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HomeMy WebLinkAbout211069 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1 0 ` ONE CIVIC SQUARE JOHN THOMAS CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $28.93 « ?� CARMEL IN 46033 CHECK NUMBER: 211069 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4462838 28 . 93 STORM WATER PHASE II Fernandez, Rachel From: Orders [orders @freshwatersystems.com] Sent: Friday, June 29, 2012 1:43 PM To: Fernandez, Rachel Subject: FreshWaterSystems.com Receipt FreshWaterSystems.com Receipt ***PLEASE PRINT RECEIPT OUT AND RETAIN IT FOR FUTURE REFERENCE*** Order Number: 347811 Check Order Status Entail: rfernandez�carmel.in.gov (347811) Date: 6/29/2012 1:42:26 PM Account Billing Address Shipping Address Name: Rachel Fernandez Rachel Fernandez Company: City of Carmel City of Carmel Address: One Civic Square 1 CIVIC SQ Address: Engineering Carmel, IN 460')2 CARMEL, IN 46032-2584 Phone: 317-571-2459 317-571-2459 Product Qty Each Sub Total Pool Check® Phosphate (50/bottle) - 2 $11.99 $23.98 Part# 481349 .30 Estimated Weight: .60 lbs. NOTE:iif your itenh(s)are on backorder,we will contact you via e-mail and/or phone to inform Subtotal: $23.98 you ofthe estnnated ship date,and/or other options. 117e promise to contact yon the some business Tax: $0.00 dm-for AIR shipments(until 6:30 PM EST)and within I business day(M-F)for ground shipments. US Mail Shipping: $4.95 Total: $28.93 Paid by VISA ****9466 We use recycled packaging! Thank you for choosing FreshWaterSystems.com! Return Police:Prior authorization required for returns and freight must be prepaid.Returns must be received within 30 days of original invoice date.Returns must be unused and in the original packaging with all documentation.Orders that received free shipping are subject to a$9.95 fee or the actual shipping charge,whichever is oreater.Shipping.Handling and Installation charges are not refundable.Returned Goods may be subject to a 15-25%restocking fee. Zip=N,Addr—NV-1.00_U4F4_ 1 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 John Thomas Purchase Order No. Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 6/29/2012 0 testing supplies for idde program $ 28.93 Total $ 28.93 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 NO. John Thomas ALLOWED 20 IN SUM OF $ $ 28.93 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 211-4462838 28.93 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 /18/2012 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund