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258403 05/10/16
CITY OF CARMEL, INDIANA VENDOR: 097251 ONE CIVIC SQUARE FISHER SCIENTIFIC CHECK AMOUNT: $*****2,077.27* CARMEL, INDIANA 46032 ACCT 440371-001 CHECK NUMBER: 258403 13551 COLLECTIONS CENTER DRIVE CHECK DATE: 05/10/16 CHICAGO IL 60693 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2103659 2,077.27 OTHER EXPENSES VOUCHER # 165219 WARRANT # ALLOWED 97251 IN SUM OF $ FISHER SCIENTIFIC - 440371 DEPT 440371 13551 COLLECTIONS CTR DR CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2103659 01-7202-05 $2,077.27 Voucher Total $2,077.27 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 97251 FISHER SCIENTIFIC-440371 Purchase Order No. DEPT 440371 Terms 13551 COLLECTIONS CTR DR Due Date 5/2/2016 CHICAGO, IL 60693 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/.2/2016 2103659 $2,077.27 hereby certify that the attached invoice(s), or bill(s) is (are)true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519 © Fisher Scientific ACCT# 440371-001 4500 TURNBERRY DRIVE FEIN 23-2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE PartotThermoFisherScientrfic CHICAGO IL 60133 60693 PLEASE REFER TO THIS INVOICE NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV.DATE S16032 04/20/2016 2103659 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE H61114573 440371-001 CHI SHIPPING POINT 04/20/2016 1 SOLD TO: SHIP TO: INVOICE TYPE: NOR FON CON THIS IS A ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL El N "' CITY OF CARMEL WASTEWATER TREATMENT PLT SHIPMENT WASTEWATER TREATMENT PLAN 9609 HAZEL DELL PKWY DUE: 05/20/2016 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 TERMS: NET 30 DAYS FROM INVOICE DATE. PAYABLE IN U.S. CURRENCY. 11111i1111'1'11111"IIIIIIIIII'IIIIIII'I11111'1'I111111"111111' Visit: www.fishersci.com DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT NUMBER SHIPPED CALLER-DAVE DYE PHONE-317-571-2634 EXT 1635 SHIPMENT NBR: 001 FROM: CDC ON 04/20/2016 PH ELECTRD STRG SOLN 475ML BTL 13 641 908 * 2 EA 64.00 128.00 LOT UY1 FINNTIP 63 1-10ML BULK 100/PK 21 377 52 15 PK 26.05 390.75 POLYSEED CAPSULES 50/PK 13 297 200 2 PK 110.03 220.06 DRIERITE INDICAT 8 MESH 5LB 07 578 3B * 1 EA 48.09 48.09 GLASS FIBER FILTER 47MM 10OPK AP4004700 10 PK 42.13 421.30 GSA# GS07F161BA BUFFER COLRD RED PH 4.00 500ML SB101 500 * 5 EA 15.18 75.90 LOT 158982 BUFFER CLRD YEL PH 7.00 500ML SB107 500 * 5 EA 14.78 73.90 LOT 160909 BUFFER COLRD BLUE PH 10 500ML SB115 500 * 5 EA 15.51 77.55 LOT 160910 ORION LOW MAINT TRIODE PH/ATC 13 642 250 1 EA 256.50 256.50 LOT UZ1 SHIPMENT NBR: 002 FROM: SED ON 04/20/2016 CARBOY TRANS W/SPGT PC 10L 02 962 7G 1 EA 161.34 161.34 ELECTROLYTE SOLN DO PROBES 13 302 33 * 1 EA 19.78 19.78 FOOD_TUB_3/8X1/16_50FT=15M/PK-_____SHIPMENT NBR:NBR: 003 FROM: EPD ON 04/20/2016 MEMBRANE KIT FOR DO PROBES 13 302 34 2 EA 47.80 95.60 GSA# GS07F161BA CONTINUED See reverse side for complete terms and conditions or visit hfti)://www.fishersci.com/salesterms PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE.THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION AND SIGNED FOR BY THE TRANSPORTATION COMPANY.CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF GOODS TO CARRIER.DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT.WITHOUT THIS DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED.SELLER CERTIFIES THAT ALL GOODS(OR SERVICES)COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,AND 12 OF THE FAIR LABOR STANDARDS ACTS OF 1938,AS AMENDED,AND OF THE REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION. THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE.SOME PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. 1759 32110 0 2297097 OYrVsz3000EON01 000187544 TERMS AND CONDITIONS OF SALE—Unless otherwise expressly agreed in writing,all sales are subject to the following terms and conditions: GENERAL:Fisher Scientific Company L.L.C.('Seller)hereby offers for sale Seller may,in its sole discretion,provide a replacement loaner instrument to license if Buyer fails to comply with any term or condition herein.Buyer agrees, to the buyer named on the face hereof("Buyer")the products listed on the Buyer as necessary for use while the instruments are being repaired. upon termination of this license, immediately to return to Seller all software face hereof(the'Products)on the express condition that Buyer agrees to Notwithstanding the foregoing,Products supplied by Seller that are obtained by products and related documentation provided hereunder and all copies and accept and be bound by the terms and conditions set forth herein.Any Seller from an original manufacturer or third party supplier are not warranted by portions thereof. Certain of the software products provided by Seller may be provisions contained in any document issued by Buyer are expressly Seller,but Seller agrees to assign to Buyer any warranty rights in such Product owned by one or more third parties and licensed to Seller.Accordingly,Seller and rejected and if the terms and conditions in this Agreement differ from the that Seller may have from the original manufacturer or third party supplier,to Buyer agree that such third parties retain ownership of and title to such software terms of Buyers offer,this document shall be construed as a counter offer the extent such assignment is allowed by such original manufacturer or third products.The warranty and indemnification provisions set forth herein shall not and shall not be effective as an acceptance of Buyers document.Buyers party supplier. apply to software products owned by third parties and provided hereunder. receipt of Products or Sellers commencement of the services provided In no event shall Seller have any obligation to make repairs,replacements or LIMITATION OF LIABILITY:Notwithstanding anything to the contrary contained hereunder will constitute Buyers acceptance of this Agreement.This is the corrections required,in whole or in part,as the result of(i)normal wear and herein,the liability of Seller under these terms and conditions(whether by reason complete and exclusive statement of the contract between Seller and Buyer tear,(ii)accident, disaster or event of farce majeure, (iii) misuse,fault or of breach of contract,tort,indemnification,or otherwise,but excluding liability of with respect to Buyers purchase of the Products. No waiver, consent, negligence of or by Buyer,(iv)use of the Products in a manner for which they Seller for breach of warranty(the sole remedy for which shall be as provided modification,amendment or change of the terms contained herein shall be were not designed,(v)causes external to the Products such as,but not limited under WARRANTY above))shall not exceed an amount equal to the lesser of(a) binding unless in writing and signed by Seller and Buyer.Seller's failure to to,power failure or electrical power surges,(vi)improper storage and handling the total purchase price theretofore paid by Buyer to Seller with respect to the object to terms contained in any subsequent communication from Buyer will of the Products or(vii)use of the Products in combination with equipment or Product(s)giving rise to such liability or(b)one million dollars ($1,000,000). not be a waiver or modification of the terms set forth herein.All orders are software not supplied by Seller.If Seller determines that Products for which Notwithstanding anything to the contrary contained herein,in no event shall Seller subject to acceptance in writing by an authorized representative of Seller. Buyer has requested warranty services are not covered by the warranty be liable for any indirect,special,consequential or incidental damages(including PRICE:All prices published by Seller or quoted by Sellers representatives hereunder,Buyer shall pay or reimburse Seller for all costs of investigating and without limitation damages for loss of use of facilities or equipment, loss of may be changed at any time without notice.All prices quoted by Seller or responding to such request at Sellers[hen prevailing time and materials rates. revenue,loss of data,loss of profits or loss of goodwill),regardless of whether Seller's representatives are valid for thirty (30) days, unless otherwise If Seller provides repair services or replacement parts that are not covered by Seller(a)has been informed of the possibility of such damages or(b)is negligent. stated in writing.All prices for the Products will be as specified by Seller or, this warranty,Buyer shall pay Seller therefore at Sellers then prevailing time EXPORT RESTRICTIONS: Buyer acknowledges that each Product and any if no price has been specified or quoted,will be Sellers price in effect at the and materials rates.Any installation,maintenance,repair,service,relocation or related software and technology,including technical information supplied by Seller time of shipment. All prices are subject to adjustment on account of alteration to or of,or other tampering with,the Products performed by any or contained in documents(collectively'Items'),is subject to export controls of the specifications, quantities, raw materials, cost of production, shipment person or entity other than Seller without Sellers prior written approval,or any U.S.government.The export controls may include,but are not limited to,those of arrangements or other terms or conditions which are not part of Sellers use of replacement parts not supplied by Seller,shall immediately void and the Export Administration Regulations of the U.S.Department of Commerce(the original price quotation. cancel all warranties with respect to the affected Products. 'FAR'),which may restrict or require licenses for the export of Items from the TAXES AND OTHER CHARGES:Prices for the Products exclude all sales, The obligations created by this warranty statement to repair or replace a United Slates and their re-export from other countries.Buyer shall comply with the value added and other taxes and duties imposed with respect to the sale, defective Product shall be the sole remedy of Buyer in the event of a defecfive EAR and all other applicable laws,regulations,laws,treaties,and agreements delivery,or use of any Products covered hereby,all of which taxes and Product. Except as expressly provided in this warranty statement, Seller relating to the export,re-export,and import of any Item.Buyer shall not,without duties must be paid by Buyer.If Buyer claims any exemption,Buyer must disclaims all other warranties,whether express or implied,oral or written,with first obtaining the required license to do so from the appropriate U.S.government provide a valid,signed certificate or letter of exemption for each respective respect to the Products,including without limitation all implied warranties of agency; (i)export or re-export any Item,or(ii)export, re-export,distribute or jurisdiction. merchantability or fitness for any particular purpose.Seller does not warrant supply any Item to any restricted or embargoed country or to a person or entity TERMS OF PAYMENT: Seller may invoice Buyer upon shipment for the that the Products are error-free or will accomplish any particular result. whose privilege to participate in exports has been denied or restricted by the U.S. price and all other charges payable by Buyer in accordance with the terns INDEMNIFICATION BY SELLER:Seller agrees to indemnify,defend and save government.Buyer shall cooperate fully with Seller in any official or unofficial audit on the face hereof.If no payment terms are stated on the face hereof, Buyer,its officers,directors,and employees from and against any and all or inspection related to applicable export or import control laws or regulations,and payment shall be net thirty(30)days from the date of invoice.If Buyer fails damages,liabilities,actions,causes of action,suits,claims,demands,losses, shall indemnify and hold Seller harmless from,or in connection with,any violation to pay any amounts when due,Buyer shall pay Seller interest thereon at a costs and expenses(including without limitation reasonable attorneys fees) of this Section by Buyer or its employees,consultants,agents,or customers. periodic rate of one and one-half percent(1.5%)per month(or,if lower,the ('Indemnified Items)for(i)injury to or death of persons or damage to property MISCELLANEOUS:(a)Buyer may not delegate any duties nor assign any rights highest rate permitted by law), together with all costs and expenses to the extent caused by the negligence or willful misconduct of Seller, its or claims hereunder without Seller's prior written consent,and any such attempted (including without limitation reasonable attorneys'fees and disbursements employees,agents or representatives or contractors in connection with the delegation or assignment shall be void. (b)The rights and obligations of the and court costs)incurred by Seller in collecting such overdue amounts or performance of services at Buyer's premises under this Agreement and(ii) parties hereunder shall be governed by and construed in accordance with the laws otherwise enforcing Sellers rights hereunder.Seller reserves the right to claims that a Product infringes any valid United Slates patent,copyright or of the Commonwealth of Pennsylvania,without reference to its choice of law require from Buyer full or partial payment in advance,or other security that trade secret;provided,however,Seller shall have no liability under this Section provisions.Each party hereby irrevocably consents to the exclusive jurisdiction of is satisfactory to Seller,at any time that Seller believes in goad faith that to the extent any such Indemnified Items are caused by either (i) the the stale and federal courts located in Allegheny County,Pennsylvania,USA,in Buyer's financial condition does not justify the terms of payment specified. negligence or willful misconduct of Buyer, its employees, agents or any action arising out of or relating to this Agreement and waives any other venue All payments shall be made in U.S.Dollars. representatives or contractors,(ii)by any third party,(iii)use of a Product in to which it may be entitled by domicile or otherwise.(c)In the event of any legal DELIVERY:CANCELLATION OR CHANGES BY BUYER:The Products will combination with equipment or software not supplied by Seller where the proceeding between the Seller and Buyer relating to this Agreement,neither party be shipped to the destination specified by Buyer,F.O.B.Sellers shipping Product would not itself be infringing,(iv)compliance with Buyers designs, may claim the right to a trial by jury,and both parties waive any right they may point.Seller will have the right,at its election,to make partial shipments of specifications or instructions, (v) use of the Product in an application or have under applicable law or otherwise to aright to a trial by jury.Any action the Products and to invoice each shipment separately.Seller reserves the environment for which it was not designed or(vi)modifications of the Product arising under this Agreement must be brought within one(1)year from the dale right to stop delivery of Products in transit and to withhold shipments in by anyone other than Seller without Seller's prior written approval.Buyer shall that the cause of action arose.(d)The application to this Agreement of the U.N. whole or in part if Buyer fails to make any payment to Seller when due or provide Seller prompt written notice of any third party claim covered by Sellers Convention on Contracts for the International Sale of Goods is hereby expressly otherwise fails to perform its obligations hereunder.All shipping dates are indemnification obligations hereunder.Seller shall have the right to assume excluded.(e)In the event that any one or more provisions contained herein shall approximate only,and Seller will not be liable for any loss or damage exclusive control of the defense of such claim or,at the option of the Seller,to be held by a court of competent jurisdiction to be invalid,illegal or unenforceable resulting from any delay in delivery or failure to deliver which is due to any settle the same. Buyer agrees to cooperate reasonably with the Seller in in any respect,the validity,legality and enforceability of the remaining provisions cause beyond Sellers reasonable control.In the event of a delay due to any connection with the performance by Seller of its obligations in this Section. contained herein shall remain in full force and effect,unless the revision materially cause beyond Seller's reasonable control, Seller reserves the right to Notwithstanding the above, Seller's infringement related indemnification changes the bargain.(I)Seller's failure to enforce,waiver of a breach of,any terminale the order or to reschedule the shipment within a reasonable obligations shall be extinguished and relieved if Seller,at its discretion and at provision contained herein shall not constitute a waiver of any other breach.(g) period of time,and Buyer will not be entitled to refuse delivery or otherwise its own expense(a)procures for Buyer the right,at no additional expense to Unless otherwise expressly staled in the Product documentation,the Product is be relieved of any obligations as the result of such delay.Products as to Buyer,to continue using the Product;(b)replaces or modifies the Product so intended for research only and is not to be used for any other purpose,including which delivery is delayed due to any cause within Buyer's control may be that it becomes non-infringing,provided the modification or replacement does without limitation,unauthorized commercial uses,in vitro diagnostic uses,ex vivo placed in storage by Seller at Buyers risk and expense and for Buyers not adversely affect the specifications of the Product;or(c)in the event(a)and or in vivo therapeutic uses, or any type of consumption by or application to account. Orders in process may be canceled only with Sellers written (b)are not practical,refund to Buyer the amortized amounts paid by Buyer with humans or animals.(h)Fisher shall cooperate with Customer to monitor invoicing consent and upon payment of Sellers cancellation charges. Orders in respect thereto,based on a five(5)year amortization schedule.The foregoing accuracy and will conduct appropriate internal reviews upon request.Reviews process may not be changed except with Sellers written consent and upon indemnification provision slates Seller's entire liability to Buyer for the claims shall be limited to once per year and cover the prior twelve month period.Credit agreement by the parties as to an appropriate adjustment in the purchase described herein. shall be given to undercharges and overcharges.Fisher may charge a reasonable price therefore.Credit will not be allowed for Products returned without the INDEMNIFICATION BY BUYER:Buyer shall indemnify,defend with competent fee for support provided to any external consultant utilized by Buyer.(i)Buyer prior written consent of Seller. and experienced counsel and hold harmless Seller,its parent,subsidiaries, agrees that all pricing,discounts Seller generated histories of sale and technical TITLE AND RISK OF LOSS: Notwithstanding the trade terms indicated affiliates and divisions,and their respective officers,directors,shareholders information that Seller provides to Buyer are the confidential and proprietary above and subject to Sellers right to slop delivery of Products in transit,title and employees,from and against any and all damages,liabilities,actions, information of Seller.Buyer agrees to(1)keep such information confidential and to and risk of loss of the Products will pass to Buyer upon delivery of causes of action, suits, claims, demands, losses, costs and expenses not disclose such information to any third party,and(2)use such information possession of the Products by Seller to the carrier;provided,however,that (including without limitation reasonable attorneys'fees and disbursements and solely for Buyers internal purposes and in connection with the Products supplied title to any software incorporated within or forming a part of the Products court costs) to the extent arising from or in connection with(i)the negligence hereunder.Nothing herein shall restrict the use of information available to the shall at all limes remain with Seller or the licensor(s)thereof,as the case or willful misconduct of Buyer, its agents, employees, representatives or general public(j)Any notice or communication required or permitted hereunder may be. contractors;(ii)use of a Product in combination with equipment or software not shall be in writing and shall be deemed received when personally delivered or WARRANTY:Seller warrants that the Products will operate or perform supplied by Seller where the Product itself would not be infringing;(iii)Sellers three(3)business days after being sent by certified mail,postage prepaid,to a substantially in conformance with Sellers published specifications and be compliance with designs,specifications or instructions supplied to Seller by party at the address specified herein or at such other address as either party may free from defects in material and workmanship,when subjected to normal, Buyer;(iv)use of a Product in an application or environment for which it was from time to time designate to the other.(k)Seller may,in its sole discretion, proper and intended usage by properly trained personnel,for the period of not designed;or(v)modifications of a Product by anyone other than Seller provide(1)applicable Product training to Buyer or its employees,or(2)samples of time set forth in the product documentation, published specifications or without Sellers prior written approval. Products to Buyer for distribution to patients of Buyer. Buyer agrees that any such package inserts. If a period of time is not specified in Sellers product SOFTWARE:With respect to any software products incorporated in or forming samples shall be distributed to patients for patient use or,if not so distributed, documentation,published specifications or package inserts,the warranty a part of the Products hereunder,Seller and Buyer intend and agree that such returned to Seller. Buyer shall not use such samples to provide rare to patient period shall be one (1) year from the date of shipment to Buyer for software products are being licensed and not sold, and that the words and shall not bill patients or third party payers for the provision of such samples. equipment and ninety (90) days for all other products (the 'Warranty 'purchase','sell"or similar or derivative words are understood and agreed to ACCEPTABLE PAYMENT METHODS: The Seller prefers to receive payment via Period').Seller agrees during the Warranty Period,to repair or replace,at mean'license",and that the word'Buyer"or similar or derivative words are ACH or other electronic interface methods that directly exchange funds between Seller's option,defective Products so as to cause the same to operate in understood and agreed to mean'licensee".Notwithstanding anything to the the Buyers and Sellers bank accounts. The Seller also accepts checks mailed to substantial conformance with said published specifications;provided that contrary contained herein,Seller or its licensor,as the case may be,retains all one of its lockbox remittance locations. Although the Seller does accept credit Buyer shall(a)promptly notify Seller in writing upon the discovery of any rights and interest in software products provided hereunder. Seller hereby card payments at the time of purchase,it does not accept credit card payments defect,which notice she"include the product model and serial number(if grants to Buyer a royalty-free,non-exclusive,nontransferable license,without after the point of sale. applicable)and details of the warranty claim;and(b)after Seller's review, power to sublicense,to use software provided hereunder solely for Buyers MEDICAREIMEDICAID REPORTING REQUIREMENTS:If Buyer is a recipient of Seller will provide Buyer with service data and/or a Return Material own internal business purposes on the hardware products provided hereunder Medicare/Medicaid funds,Buyer acknowledges that it has been informed of and Authorization ('RMA"), which may include biohazard decontamination and to use the related documentation solely for Buyers own internal business agrees to fully and accurately account for,and report on its applicable cost report, procedures and other product-specific handling instructions, then, if purposes. This license terminates when Buyers lawful possession of the the total value of any discount,rebate or other compensation paid hereunder in a applicable,Buyer may return[he defective Products to Seller with all costs hardware products provided hereunder ceases,unless earlier terminated as way that complies with all applicable federal,state and local laws and regulations prepaid by Buyer.Replacement parts may be new or refurbished,at the provided herein.Buyer agrees to hold in confidence and not to sell,transfer, which establish'Safe Harbor"for discounts. Buyer shall make written request to election of Seller.All replaced parts shall become the property of Seller. license,loan or otherwise make available in any form to third parties the Seller in the event Buyer requires additional information from Seller in order to Shipment to Buyer of repaired or replacement Products shall be made in software products and related documentation provided hereunder.Buyer may meet its reporting requirements. Buyer acknowledges that agreement to such accordance with the Delivery provisions of the Seller's Terms and not disassemble,decompile or reverse engineer,copy,modify,enhance or reporting requirement was a condition precedent to Sellers agreement to provide Conditions of Sale. Consumables are expressly excluded from this otherwise change or supplement the software products provided hereunder Products and that Seller would not have entered into this Agreement had Buyer warranty. If Seller elects to repair defective medical device instruments, without Sellers prior written consent.Seller will be entitled to terminate this not agreed to comply with such obligations. TF-BACKER REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519 © Fisher Scientific ACCT# 440371-001 4500 TURNBERRY DRIVE FEIN 23-2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE Part of Thermo Fisher Scientific CHICAGO IL 60133 60693 PLEASE REFER TO THIS INVOICE NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV.DATE 516032 04/20/2016 2103659 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE I DUPLICATE, H61114573 440371-001 CHI SHIPPING POINT 04/20/2016 2 SOLD TO: SHIP TO: INVOICE TYPE: NOR EON CON THIS IS A ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL r CITY OF CARMEL WASTEWATER TREATMENT PLT SHIPMENT WASTEWATER TREATMENT PLAN 9609 HAZEL DELL PKWY DUE: 05/20/2016 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 TERMS: NET 30 DAYS FROM INVOICE DATE. PAYABLE IN U.S. CURRENCY. Visit: www.fishersci.com DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT NUMBER SHIPPED MERCHANDISE SUBTOTAL 2,075.57 SHIPPING-FUEL SURCHARGE _ -- _ _ — _ _ - - --_ _ - _ 1.-70-- TOTAL .Z0--TOTAL INVOICE AMOUNT 2,077.27 FOR YOUR PROTECTION, OUR COMPANY DOE NOT ACCEPT CREDIT CA NUMBERS VIA F OR EMAIL (*) FOR YOUR REFERENCE, AN ASTERISK HAS BEEN PLACED BY THOSE I EMS FOR WHICH MS S(S) WILL BE PROVIDED UNDER SEPARATE COVER. CONTACT YOUR CUSTOMER SERVICE REPRES NTATIVE IF ADDIT ONAL INFORMATION NEEDED. TELL US ABOUT YOUR RECENT CUSTOMER SERVICE EXPERIENCE BY CO PLETING A SHORT DURVEY. THIS SHOULD TAKE NO LONGER THAN THREE MINUTES. ENTER THE LINK INTO YOUR BROWSER AND EN ER THE PASSCODE 3HOWN. http://survey.medallia.com/fishersci PASSCODE: USA-PGH-CS2 E-INVOICE @HTTPS://WWW.E-SCICOM.COM/THE OFISHER/REGISTER.ASP PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE.THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION AND SIGNED FOR BY THE TRANSPORTATION COMPANY.CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF GOODS TO CARRIER.DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT.WITHOUT THIS DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED.SELLER CERTIFIES THAT ALL GOODS(OR SERVICES)COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,AND 12 OF THE FAIR LABOR STANDARDS ACTS OF 1938,AS AMENDED,AND OF THE REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION. THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE.SOME PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. 1759 3212 0 0 2297097 OYrVsz3000EON01 000187544 QUESTIONS REGARDING THIS SHIPMENT SHOULD BE Unum JUIYlIVIAlT UUI,UIVICIVI f•I�Iltif DIRECTED TO YOUR FISHER CUSTOMER SERVICE Scientific OFFICE WITHIN 7 DAYS AT: 800-166--7000 1 Visit the Fisher Scientific Website:fishersci.com' CH IC�.;�Tc��a��I�OFFICE PAGE CUSTOMER ACCOUNT N0. CUSTOMER PURCHASE ORDER NO. qg F� q,, 440371-001 S16032 - SHIPLW6LSE. H61114�/3N UUi DATE ORDERED CUSTOMER REOUISITION/RELEASENO. ' UU IIS, 4/20116 ' PLEASE REFERENCE THE ORDER NUMBER SHOWN ABOVE IN ALL CORRESPONDENCE. DAVE DYE CALLER CALLER IIE-MS RETURNS WILL NOT BE ACCEPTED (317)571-2634 WITHOUT PRIOR AUTHORIZATION. S ACCOUNTS PAYABLE. S 7 O CI fY OF CARMEL H CITY OF CARMEL L I WASTEWATER TREATMENT PLT D WASTEWATER TREATMENT PLAN P T 9609-HAZEL DELL PARKWAY T 9609 HAZEL DELL PKWY O INDIANAPOLIS IN 46280 O INDIANAPOLIS IN 46280-2935 LINE CATALOG QUANTITY DESCRIPTION UNIT QUANTITY BACK NO. NUMBER SHIPPED UNIT LOT NO. EXP.DATE SERIAL NO. PRICE AMOUNT ORDERED ORDERED V7I 13641908 2 EA PH ELECIRD STRG SOLN 475ML BTL 2 cD�'3� VCAT: 910001 u ' UY1 12/31/50 f2 I 002 21 377 52 15 PK FINNTIP 63 1. 10ML BULK 100/PK VCAT: 9402151 L 2 j f�C I 003 13 297 200 2 PK POLYSEED CAPSULES 50/PK Ad= {J �CA.�-p- 2 VCAT: P 110 Lo 004 07 57836 1 EA DRIERITE INDICAT 8 MESH 5LB f 1 d �® VCAT: 23005 ,w 008 AP4004700 tU PK GLASS FIBER FILTER 47MM 1UUPK 10 VCAT: AP4004700 " Q_S 0 V 009 SB101 500 5 EA BUFFER COLRD RED PH 4.00 500ML 5 VCAT: BPSB101-500 BGG 158982 1/31118 5 �� 010 SB107 500 5 EA BUFFER CLRD YEL PH 7.00 500ML 1 5 �1 160909 BPS6107-500 3131118 5 «« REMEMBER 0 RE ORT ANY DAMAGES WITHIN 7 DAYS TO YOUR CUS 0 R StRVIE OFFICE««« ?xS16432 A PPA N01P/L DpjbLOG4£IOIS NO.OF fTNS. SH1R[BATE 81143 0000004400 4ILUl IU SEE REVERSE SIDE FOR FIELD DESCRIPTI032551 20160420 ONS 5590445FORM 11 OT Rev.10/11 PACKING LIST QUESTIONS REGARDING THIS SHIPMENT SHOULD BE UIIUCII JUIYIumnT UULUIVICIVI r I,IIt:I DIRECTED TO YOUR FISHER CUSTOMER SERVICE OFFICE WITHIN 7 DAYS Scientific AT. 800-766-7000 2 Visit the Fisher Scientific Website:fishersci.com CHICDkISTOMER,l flR W.OFFICE PAGE AhIJ Iit.JtnnLFl CUSTOMER ACCOUNT NO. CUSTOMERPURCHASEORDERNO. q5y 440371-001 S16032 SHIPC1NkiSE. H61114�/SNOII�1 DATE ORDERED CUSTOMER REQUISRION/RELEASENO. 111111,, 4/20116 - PLEASE REFERENCE THE ORDER p1,�N�N NUMBER SHOWN ABOVE IN ALL CORRESPONDENCE. DAVE DYE CALLER CALLER to 1 1p0i5 RETURNS WILL NOT BE ACCEPTED (317)571-2634 WITHOUT PRIOR AUTHORIZATION. S ACCOUNTS PAYABLE S 7 0 CITY OF CARMEL H CITY OF CARMEL L I WASTEWATER TREATMENT PLT O WASTEWATER TREATMENT PLAN P T 9609 HAZEL DELL PARKWAY T 9609 HAZEL DELL PKWY 0 INDIANAPOLIS IN 46280 O INDIANAPOLIS IN 46280-2935 LINE CATALOG QUANTITY DESCRIPTION UNIT QUANTITY BACK NO. NUMBER SHIPPED UNIT LOT NO. EXP.DATE SERIAL NO. PRICE AMOUNT ORDERED ORDERED 011 SB1155UUC�`� 5 EA BUFFER COLRD BLUE PH 10 500ML L . 1�" (��C,� 5 VCAT. BPSB115-500 160910 3131118 `it $ - ( Za ' 012 13 642 250 1 EA ORION LOW MAIN] FRIODE PHIATC La� 1 Uzi 91078NMD 7/31117 i �-7 01 P-� ( ? W AE W A D I I ONAL ORDER I NFO MAT ION TENS OR 13 FRED BUT NOT I N H I S SH I ''P1 F N FUL LOWING ITEM(S)S1 IPPING -HO :EPD 006 13 302 34 €A MEMBRANE KIT FOR DO PROBES 2 VCAT: 080515 FOLLOWING ITEM(S)Sf IPPING --RO :SED 005 02 962 7G EA CARBOY TRANS W/SPGT PC 10L 1 VCAT: 2317-0020 out 13 302 33 EA ELECTROLYTE SULN DO PROBES I VCAT: 080514 REM I MBER 10 RE ORT ANY DAMAGES WITHIN 7 DAYS TO YOUR CUS OMER SERVI E OFFICE*** ORDER NUMBER AS 16032 PPA NO1P/L D ffL6 CA,ZWAI NO.OF fTNS. SI11 0 7E 81143 rtll UUU40 411 /IU SEE REVERSE SIDE FOR FIELD DESCRIPTIONS 5590445 FORM 110T Rev.10/11 PACKING LIST DUESTIONS REGARDING THIS SHIPMENT SHOULD BE vnULn OUlrunnnI UUVUlnuvl �C��nia DIRECTED TO YOUR FISHER CUSTOMER SERVICE SCI 2I i t I f I C OFFICE WITHIN 7 DAYS AT: 800-766-7000 PAGE 3 Visit the Fisher Scientific Website:iishersci.corn CH IC GUSTOIdEI}SVJC1E OFFlCE CUSTOMER ACCOUNT NO. CUSTOMER PURCHASE ORDER NO, AhU Fitb�Hnl t gFJp q 440371-001 S16032 SHIP�y rF- H611 1O N 4120116 01 DATE ORDERED CUSTOMER REOUISITIONIRELEASE NO. UU II,, _ PLEASE REFERENCE THE ORDER P �O NUMBER SHOWN ABOVE IN ALL CORRESPONDENCE. DAVE BYE f" 10 75 RETURNS WILL NOT BE ACCEPTED CALLER (317)571—26CALLER E WITHOUT PRIOR AUTHORIZATION. S ACCOUNTS PAYABLE S 7 O CITY OF CARMEL H CITY OF CARMEL D WASTEWATER TREATMENT PLAN p WASTEWATER TREATMENT PLT T 9609 HAZEL DELL PARKWAY T 9609 HAZEL DELL PKWY ® INDIANAPOLIS IN 46280 0 INDIANAPOLIS IN 46280-2935 LINE CATALOG QUANTITY DESCRIPTION UNIT QUANTITY BACK NO. NUMBER SHIPPED UNIT LOT NO. EXP.DATE SERIAL NO. PRICE AMOUNT ORDERED ORDERED 013 14 171 154 PK FOOD TUB 318X1116 5UFT-15M1PK 1 e� VCAT: AAA00027 Origi ial p rcel count has changed. The parcels below reflect It a actual parc Is on this orde 173711 17 7848 1737849 1737850 1737851 1738242 1738243 REM MBER 0 RE ORT ANY DAMAGES WITHIN 7 DAYS TO YOUR CUSTOMER SERVI E OFFICE R I I R ERNt IBER If PPA NO1P/L IIMI:OC,IA1m NO.OFGTNS. WORE 81143 1 tb UUO'iD / WORE—] SEE REVERSE SIDE 032551 20101JI14ZU 5590445 PACKING LIST QUESTIONS REGARDING THIS SHIPMENT SHOULD BE SHIPMENT DETAIL DOCUMENT Fisher DIRECTED TO YOUR FISHER CUSTOMER SERVICE OFFICE WITHIN 7 DAYS Scientific AT: 800-766-7000 PAGE 1 Visit the Fisher Scientific Website: fishersci.com CUSTOMER SERVICE OFFICE - CHICAGO RESEARCH CUSTOMER ACCOUNT NO. CUSTOMER PURCHASE ORDER NO. SHIP WHSE 0FIDER NO. 440371-001 ' SED H61114573-002 DATE OFIDERE15 CUSTOMER REOUISITIOWRELEASE N0. PLEASE REFERENCE THE ORDER 4/20116 NUMBER SHOWN ABOVE IN ALL CORRESPONDENCE. CALLER CALLER PHONE NO. RETURNS WILL NOT BE ACCEPTED DAVE DYE (317)571-2634 EXT.1635 WITHOUT PRIOR AUTHORIZATION. 0 ACCOUNTS PAYABLE H 3 L CITY OF CARMEL I CITY OF CARMEL D P WASTEWATER TREATMENT PLT WASTEWATER TREATMENT PLAN T 9609 HAZEL DELL PARKWAY T 9609 HAZEL DELL PKWY O INDIANAPOLIS IN 46280 0 INDIANAPOLIS IN 46280-2935 LINE CATALOG QUANTITY DESCRIPTION UNIT QUANTITY BACK NO. NUMBER SHIPPED UNIT LOT NO. EXP.DATE SERIAL NO. PRICE AMOUNT ORDERED ORDERED 005 02 962 7G. ? 1 EA CARBOY TRANS W/SPGT PC 10L � i VCAT: 2317-0020 007 13 302 33 1 EA ELECTROLYTE SOLN DO PROBES -` ( � �( 1 ` VCAT: 080514 013 14171 154 1 PK FOOD TUB 318X1116 50FT-15M/PK 1 c -^ VCAT: AAA00027 ` a" ***REM BERT RE ORT ANY DAMAGES WITHIN 7 DAYS TO YOUR CUST MER SERVICE OFFICE*** CUSTOMER ORDER NUMBER ORDER NUMBER AS16032FIE�111z15 rE� NO.P/L DOCK LOCATION NO.OF CTNS. SHIP DATE --] PPA 1 UP$-60421 3 4/20116 SEE REVERSE SIDE FOR FIELD DESCRIPTIONS 1136 17 032058 20160420 III IIII IIIIIIIIIIIIII VIII III PACKING LIST FORM 110T Rev.10111 7817576 . QUESTIONS REGARDING THIS SHIPMENT SHOULD BE wl All uAL.111 A uu A nlL. L+vvwnu.n A I rluuvl DIRECTED TO YOUR FISHER CUSTOMER SERVICE S c l e nt if i c OFFICE WITHIN 7 DAYS AT: 800-766-7000 1 Visit the Fisher Scientific Website:fisherschcom CJ.�$�gp�F�,S@s oPP1cE PAGE - CHICIil7U ItC�CHtt CUSTOMER ACCOUNT NO. CUSTOMER PURCHASE ORDER NO. gqpP�, 440371-001 S16032 SHIPE1p(y$E. H61114�13NO003 DATE ORDERED CUSTOMER REQUISITIOWRELEASE NO. 1Y'UU 4120116 PLEASE REFERENCE THE ORDER NUMBER SHOWN ABOVE IN ALL CORRESPONDENCE. DAVE DYE CALLER CALLER TffEJ05 RETURNS WILL NOT BE ACCEPTED (317)571-2634 WITHOUT PRIOR AUTHORIZATION. S ACCOUNTS PAYABLE S 1 O CITY OF CARMEL H CITY OF CARMEL D WASTEWATER TREATMENT PLAN p WASTEWATER TREATMENT PLT T 9609 HAZEL DELL PARKWAY T 9609 HAZEL DELL PKWY . O INDIANAPOLIS IN 46280 O INDIANAPOLIS IN 46280-2935 LINE CATALOG QUANTITY DESCRIPTION UNIT QUANTITY BACK NO. NUMBER SHIPPED UNIT LOT NO. EXP.DATE SERIAL NO. PRICE AMOUNT ORDEREDORDERED 06 1339234 EA MEMBRANE PROBES VCAT: 080515 ` � a lc ***RE I EMBER 10 R ORT ANY DAMAGES WITHIN 7 DAYS TO YOUR CUS OMER SERVI E OFFICE ** AS16032 R AH61114573003M PPA NO.f/L DFEW LQ8089g NO.OF JTNS. QUME 15289 SEE REVERSE SIDE FOR FIELD DESCRIPTIONS 3821976 FORM 110T Rev.10/11 PACKING LIST