244255 04/15/15 1 C.1q
q'/ CITY OF CARMEL, INDIANA VENDOR: 118000
;; ¢ ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*******193.50*
?�; CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 244255
'i'�tyoN�-.` CHICAGO IL 60693 'CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER ' AMOUNT DESCRIPTION
601 5023990 9289434 193.50 OTHER EXPENSES
INVOICE NO 9289434 DATE: 1 03/18/2015
PURCHASE JF012115.
o ORDER
L CARMEL UTILITIES NUMBER
D LOVEALL,KERRI Net 30 Days From Invoice Date
3450 W 131 St St TERMS
T Carmel,IN 46074-8267
O United States FREIGHT Prepay And Bill Customer
s
CARRIER UPS-UPS**UPS--Ground
H CARMEL UTILITIES ACCOUNT 052653
I 4915 E 106TH ST REF. NO. 313507846-6 Remit to:
P CARMEL,IN 46033 Hach Company
T United States 2207 Collections Center Dr
O Chicago,IL 60693
— — - — - -- --- — ----- - - - ---- -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 FLASK, ERLENMEYER 25ML 50540 30 6.45 193.50
'TRACKING NUMBERS:1Z8A89V00318148750
ORDER CONTACT: SUBTOTAL 193.50
JAIMIE FOREMAN_ --
(317)
(317) 571-4144 TAX 0.00
Notes: INVOICE TOTAL 193.50
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
s\® Environmental • ® �hetr brand
Teesst Systems
��'� Ngdramet Flow Produds&Services a r-r�«nd
VOUCHER# 151491 WARRANT# ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
t
Carmel Water Utility j
ON ACCOUNT OF APPROPRIATION FOR
l
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9289434 01-6200-03 $193.50
I
N
I
I
I
Voucher Total $193.50
J
Cost distribution ledger classification if
claimaid under vehicle highway fund
p 9 Y
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 i Due Date 4/8/2015
Invoice Invoice 'Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/8/2015 9289434 $193.50
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
/a�s C.�e_._.....7"c•S ./lit-�.1� '° - �-
Date ` Officer
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