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HomeMy WebLinkAbout175641 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1 ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200.29 CARMEL, INDIANA 46032 23261 NETWORK PLACE o��o+ CHICAGO IL 60673 -1232 CHECK NUMBER: 175641 CHECK DATE: 8/6/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 563024 200.29 BUILDING REPAIRS MA ORIGINAL, miccan e a sure s C M -AgUA INVOICE We Treat Your Water Right' REORDERS CALL: 1- 800 -527 -9921 CHEMAQUA CORRESPONDENCE TO: 23261 NETWORK PLACE P.O. BOX 152170 FAX 1- 972 -438 -0634 CHICAGO, IL 60673 -1232 IRVINC, 75015 www.CHEMAQUA.com SOLD TO: SHIPPED TO: Electronic Funds Transfer t (EFT) CARMEL POLICE STATION CARMEL POLICE STATION 3 SO payments are encouraged CARMEL IN 3 CIVIC SQ 46032 To enroll please call CARMEL IN 46032 1- 800 -52 7- 9919 -x0831 Cust. Acct. No. Invoice No. invoice Date .Terms Sales Rep I Order No. Ship Date Customer P.O. No. CB002439 563024 07 -16 -09 NET 10 DAYS 7034 0712E 07 -15 -09 Product Packaging Description Unit Price Qty Billed Amount X005 1 WATER TRTPTP PROD /OR SVC 200.29 1 E 200.29 Merchandise State Tax Local Tax *Shippinc I Inv. Total Amount 200.29 1 1 200.29 IN Tax 0101073755 -001-0 Federal Id #75- 2761907 CHF.M -AQUA, INC.. ALL RETURNS. CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND MUST RE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 ChemAqua Purchase Order No. 23261 Network Place Terms 'CHicago, IL 60673 --1232 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7 /16/0 9 563024 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 ChemAqua 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 invoices), or 1110 563024 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 July 29 20 09 Signature Chief of Police Cost distribution ledger classification it Title claim paid motor vehicle highway fund