244494 4 /21/2015 ,4�q
�� �.. ';!°. CITY OF CARMEL, INDIANA VENDOR: 118000 CHECK AMOUNT: $"""`901.97'
j1 ONE CIVIC SQUARE HACH COMPANY
4 ;q CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 244494
9�'�lrtiii CHICAGO IL 60693 CHECK DATE: 04/21115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9313145 901.97 OTHER EXPENSES
---ve-. --—- __
INVOICE NO 9313145 DATE: 1 04/02/2015
s 'I'ILII'I�I�IIII'I�"IIII�III�1.I�111�11�11����1�1�1��111'lll�'�I PURCHASE S14976
O CARMEL WWTP ORDER
L NUMBER
D 9609 Hazel Dell Pkwy Net 30 Days From Invoice Date
Indianapolis,IN 46280-2935 TERMS
T United States
O FREIGHT Prepay And Bill Customer
s
CARRIER UPS-UPS"*UPS—Ground
H CARMEL WWTP ACCOUNT 1351506
1 9609 HAZEL DELL PKWY REF. NO. 313589317-1 Remit to:
P INDIANAPOLIS,IN 46280-2935 Hach Company
United States 2207 Collections Center Dr
T
O Chicago,IL 60693
_- - - -_ - _-_ - - _ - - --- - Phone:-(800)2271224 _
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 CALCIUM CHLORIDE SOLN, 500ML 42849 2 22.25 44.50
*TRACKING NUMBERS.1ZBA89VO0318347473
2 PHOSPHATE BUFFER SOLN, 500ML 43149 2 17.95 35.90
*TRACKING NUMBERS:1Z8A89V00318347473
3 FERRIC CHLORIDE SOLN, 1000ML 42953 1 17.10 17.10
*TRACKING NUMBERS:1Z8A89V00318347473
4 as PHOSPHORUS TNT+ UHR PK/25 (2- TNT845 5 51.25 256.25
20MG/L PO4-P)
*TRACKING NUMBERS.1Z8A89V00318347473
5 PIPET, SER STERILE 10ML PK/50 2092628 5 36.85 184.25
*TRACKING NUMBERS:1Z8A89V00318347473
6 MAGNESIUM SULFATE SOLN, 500ML 43049 2 15.05 30.10
*TRACKING NUMBERS:1ZBA89VO0318347473
7 as PHOSPHORUS TNT+ HR PK/25 (0.5-5 TNT844 5 51.25 256.25
MG/L PO4-P)
*TRACKING NUMBERS:1ZBA89VO0318347473
9 rr NESSLER RGT EX ALK, 100TESTS MDB 2119432 1 24.85 24.85
*TRACKING NUMBERS.1Z8A89V00318345582
PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE,
PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COMlrERMS
For o_rd_er discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization.
FEDERAL TAX ID#42-0704420
a Environmentals " ��� Other*brands
4.,. Test Systems
• _ from Hach
fFlow Produds65ervims nimcnaom�.:,rem.a
® INVOICE NUMBER 9313145
DATE: 04/02/2015
Page: 2
Be Right'
ORDER CONTACT: SUBTOTAL 849.20
TARA WASHINGTON FREIGHT CHARGES 52.77
3175712634 TAX 0.00
Notes: INVOICE TOTAL 901.97
---------------- ---------------- ------
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
Environmental
SstOther brands
Test
Test Systems '
2-31 � _ from Hach
`�� hicimm t Flan Products a Services A C-r e-1d
VOUCHER # 155342 WARRANT # ALLOWED
'I
118000 ,'� IN SUM OF $
HACH CHEMICAL CO. CORP
2207 COLLECTIONS CENTER DR. }
CHICAGO, IL 60693
Carmel Wastewater Utility
I�
ON ACCOUNT OF APPROPRIATION FOR
Board members
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PO# INV# ACCT# AMOUNT ! Audit Trail Code
fl
U
9313145 01-7202-05 $901.97
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Voucher Total $901.97
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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.
I i
Payee
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 COLLECTIONS CENTER DR. Terms
CHICAGO, IL 60693 Due Date 4/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/15/2015 9313145 $901.97
i
i
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 Officer