HomeMy WebLinkAbout208255 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00352895 Page 1 of 1
ONE CIVIC SQUARE CULLIGAN WATER CONDITIONING CHECK AMOUNT: $335.83
CARMEL, INDIANA 46032 1104 S STATE ST
WASECA MN 56093 -3145
CHECK NUMBER: 208255
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 335.83 508CX03012012
APR /18 /2012 /WED 11.26 AM Culligan of Cent. IN FAX No,317 591 7661 P,002
0JUjuiv. ACCOUNT 50800801936 -8
ACCOUNT NAME: CARMEL FIRE STATION #42
ACCT OF:
better water, pure and simple. SERVICE ADDRESS: #2 CIVIC SQUARE
Regularly Scheduled Delivery Dates:
If you wish to skip a delivery, please call us at least
CULLIGAN OF INDIANAPOLIS one day in advance of your scheduled delivery date.
1104 S STATE ST How to Avoid Missing Deliveries:
WAS ECA, MN 56093 -3145 It you know you are not going to be nome on one of your scheduled
dates, please do one of the following.
1. Leave an entrance upon.
2. Leave a note telling us how we can gain entrance,
3. Call our office to make arra%emente 60 we may have
access to a key or entry code. (This ahould be done at least
one day In advance.)
Let us do the work for you. Call today to sign up
for convenient salt or water delivery service.
SEND INQUIRIES TO: THANK YOU FOR YOUR PROMPT PAYMENT.
I CULLIGAN INDIANAPOLIS I WEB_ WVVWCULLIGANISWATER
6901E 38 STREET
INDIANAPOLIS, IN 46228 PHONE- 317591 -9899
i 03/01/2012 SALES TAX 11.69
j I LABOR Cl EQUIPMENT SVC 155.00
03/01/2012 FUEL SURCHARGE 2.10
r I I
#403304 CARTRIDGE 109.86
I
1 001016267 SEAL PISTON 5
#304805 GASKET 2 54.9 .9
Past Due Accounts will be subject to a
late charge of $1.00 Or 5% of past due
508CX 03012012 amount whichever is greater, 03/01/2012 335.83
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r (i DETACH LpWKft PORTION A
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
508CX03012012 $335.83
1 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 N
ALLOWED 20
Culligan
Driessen Water Inc. IN SUM OF
1104 State Street South
Waseca, MN 56093
$335.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1508CX030120121 43- 501.00 I $335.83 1 hereby certify that the attached invoice(s), or
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
d
a Y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund