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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