HomeMy WebLinkAbout259563 06/14/16 (�g'
CITY OF CARMEL, INDIANA VENDOR: 118000
ONE CIVIC SQUARE HACH COMPANY CHECKAMOUNT: $*****1,744.80*
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 259563
CHICAGO IL 60693 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9931973 1,683.60 OTHER EXPENSES
601 5023990 9942030 61.20 OTHER EXPENSES
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 5/31/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2016 9931973 $1,683.60
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
Sort Seg: 379 Tray: 9 DETACH HERE Original
INVOICE NO 9931973 DATE: 1 05/16/2016
S I1IIII�III....II'll�l��ll'llll"IIll�ll��' PURCHASE JF050516
O ORDER
L CARMEL UTILITIES 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 052653
1 4915 E 106TH ST I REF. NO. 1314121350-2 Remit to:
P PLANT 1 Hach Company
CARMEL WATER 2207 Collections Center Dr
T INDIANAPOLIS,IN 46280 Chicago,IL 60693
-O _United States - - - -- - - - - - - - - - -- ---- 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 KIT, MAINTENANCE CA610 FLUORIDE 5742100 10 168.36 1,683.60
-TRACKING NUMBERS.1Z8A89V00323791876
ORDER CONTACT: SUBTOTAL 1,683.60
JAIMIE FOREMAN
3175714144 TAX 0.00
Notes: INVOICE TOTAL 1,683.60
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 a OTHER BRANDS
TestCOASTAL.System5 tt OT� FROM HACH
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HACH
Delivery ID: 25190250 TM Page 1 of 1
Packing List Be Right Dae: 05/23/2016
SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO
HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES
100 DAYTON AVE 3450 W 131 ST ST Receiving Dept
AMES,IA 50010-0907 CARMEL,IN 46074.8267 CARMELWATER
United States(US) United States(US) 4915 E 106TH ST
PH:(800)2274224 PLANT 1
FX:(970)669-2932 INDIANAPOLIS IN 46280
United States(US)
PH:3175714144
Order. 314121350
Account Number: 052653 Purchase Order: JF050516
Order Contact: Receiving Dept Customer Ref: Carrier. UPS Ground
Contact Phone: 3175714144 Customer Ref: Total Pieces: 1
CARTON ITEM ITEM DESCRIPTION UOM QTY PO NUMBER CUSTOMER ITEM
25190250-1 50540 FLASK,ERLENMEYER 25ML EA 10 3FOS0516
***Attention Customer-Additional Shipment Details***
IMPORTANT: Back ordered items do not appear on this Packing List
document.
If out-of-stock quantities exist on your order,you will receive an e-mail
confirmation at the time of shipment.
To view order history for your account,visit www.hach.com. You must be
registered to view your order history.
PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH
COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH
COMPANYS WEBSITE AT WWW.HACH.COM/TERMS •
Received :
Date :
PO # : —
• ACCT # :
20, is
Use ;
END
VOUCHER # 161688 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
9942030 01-6200-03 $61.20
Voucher Total $61.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
ray- 9 DET
INVOICE NO 9942030 1 DATE: 05/23/2016
s 1�111��II'�I��III�II�IIII'I�'�I"'���IIIIII'lllli'��II��'I�I'lll� PURCHASE JF050516
p ORDER
L CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Carmel,IN 46074-8267 TERMS
T United States
O FREIGHT Prepay And Bill Customer
CARRIER UPS-UPS**UPS—Ground
S
H CARMEL UTILITIES ACCOUNT 1052653
1 4915 E 106TH ST I REF. NO. 1314121350-T-iftmit to:
P PLANT 1 Hach Company
CARMEL WATER 2207 Collections Center Dr
T INDIANAPOLIS,IN 46280 Chicago,IL 60693
--O---United-States-- - - - -- - - - - - - - -- –---Phone:(800)-227-422-4—
These
800)227-:224—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 FLASK, ERLENMEYER 25ML 50540 10 6.12 61.20
`TRACKING NUMBERS.1ZBA89VO0323891268
ORDER CONTACT: SUBTOTAL 61.20
JAIMIE FOREMAN
3175714144 TAX 0.00
Notes: INVOICE TOTAL 61.20
PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE,
PUBLISHED ON HACH COMPANYS 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 a
OTHER BRANDS
Test ,
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FPoM HACH
Hvdromet y strnu
HACH
Delivery ID: 25166675 Tnn Page 1 of 1
Packing List Be Right Date: 05/16/2016
SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO
HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES
100 DAYTON AVE 3450 W 131ST ST Receiving Dept
AMES,IA 50010-0907 CARMEL,IN 46074.8267 CARMEL WATER
United States(US) United States(US) 4915 E 106TH ST
PH:(800)227-0224 PLANT 1
FX:(970)669.2932 INDIANAPOLIS IN 46280
United States(US)
PH:3175714144
Order: 314121350
Account Number. 052653 Purchase Order. JF050516
Order Contact: Receiving Dept Customer Ref: Carder: UPS Ground
Contact Phone: 3175714144 Customer Ref: Total Pieces: 1
CARTON ITEM ITEM DESCRIPTION UOM QTY I PO NUMBER CUSTOMER ITEM
25166675-1 5742100 KIT,MAINTENANCE CA610 FLUORIDE EA 10 IF050516
—Attention Customer-Additional Shipment Details—
IMPORTANT: Back ordered items do not appear on this Packing List
document.
If out-of-stock quantities exist on your order,you will receive an e-mail
confirmation at the time of shipment.
To view order history for your account,visit www.hach.com. You must be
registered to view your order history.
PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH
COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH
COMPANYS WEBSITE AT WWW.HACH COM/TERMS
Received :
• Date :
1 Qn PO # :
ACCT # : fib •
OUse :
u
END