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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