246818 06/30/1 5 o
CITY OF CARMEL, INDIANA VENDOR: 118000
ONE CIVIC SQUARE HACH COMPANY CHECKAMOUNT: $****"1,135.60'
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 246818
CHICAGO IL 60693 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9404661 1,135.60 OTHER EXPENSES
INVOICE NO 9404661 DATE: 1 06/03/2015
g II'II'I1��"I'II�III'II�III'I"I�II��IIIII�IIIII���I�IIIII�I��III PURCHASE JF050615
O CARMEL UTILITIES ORDER
L NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Carmel,IN 46074-8267 TERMS
T United States
O FREIGHT
S CARRIER
H CARMEL UTILITIES ACCOUNT 052653
1 4915 E 106TH ST BEE. NQ. 313672644-1 emit to:
P CARMEL,IN 46033 Hach Company
T United States 2207 Collections Center Dr
Chicago,IL 60693
O Phone:(830/1 227-4224
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 Repair Frt Chg/UPS-Ground (P) MC—FRU 1 39.60 39.60
3 nn CL17 Flat Rate Repair Fee (FRRF) FLTRTCL17 1 1,096.00 1,096.00
ORDER CONTACT: SUBTOTAL 1,135.60
TAX 0.00
Notes: INVOICE TOTAL 1,135.60
'JAIMIE FOREMAN
SERVICE NOTES:SRA316856.Serviced CL-17,inspected and cleaned all optical,electronic and mechanical parts.Replaced main circuit
board,colorimeter and all tubing.Verified instrument performs to factory specifications.Please call with any questions.Thanks,Brian
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 i • Other brands
Systems
® from Hach
Hy�d et Flow ProdudsA services
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 6/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/2015 9404661 $1,135.60
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
v/i1,is
Date Officer
VOUCHER # 152251 WARRANT # ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
_ 1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9404661 01-6360-03 $1,135.60
Voucher Total $1,135-60
Cost distribution ledger classification if
claim paid under vehicle highway fund