301354 07/28/16 ! � CITY OF CARMEL, INDIANA VENDOR: 00352978
® .; ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $*******349.17*
* ,?a; CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 301354
9M�«Ox�° CHICAGO IL 60673-1232 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2388033 349.17 OTHER EXPENSES
VOUCHER# 162152 WARRANT# ALLOWED
352978 IN SUM OF $
CHEMSEARCH
23261 NETWORK PLACE
CHICAGO, IL 60673-1232
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
----- -- - - -01-6200-06-- -- --- -349.17-- ----- ------- ------ -
---- ---- ----
-- - ---
-7/zG//L �
Voucher Total 349.17
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
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673-1232 Due Date 7/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(§) or bill(s)) Amount
7/25/2016 2388033 349.17
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
m r -
"Remittance Address
CORRESPONDENCE TO ORDERS CALL #1-800-527-9921 CHEMSEARCHFE
PO BOX 152170 AX #1-972-438-0634 23261 NETWORK PLACE
IRVING TX 75015 r CHICAGO,IL 60673-1232
WW.CHEMSEARCHFE.COM
Sold To f Ship To
Attn: ACCOUNTS PAYABLE Attn: JERRY SMITH Sign up to receive your
next invoice via email
CITY OF CARMEL CITY OF CARMEL
WATER DISTRIBUTION WATER DISTRIBUTION or pay your next invoice
3450 W 131ST ST 3450 W 131ST ST
WESTFIELD IN 46074 ach/eft/directdeposit
WESTFIELD IN 46074
simply email us
cac.credit@nch.com
Customer No.' Billing Date .Terms 1 Due.Date Ship Date Sales Order
366190 19-JUL-16 10 NET 29-JUL-16 19-JUL-16 2586578
I. Invoice No: Purchase'OrderNo: -„—.—._^ySa]eslte—p:No: --~ Sales Re`p Name ———
2388033 VERBAL USFEF001 DUNSCOMB,Mr.JAMES L
Product Qty Ordered Description I Packaging Qty Billed I Unit Price I Amount
10185569 1 MAXI-LUBE FG,35 LB,POLY W/LINER,US NC LB 35.00 9.35 327.25
! Merchandise State Tax Local Tax **Shipping . Split-Inv.No. Currency Total Amount.
327.25 0.00 0.00 21.92 USD -�- - 349.17
------------------------------------_---------- ------------ - - - .._.._...------------------------
..................IN-_.._..................._.-......_._-...Tax ID#0003512371-001=3. FederaLID 75= 572
CHEMSEARCH FE,rDIVSION 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.
CHEMSEARCH FE
From: 2730 CARL ROAD
IRVING, TX 75062
Emergency response number: 1-800-424-9s00 07/19/16
Carrier Delivery Question Cell:972-43e-0240 Fat:972-498-0999
CITY OF CARMEL
WATER DISTRIBUTION li
TO: 3450 W 131ST ST
WESTFIELD, IN 46074
I
PACKING LIST
YOUR P.O.#: VERBAL
Cust#: 366190
ORDER NUMBER: 2586578
1 Package
Total Items) Shipped per Your Order
QTY Product #Product Name Price
1 DM 10185569 MAXI-LUBE FG, 35 LB
POLY^W/rl r
I
NC
i