HomeMy WebLinkAbout171787 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 194400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200.29
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 171787
CHECK DATE: 4/29/2009
DEP ARTMENT ACCOUNT PO NUMBE INVOICE NUM A MOUNT DESCRIPTION
1110 4350100. 548430 200.29 BUILDING REPAIRS MA
n.
ORIGINAL emttance dcress.
F
CKM-AQ,UA INVOICE
We Treat Your Water Right' REORDERS CALL: 1- 800 -527 -9921 CHEMAOUA
CORRrSro,NOrNCH ro: 23261 NETWORK PLACE
1 Rox 152170 FAX 1- 972 438 -0634 CHICAGO. IL 60673 -1232
►RVtNC,TEXAS 75015 www.CliEMAOUA.coni
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
(EFT)
CARMEL POLICE STATION
CARMEL POLICE STATION 3 CIVIC SO payments are encouraged
3 CIVIC SQ CARMEL IN
CARMEL IN 46032 x6032 To enroll please call
1- 800 527 9919 x0831
Cust. Acct. No. Invoice No. Invoice Date Terms
Sales Rep Order No. Ship Date Customer P.O. No.
CB002439 548430 04 -16 -09 NET 10 DAYS 7C34
Product Packaging 0712D 0415
Description Unit Price
X005 1 WATER TRTINT PROD /OR SVC Qty 131I1ed Amount 200,29 1 EA
200.29
Merchandise State Tax
20 0-29 Local Tax
"Shippinc
IN 00 Inv' Total Amount
Cr�'AQUA, INC., Tax 0107073755 -1 -0 mount
NUST ALL RETDRNS, Federal Id #7 -�j Q 15 ZMA rtAD 7 Ef�? N AFTER RECEi ADJUST .rS OF 276O �.9
h'RIT7EN CONS •DISTRIBUTION SERV PT 'aODS MERCRANDZSE ANY XZND 907 20
ICES INCLUDE SAZPPINO 6 NOT ACCEP7$D
uMz CaGtPSEB FOR CREDIT 47
0°T OUR PRIOR
DENNIS
Prescribed by State Board of Accounts 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.
23261 Network Place Terms
Chicago, IL 60673 -1232 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/16/09 548430 monthly a' ent 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
VOWHER NO. WARRANT NO.
y ALLOWED 20
C hemA4ua
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
200.29
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 548430 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
April 23 2 0 09
—&Add -b '4IMA
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund