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HomeMy WebLinkAbout208195 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 354047 Page 1 of 1 ONE CIVIC SQUARE AQUA SYSTEMS CHECK AMOUNT: $82.29 CARMEL, INDIANA 46032 7785 EAST US HIGHWAY 36 AVON IN 46123 CHECK NUMBER: 208195 CHECK DATE: 4/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2098504 82.29 OTHER EXPENSES A A U INVOICE S157EMS® 7785 East US Highway 36 Order No. 81-2018504 Written By RRBUTChiER Order Date 04112/12 Avon,IN 46123 I 132604 t Account Technician EMOORMAN Serv. Date www.ilovemywater.com Mon. 04/16/1 800 447 -5582 13aS05 Bill to Account Route No Sequence 0 Name City of Carmel Sewer Dept Last Del. fiAS 02120112 12 Address 001 N Ranneline Rd City Carmol IN 40032 Install Date Customer Installed Phone �'�9- 3 Hardness gpg Iron ppm ph Ordered By TDS ppm Watertype Requested Time No. of People Comments: fit i i Bx9. p Taftl 12 t 5 Gallon Aqua Systems Pottle o� X50 12 C VS Deposit 5 gallon Aqua Systems 0 W R TH 5 gal Aqua S ystems bottle j r r t a RENTAL WARRANTY CHARGE RETURN HOURS RATE Next Delivery Date 04/16/12 MATE RIAL Service /Delivery Tech. MATERIAL (NON-TAXABLE) Customer Name Please Pri Customer Signature 30 Da Labor Warrant e- desFribed Y Y FUEL SURCHARGE (TAXABLE) I hereby acknowledge satistact 0. letion o Due TOTAL Date 051WIl2 B&To Customer. 132303 My of Carmel Sewer Dept A Q UA 44 Please pay from this bill. No other billing will be mailed. Upon receipt of merchandise or services, customer agrees to pay in full by due date. If payment is not received, you are subject to collection fees, court costs and attorney fees. Below is your account balance and aging as of the order date above. This balance does not reflect today's service or delivery. Your prompt payment would be greatly appreciated. Current. Up to 30 Days 31 -60 Days Over 60 Days Balance Due 0 .ao-; 0.00 D.oO 0.00 0.00 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 354047 AQUA SYSTEMS Purchase Order No. 7785 EAST US HIGHWAY 36 Terms AVON, IN 46123 I Due Date 4/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/20/2012 2098504 $82.29 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 Date O er VOUCHER 117201 WARRANT ALLOWED 354047 IN SUM OF AQUA SYSTEMS 7785 EAST US HIGHWAY 36 AVON, IN 46123 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 2098504 01- 7200 -01 $41.14 2098504 01- 720H -08 $41.15 Voucher Total $82.29 Cost distribution ledger classification if claim paid under vehicle highway fund