249713 09/23/15 � CSF .
�% "_'� CITY OF CARMEL, INDIANA VENDOR: 118000
® ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $'""""'*427.57'
,� ,� CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 249713
+y_roN,�, CHICAGO IL 60693 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9540563 427.57 OTHER EXPENSES
QVitQcy. "U Tidy Iv UtIAL;H HtKt Ur191nai
INVOICE NO 9540563 DATE: 1 08/21/2015
S I"I'IIII�I�01111111 'llIllll'lll� PURCHASE JF080515
CARMEL UTILITIES ORDER
L NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Carmel,IN 46074-8267 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
s
CARRIER UPS-UPS**UPS—Ground
H CARMEL UTILITIES ACCOUNT 1 052653
! 4915 E 106TH ST I REF. 313782660-1 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 COLORIMETER ASSY, 510NM, CL17 6867000 1 396.68 396.68
*TRACKING NUMBERS:IZBA89VO0320365707
ORDER CONTACT: SUBTOTAL 396.68
JAIMIE FOREMAN FREIGHT CHARGES 30.89
3175714144 TAX 0.00
Notes: INVOICE TOTAL 427.57
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 SEA-BIRD
OTHER BRANDS
Test SystemsFROM HACH
v. .
COASTAL
\ _/
�--�� HVdromet Sy-._57GFfA
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 9/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 9540563 $427.57
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
VOUCHER # 153039 WARRANT # ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9540563 01-6200-03 $427.57
I
Voucher Total $427.57
Cost distribution ledger classification if
claim paid under vehicle highway fund