245145 5 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 118000 , , ,
.{; ® ONE CIVIC SQUARE HACH COMPANY
CHECK AMOUNT: $ 828.89
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 245145
CHICAGO IL 60693 CHECK DATE: 05/13/15
fiON G0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9220969 828.89 OTHER EXPENSES
INVUlUt: IVU UZZUUby DATE: 01/30/2015
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s PURCHASE JF012115.
ORDER
CARMEL UTILITIES NUMBER
D LOVEALL,KERRI Net 30 Das From Invoice Date
3450 W 131ST 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
I 4915 E 106TH ST REF. NO. 1313507846-2 Remit to:
P CARMEL,IN 46033 Hach Company
United States 2207 Collections Center Dr
T Chicago,IL 60693
O Phone:(800)227-4224
These commodties 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 PRICE EXT. PRICE
1 as REAGENT SET, CHLORINE FREE CL17 2556900 14 51.15 716.10
'TRACKING NUMBERS: 1Z8A89V00317547642
1Z8A89V00317547651
ORDER CONTACT: SUBTOTAL 716.10
JAIMIE-FOREMAN FREIGHT CHARGES 112.79
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 828.89
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
Environmentala �1�r(�ratti�S
'test Systems
..�. from Harris
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VOUCHER # 151796 WARRANT# ALLOWED
118000 IN SUM OF $
I
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
t
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR i
i
Board members
I
1
PO# INV# ACCT# AMOUNT Audit Trail Code
i
9220969 01-6200-03 $828.89
I
i
I,
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Voucher Total $828.89
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 5/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/6/2015 9220969 $828.89
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
n
Date Officer