258958 05/31/16 `' ��p"° CITY OF CARMEL, INDIANA VENDOR: 00352978
J/ `� CHECKAMOUNT: $*******768.11*
ONE CIVIC SQUARE CHEMSEARCH
s.
,,, CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 258958
9�'�roN�. CHICAGO IL 60673-1232 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2306399 768.11 OTHER EXPENSES
VOUCHER # 165339 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
2306399 01-7200-02 $768.11
l� lu
Voucher Total $768.11
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
00352978
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673-1232 Due Date 5/16/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/2016 2306399 $768.11
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
INVOICE
ORIGINAL COPY Page: 1 of 1
Remittance Address_
CORRESPONDENCE TO ORDERS CALL #1-800-527-9921 CHEMSEARCHFE -
PO BOX 152170 FAX #1972-438-0634 23261 NETWORK PLACE
-
IRVING TX 75015 CHICAGO,II., 60673-1232
W W.CHEMSEARCHFE.COM
Sold.To Ship To
Attn: A/P Attn: SHOP Sign up to receive your
next invoice via email
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/efUdirect deposit
simply email us
cac.credit@nch.com
Customer No. Billing Date, Terms Due Date Ship Date, Sales Order
_ 229475 06-MAY-16 10 NET 16-MAY-16' 06-MAY-16 2493341
j Invoice No. Purchase Order No -- Sales Rep:No:' — Sales-Rep.-Name. - —
2306399 S16078 USFEF001 DUNSCOMB,Mr.JAMES L
Product Qty Ordered Description Packa in
gt g Qty Billed I Unit Price Amount
10172114 2 E-100,6 X 9 LB,US FE CS 2.00 346.00 692.00
i ;
Merchandise State Tax_ _ Local Tax Ms' Aping__- _-Splitdnv-No.—,—Currency_-Total7kmount -
692.00 0.00 0.00 76.11 USD 768.11
._....._----------------------
-...... - -
IN Tax ID#0003512371-001-3 Federal ID#75-0457200'
CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST BE MADE
WITHIN 15 DAYS AFTER RECEIPT OF GOODS.MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT. M
DISTRIBUTION SERVICES INCLUDE SHIPPING&HANDLING CHARGES—F.O.B.INDIANAPOLIS.
------------------------------------------ --- ------------------------------------------
Please MAIL WITH PAYMENT
TO ENSURE PROPER CREDIT PLEASE DETACH THIS STUB AND RETURN WITH YOUR REMITTANCE
MAKE CHECKS PAYABLE ONLY TO CHEMSEARCHFE
.r. -
�aEMsa_Q� Customer Acct.No.'.. Invoice No. Amount Due Amount Paid Currency
229475 2306399 768.11f .1 t USD
10
Sold To Make Checks Payable To-.
CITY OF CARMEL CHEMSEARCHFE
9609 HAZEL DELL PKWY 23261 NETWORK PLACE
INDIANAPOLIS IN 46280 CHICAGO,IL 60673-1232
Address Changes or Comments \
A/P Email Address:V3826
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