251939 12/02/15 ,C4A .
�y..._'MF CITY OF CARMEL, INDIANA VENDOR: 00352978
® `! ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $*******402.02*
:, ,4 CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 251939
°M,iraN�o- CHICAGO IL 60673-1232 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2104877 402.02 OTHER EXPENSES
.EE..,. .._m- INVOICE Page: 1 of 1
CORRESPONDENCE TO
ORIGINAL COPY Remittance Address
PO BOX 152170 CHEMSEARCHFE
IRVING Tx 7-5015 REORDERS CALL #1-800-527-9921
23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO,IL 60673-1232
WWW.CHEMSEARCHFE.COM
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CITY OF CARMEL CITY OF CARMEL
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY or pay your next invoice
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
ach/eftJdirect deposit
simply email us
cac.credit@nch.com
Customer No. Billing Date Terms Due Date Ship Date Sales Order
229475 04-NOV-15 10 NET 14-NOV-15 04-NOV-15 12265760
Invoice No. Purchase Order No. Sales Rep.No. Sales Rep.Name
2104577 S 15584 USFEF00: DUNSCOMB:Mr.JAMES L
Product I Qty Ordered Description Packagingl Qty Billed, I Unit Price I Amount
10172114 1 E-100.6 X 9 LB.US FE CS 1.00 346.00 346.00
Merchandise State Tax Local Tax r"Shipping Split Inv.No. Currency Total Amount
346.00 0.00 0.00 56.02 USD 402.02
IN Tax ID#0003512371-001-3 Federal Ill#75-11457200
C111-NISFARCH PL.DI VSION OF NC11 CORPORATION.ALL RETURNS CLAIMS FOR ERRORS.OR,\DIUS7�NIENTS OF,\N)'RIND MUST 13E:�IaDF
WITHIN 15 DAYS AI-TER RECEIPT OP GOODS.MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WHYFFEN CONSENT
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
00352978
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673-1232 Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201! 2104877 $402.02
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
;/�L5-11s
Date Officer
VOUCHER # 156707 WARRANT # ALLOWED
00352978 IN SUM OF $
CHEMSEARCH
23261 Network Place
Chicago, IL 60673-1232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2104877 01-7200-02 $402.02
Voucher Total $402.02
Cost distribution ledger classification if
claim paid under vehicle highway fund