C34 0712K 11 -16 -09
Product Packaging Description Unit Price Qtv Billed Amount
X005 1 WATER TRTMT PROD /OR SVC 200.29 1 EA 200.29
Merchandise State Tax Local Tax "Shipping .Inv. Total Amount
200.29 200.29
IN Tax# 0101073755-001 -0 Federalld #75- 2761907
CHEM -AQUA, INC., ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. DISTRIBUTION SERVICES INCLUDE. SHIPPING HWDLING CRARCES F,O.P_ DELVD.
Prescribed by State Board otAccounts 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
Chem -Aqua Purchase Order No.
r
23261 Network Place Terms
i
Chicago, IL 60673 -1232 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/17/09 583051 monthly payment 200.29
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
C hEmAqua IN SUM OF
23261 Network Place
Chicago, IL. 60673 -1232
200.29
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 583051 501 200.29 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
December 3 20 pg
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund