HomeMy WebLinkAbout219940 05/07/2013 -emu. CITY OF CARMEL, INDIANA VENDOR: 367113 Page 1 of 1
0 f ONE CIVIC SQUARE WATER SERVICES GROUP CHECK AMOUNT: $160.00
4 CARMEL, INDIANA 46032 4914 FOUNDERS COURT
9'''TOM ANDERSON IN 46017 CHECK NUMBER: 219940
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7156 160 . 00 OTHER EXPENSES
INVOICE# 7156
f 4914 Founders Court/Anderson,Indiana 46017
�( Tel:(765)617-5193/Fax:(765)378-0562
WATER SERVICES GROUP /
INVOICE
Sold To: Misc
Name Carmel WWTP Date
Address 9609 Hazel Dell Parkway P.O.# Verbal Jeff
City Indianapolis State IN ZIP 46280 Terms: Net 30 days
Attention: Accounts Payable Site: Carmel WWTP
Qty Description Unit Price TOTAL
Price to provide and install (1) 55-gallon drum of Deionized Water
for the heating system. Price includes necessary labor, pump&
deionized water solution on an emergency basis.
$ 160.00
niplefed''o,n 11/17113,;:
Order confirmation by Jeff Cooper
SubTotal $ 160.00
Shipping $ -
Payment Tax Rate(s)
Payable To:;!n Agent:for:WSCr`,`,; ?.;:;". TOTAL $ 160.00
1491,4f
Aride'r.'sori-;Indiana`460:1;7_i -,r.; ,, Office Use Only
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SS#;3OSW=86=2286;:
WSG*4914 Founders Ct 'Anderson, Indiana 46017
VOUCHER # 135425 WARRANT # ALLOWED
367113 IN SUM OF $
WATER SERVICES GROUP
4914 FOUNDERS COURT
ANDERSON, IN 46017
1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
t
PO# INV# ACCT# AMOUNT Audit Trail Code
7156 01-7202-06 $160.00
7
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Voucher Total $160.00 !
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
367113
WATER SERVICES GROUP Purchase Order No.
4914 FOUNDERS COURT Terms
ANDERSON, IN 46017 Due Date 5/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/1/2013 7156 $160.00
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
Date Officer