230015 03/12/14 CITY OF CARMEL, INDIANA VENDOR: 360474
ONE CIVIC SQUARE LABCONCO CORP CHECK AMOUNT: S""'***65.28*
f. CARMEL, INDIANA 46032 PO BOX 801133 CHECK NUMBER: 230015
9MTON�\ KANSAS CITY MO 64180 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 534807 65.28 OTHER EXPENSES
Protecting your
p laboratory environment
U.S.REMIT TO
■ LABCONCO CORP.P.O.BOX 801133
LABCONCO CORPORATION 8811 PROSPECT, KANSAS CITY, MO 64132 KANSAS CITY,MO 64180
800-821-5525,816-333-8811,FAX 816-333-1734
CARMEL WWTP
ATTN JEFF COOPER
9609 HAZEL DELL PARKWAY
INDIANAPOLIS
• IN 840 46280
CARMEL WWTP 534807
• DAVE DYE
® 9609 HAZEL DEL PARKWAY ORDER NO
INDIANAPOLIS
° IN 840 46280 907909
10 MIICE HARRIS/HB
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922931 2/19/14 02/21/14 ADMIN DISHWASHER FEDERAL EXPRESS Prepaid 1% 10 NET 30 2/20/14
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2 2 EA 4599200 CABLE 9.79 .00 9.80 19.60
2 2 EA 4429100 SPRING PIN #131310 6.75 .00 6.75 13.50
2 2 EA 4491100 HOOK,DOOR SPG GLSWRE WASHER 1.09 .19 1.09 2.18
2 2 EA 1971900 HOOK, "S" 57 .00 .58 1.16
2 2 EA 4512800 SPRING,DOOR-WASHER 10.76 .00 10.76 21.52
Freight 7,32
Total Tax 4.57
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SELLER TS THAT WITH RESPECT TOT ...H...
SELLER REPRESENTS H ESPECT HE ARTICLES OR SERVICE COVERED BY THIS INVOICE HAS FULLY COMPLIED WITH THE FAIR LABOR STANDARD �
ACT OF 1939 AS AMENDED,ANY TAX OR OTHER CHARGES LEVIED BY THE FEDERAL,STATE OR MUNICIPAL GOVERNMENTS UPON THE PRODUCTION,SALE OR
SHIPMENT OF MATERIAL HEREIN SPECIFIED IF REQUIRED TO BE PAID BY THE SELLER BE ADDED TO THE PRICE PAYABLE BY THE BUYER.
INVOICE
VOUCHER # 137521 WARRANT # ALLOWED
360474 IN SUM OF $
LABCONCO CORP
PO BOX 801133
KANSAS CITY, MO 64180 s
J
t
Carmel Wastewater Utility
C
ON ACCOUNT OF APPROPRIATION FOR 'I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
534807 01-7202-06 $65.28
1
t
Voucher Total $65.28
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
360474
LABCONCO CORP Purchase Order No.
PO BOX 801133 Terms
KANSAS CITY, MO 64180 Due Date 3/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/4/2014 534807 $65.28
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC r5-11-10-1.6
Date Officer