HomeMy WebLinkAbout238389 10/21/14 �,Coq
`F CITY OF CARMEL, INDIANA VENDOR: 118000
® i! ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*******980 57*
+., : CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 238389
,,�.oN CHICAGO IL 60693 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9055283 980.57 OTHER EXPENSES
INVOICE NO 9055283 DATE: 1 10/02/2014
PURCHASE JF100114A
0 CARMEL UTILITIES ORDER
L NUMBER
D LOVEALL,KERRI Net 30 Days From Invoice Date
3450 W 131st St TERMS
T Carmel,IN 46074-8267
O United States FREIGHT Prepay And Bill Customer
CARRIER UPS-UPS**UPS --Ground
S
H CARMEL UTILITIES ACCOUNT 1 052653
I 4915 E 106TH ST I REF, NO. 1313363792-1 Remit to:
P CARMEL, IN 46033 Hach Company
United States 2207 Collections Center Eir
T Chicago,IL 60693
O Phone:(800)227-4224
These commodities are sold,packaged,marked,and labeled for destinations in the United States. Exportation of these commodities may require special licensing,packaging,marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
1 SULFAMIC ACID PWD PLWS PK/100 105599 3 16.95 50.85
-TRACKING NUMBERS: 1Z8A89V00316079810
3 DPD TOTAL CHLORINE RGT 10 ML PK/1000 2105628 5 171.00 855.00
*TRACKING NUMBERS:1Z8A89V00316079810
4 FERROVER, IRON REAGENT PK/100 2105769 1 21.95 21.95
'TRACKING NUMBERS: 1Z8A89V00316079810
ORDER CONTACT: SUBTOTAL 927.80
JAIMIE FOREMAN FREIGHT CHARGES 52.77
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 980.57
'Distribution Reagents
PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE,
PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS
For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization.
FEDERAL TAX ID#42-0704420
a Environmental l • • Other brands
�... Test Systems
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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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 10/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201. 9055283 $980.57
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 Officer
VOUCHER # 142017 WARRANT # ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9055283 01-6200-06 $980.57
Voucher Total $980.57
Cost distribution ledger classification if
claim paid under vehicle highway fund