251100 11/04/15 ���';€� CITY OF CARMEL, INDIANA VENDOR: 118000
j; ® ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*******344.69*
s. `ra, CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 251 100
9M�lj�N G�, CHICAGO IL 60693 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9598401 344.69 OTHER EXPENSES
o
® INVOICE NUMBER 9598401
` DATE: 09/28/2015
Page: 1
Be Right'"
DETACH TOP 1 AND o TOTAL: $344.69
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online?
Phone: (800) 227-4224 Order at WWW.HACH.COM
95984019 008330458 00000034469 D92815
Sort Seg: -389- ---- ---- -Tray:-----. 7...------------DETACH HERE -- ---- - Original-
INVOICE NO 9598401 DATE: 09/28/2015
PURCHASE S15479
O ORDER
CITY OF CARMEL 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
CARRIER UPS-UPS**UPS —Ground
S
H CITY OF CARMEL ACCOUNT 1833045
9609 HAZEL DELL PKWYI REF. NO. 313828508-1 Remit to:
P INDIANAPOLIS, IN 46280-2935 Hach Company
United States 2207 Collections Center Dr
T Chicago,IL 60693
---—O— -- -------—— --— — -- -- —
__-Phone:-(80Q)-2274224-----
These
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 MAGNESIUM SULFATE SOLN, 500ML 43049 2 15.45 30.90
'TRACKING NUMBERS.lZ8A89V00320862634
3 FERRIC CHLORIDE SOLN, 1000ML 42953 2 17.55 35.10
'TRACKING NUMBERS:1Z8A89V00320862634
4 CALCIUM CHLORIDE SOLN, 500ML 42849 6 22.85 137.10
`TRACKING NUMBERS:lZ8A89V00320862634
5 PHOSPHATE BUFFER SOLN, 500ML 43149 6 18.45 110.70
'TRACKING NUMBERS.lZ8A89V00320862634
ORDER CONTACT: SUBTOTAL 313.80
TARA WASHINGTON FREIGHT CHARGES 30.89
3175712634 TAX 0.00
Notes: INVOICE TOTAL 344.69
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.COMrrERMS
For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Retum Authorization.
FEDERAL TAX ID#42-0704420
�Y-
Environmental .�� � SEA-BIRD OTHER BRANDS
� �a
Test Systems ®
COASTAL - FROM HACH
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H d..et SIGMA
VOUCHER # 156531 WARRANT # ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 COLLECTIONS CENTER DR.
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9598401 01-7202-05 $344.69
Voucher Total $344.69
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 10/27/2015
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
I
j
10/27/201! 9598401 $344.69
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
/u1"Ar
Date Officer