HomeMy WebLinkAbout227787 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 367806 Page 1 of 1
ONE CIVIC SQUARE MIDWEST WATER GROUP INC
•� 0 , CHECK AMOUNT: $1,411.20
CARMEL, INDIANA 46032 PO BOX 909
LAKE GENEVA WI 53147 CHECK NUMBER: 227787
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 7477 1, 411 . 20 1052 . 14
Midwest 9nwooca
Vateirrpoup, .Nc. REMIT ADDRESS: Date Invoice#
P.O.Box 909
PO Box 909 1 Lake Geneva,WI 53147 Lake Geneva,WI 53147 12/2/2013 7477
866.526.6558 phone o 866.526.6559 fox a w .midweatwatergmvp—m
Bill To Ship To
Carmel,City of Carmel Water Utilities
3450 W. 131st Street 4915 E. 106th St.
Carmel,IN 46074 Carmel,IN 46033
P.O. Number Terms Rep Ship Vi
W09888 Net 30 MH 11/27/2013 UPS
Quantity Item Code Description U/M Price Each Ordered Backordered Amount
2 SWAN-Dega... SWAN Part#A-82.321,000 Degasser AMI 695.00 2 0 1,390.00
Turbiwell made of PVC/PMMA for the
sample degassing during the measurement
of pure water
1 FREIGHT FREIGHT CHARGES 21.20 0 21.20
OUR OFFICE MAILING AND
REMITTANCE ADDRESSES
HAVE CHANGED EFFECTIVE
IMMEDIATELY:
MIDWEST WATER GROUP,INC.
P.O.Box 909
Lake Geneva,WI 53147
We will add 1.5%finance charges on invoices more than 30 days overdue. Subtotal $1,411.20 _
Sales Tax (0.0%) $0.00
®a�ance Due $1,411.20
VOUCHER # 133561 WARRANT # ALLOWED
367201 IN SUM OF $
MIDWEST WATER GROUP INC
PO BOX 909
LAKE GENEVA, WI 53147
,i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
j Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
7477 07-1052-14 $1,390.00
r
7477 07-1052-14 $21.20
1
QC)
Voucher Total $1,411.20
1
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
367201
MIDWEST WATER GROUP INC Purchase Order No.
PO BOX 909 Terms
LAKE GENEVA, WI 53147 Due Date 12/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2013 7477 $1,411.20
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 icer