HomeMy WebLinkAbout173261 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
f Q ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200,29'
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -12.32 CHECK NUMBER: 173261
CHECK DATE: 6110/2009
`O'EPARTME A CCOUNT PO NUMBE INVOICE NUMBE AMOUN DES
1110 4350100 553340 200.29 BUILDING REPAIRS MA
ORIGINAL R >It�t ndless
CFfI1-AQUA INVOICE
We Treat Your Water Right` CH EMAQ UA
REORDERS CALL: 1 800 527 9921 23261 NETWORK PLACE
CORRESPONDENCE To:
P.O. Box 152170 FAX 9 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
IRVINC, TEXAS 75015
www.CHEMAQUA.coni
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
(EFT)
CARMEL POLICE STATION
CARMEL POLICE STATION 3 CIVIC SO payments are encouraged
CARMEL IN
3 CIVIC SQ 46032
T
CARMEL IN 46032 o enroll please calf
1- 800 -52 7 -9919 -x0831
Cost. Acct. No. Invoice No. I Invoice Date Terms Sales Rep I Order No. I Ship Date I Customer P.O. No.
_CB002439 553340 05 -18 -09 iV1=T 10 DAYS 7C34 0712E 05 -15 -09
Product Packaging Description Unit Price Qty Billed Amount
X005 1 WATER TRTMT PROD /OR SVC 200.29 1 EA 200.29
Merchandise State Tax Local Tax *Shippiu- Inv. Total Amount
200.29 200.29
IN Tax 0101073755 -001 -0 Federal Id #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 HANDLING CHARGES F.O.B. DELVD.
Prescrih?.4by State Board of Accounts City Form No. 201 (Rev. 1995)
14 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
C hemAqua Purchase Order No.
2 3261 Network Place Terms
Chicago, IL 60673 -1232 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/18/09 553340 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 }f.emAqua
IN SUM OF
23261 Network Place
Chicago, 1L 73— 23
200.29
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #rTITLE AMOUNT I hereb
DEPT. y certify that the attached invoices) or
1110 553340 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
June 2 20 09
&�A&Z b
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund