243720 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 118000
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*****'•509.91
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 243720
9�iriyoN.. CHICAGO IL 60693 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9273091 509.91 OTHER EXPENSES
INVOICE NO 9273091 DATE: 1 03/06/2015
S �1�1�111�1��1111'I'll�lll'��II�IIII��IIII111111�'I�'ll'llll�l�III PURCHASE JF030215
0 CARMEL UTILITIES ORDER
NUMBER
D LOVEALL,KERRI Net 30 Das From Invoice Date
3450 W 131 St St TERMS y
T Carmel,IN 46074-8267
0 United States FREIGHT Prepay And Bill Customer
S
CARRIER UPS-UPS**UPS--Ground
H CARMEL UTILITIES ACCOUNT 052653
1 4915 E 106TH ST REF. NO313553694-1 Remit to:
.
P CARMEL,IN 46033 Hach Company
T United States 2207 Collections Center Dr
0 Chicago,IL 60693
-- -- - -- - -- --- - _ - ----- - - — P-hone_-_(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
2 PH TEST STRIP, 0-14 PH PK/100 2601300 1 23.85 23.85
*TRACKING NUMBERS:1Z8A89V00318006260
3 COLORIMETER ASSY, 510NM, CL17 6867000 1 422.00 422.00
*TRACKING NUMBERS.IZBA89VO0318006260
4 HACH AC HR-FCHLORINE (100) 2890200 1 22.39 22.39-
*TRACKING NUMBERS:1Z8A89V00318006260
ORDER CONTACT: SUBTOTAL 468.24
JAIMIE FOREMAN FREIGHT CHARGES 41.67
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 509.91
*Jamie Foreman
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 800-2274224 or 970-669-3050 to obtain Return Authorization.
FEDERAL TAX ID#42-0704420
Environmental
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VOUCHER# 151317 WARRANT# ALLOWED
118000
IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
Carmel Water Utility 7
ON ACCOUNT OF APPROPRIATION FOR
i
J
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9273091 01-6200-03 $509.91
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Voucher Total $509.91
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 3/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2015 9273091 $509.91
i
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