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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