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