HomeMy WebLinkAbout176702 09/02/2009 CITY OF CARMEL, INDIANA VENDOR 494400 Page 1 of 1
ONE CIVIC SQUARE CHEM -AQUA, INC CHECK AMOUNT: $200.29
s' (o CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 176702
CHECK DATE: 9/2/2009
D EPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
J �1110 4350100 568094 200.29 BUILDING REPAIRS MA
ORIGINAL
C" R ,UA INVOICE
We Treat Your Water Right' REORDERS CALL: 1 -800 -527 -9921 CHEMAQUA
CORRESPONDEiN 23261 NETWORK PLACE
PA. BOX 152170 FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
IRVING,TEXAS 75015 www,CHEMAQUAxom
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
CARMEL IN 46032 To enroll please call
1 -800- 527- 9919 -x0831
Cust. Acct. No. Invoice No. I Invoice Date Terms Sales Rep I Order No. I Ship Date Customer P.O. No.
CB002439 568094 08 -18 -09 NET 10 DAYS 7C34 071211 08 17 09
Product >?ackagil:� Description— Unit Price Qty Billed Amoun
X005 1 WATER TRTMT PROD /OR SVC 200.29 1 EA 200.29
Merchandise. State Tax Local Tax a_ Inv. Total Amount
200.29 1 200.29
IN Tax 0101073755 -001-0 Federal Id #75- 2761907
CHSM -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 G. HANDLING CHARGES F.O.B. DELVD.
Prescri 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.
ti
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))
8/18/09 568094 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.
i
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. 1 hereby certify that the attached invoice(s), or
1110 568094 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
August 24 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund