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302153 08/22/16
(9, ) CITY OF CARMEL, INDIANA VENDOR: 118000 ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*****9,087.57* CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 302153 CHICAGO IL 60693 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 10034898 1,170.99 OTHER EXPENSES 601 5023990 10041580 7,615.95 OTHER EXPENSES 601 5023990 10044169 147.54 OTHER EXPENSES 601 5023990 10046123 153.09 OTHER EXPENSES VOUCHER # 162316 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 10034898 01-6360-04 1,170.99 A4 Voucher Total 1,170.99 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 118000 HACH CHEMICAL CO. CORP Purchase Order No. 2207 Collections Center Dr. Terms Chicago, IL 60693 Due Date 8/6/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/6/2016 10034898 1,170.99 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 NO 10034898 DATE: 1 07/26/2016 s �II�I'1�1�1111'I'���I�I'I'1'�IIII�1�1111�I1�11'1""�II'1'1'I�'�I PURCHASE JF071516 0 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 Prepaid By Shipper CARRIER UPS-UPS**UPS—Ground s H CARMEL UTILITIES 1ACCOUNT 052653 1 4915 E 106TH ST I REF. NO. 1314225338-1 Remit to: P PLANT 1 Hach Company CARMEL WATER 2207 Collections Center Dr T INDIANAPOLIS,IN 46280 Chicago,IL 60693 --0- United States _ -- — --- -- -- -- - -- -- — Phone:(800)2274224 _ _ _--- 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 CL17 FINAL ASSEMBLY W/KITS 5440000 1 0.00 0.00 *TRACKING NUMBERS.1z5308040366511790 8 Repair Frt Chg/UPS-Ground (P) MC—FRU 1 41.99 41.99 10 nn CL17 Flat Rate Repair Fee (FRRF) FLTRTCL17 1 1,129.00 1,129.00 ORDER CONTACT: SUBTOTAL 1,170.99 TAX 0.00 Notes: INVOICE TOTAL 1,170.99 *JAIMIE FOREMAN SERVICE NOTES:SR:5284428.Serviced CLA 7,disassembled to inspect and clean all optical,electronic and mechanical parts.I replaced outdated,wom and/or failing parts.Monitored instrument performance as it operated overnight with reagents.Tested to ensure instrument meets factory specifications.The tests and results are shown on the check-out sheet that is returned with your instrument.Please tall with any questions.Thanks,Brian 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 Retum Authorization. FEDERAL TAX ID#42-0704420 Environmental OTT S EA B 1 RD a OTHER 13RANDS Test Systems ACOASTAL. ��__ FROM 14ACH Hydromet mew SIGMA Page: 1 of 1 r Date: 26-JUL-2016 Delivery Id: 25482628 Service Summary / Packing List �6RTIfIEO FRC2L3f:E•;S Shipped From: Ship Method UPS-UPS**UPS--Ground Shipping Order :314225338 Hach Company Customer Ref. Cust Acct :052653 100 Dayton Ave Customer Ref. Purchase Order :JF071516 Ames,IA 50010 Contact Name :JAIMIE FOREMAN United States Contact Email :jforeman@carmel.in.gov E-mail:services@hach.com Contact Phone :317 5714144 Phone:800-227-4224 Ext.6070 Fax :515-956-3810 ReceivedQ_- 5zz Ship To: Bill To: CARMEL UTILITIES CARMEL UTILITIES 1D.a t e : 4915 E 106TH ST 3450 W 131 ST ST PLANT 1 CARMEL, IN,46074-8267, US PO CARMEL WATER INDIANAPOLIS,IN,46280,US ACCT #; JAIMIE FOREMANV S e . e. �- Line Item Code Item Description SN Qty Technician SR# Task # 1.1 5440000 CL17 FINAL ASSEMBLY W/KITS 030100006572 10104 5284428 383547 Additional Information ************ACCESSORIES************ AdditionW Notes Serviced CL-17,disassembled to inspect and clean all optical,electronic and mechanical parts. I replaced outdated,wom and/or failing parts. Monitored instrument performance as it operated overnight with reagents. Tested to ensure instrument meets factory specifications. The tests and results are shown on the check-out sheet that is returned with your instrument. Please call with any questions. Thanks,Brian 314225338 I IIIIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII 25482628 I IIIIII VIII III I VIII VIII VIII IIID VIII IIII IIII VOUCHER # 162344 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 10041580 01-6200-03 7,615.95 ll Voucher Total 7,615.95 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 118000 HACH CHEMICAL CO. CORP Purchase Order No. 2207 Collections Center Dr. Terms Chicago, IL 60693 Due Date 8/8/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8/2016 10041580 7,615.95 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 NO 10041580 DATE: 1 07/29/2016 S III Jill Jill IIIIIIIIIIIPURCHASE JF072816 o ORDER L CARMEL UTILITIES NUMBER D LOVEALL,KERRI Net 30 Days From Invoice Date 3450 W 131 ST ST TERMS T CARMEL,IN 46074-8267 O United States FREIGHT Prepay And Bill Customer CARRIER UPS-UPS**UPS—Ground S H CARMEL UTILITIES 1ACCOUNT 1052653 I FOREMAN,JAIMIE REF. N 314230939-1 Remit to: P 4915 E 106TH ST Hach Company CARMEL,IN 46033 2207 Collections Center Dr T United States Chicago,IL 60693 O _ _ Phone:(800)2274224 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 SULFURIC ACID 1.600N, CARTRIDGE 1438901 2 17.60 35.20 *TRACKING NUMBERS:1Z8A89V00324786648 3 DPD FREE CHLORINE RGT 10 ML, PK/1000 2105528 2 158.14 316.28 *TRACKING NUMBERS:1Z8A89V00324786648 4 DPD TOTAL CHLORINE RGT 10 ML PK/1000 2105628 1 158.14 158.14 *TRACKING NUMBERS:1Z8A89V00324786648 5 FERROVER, IRON REAGENT PK/100 2105769 50 20.80 1,040.00 *TRACKING NUMBERS.1Z8A89V00324786657 6 WATER, DEIONIZED 4L (DEMINERALIZED) 27256 2 23.77 47.54 *TRACKING NUMBERS.1ZBA89VO0324786648 7 HARDNESS 3 TEST SOLN 1000ML 42653 2 34.73 69.46 *TRACKING NUMBERS:1Z8A89V00324786639 8 KIT, CL17 PRE-ASSY MAINT, POST 3/00 5444301 15 192.28 2,884.20 *TRACKING NUMBERS:1ZBA89 VO0324786639 9 as REAGENT SET, CHLORINE FREE CL17 2556900 18 51.15 920.70 *TRACKING NUMBERS:1Z8A89V00324786611 1Z8A89V00324786620 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 x�'w � Environmental . ` SEA-BIRD OTHERBRANDS os Test Systems OTT 4 COASTAL 'FROM HACH t Hvdrome A&IM SIGMA ® INVOICE NUMBER 10041580 DATE: 07/29/2016 Page: 2 Be Right'" LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE 10 as REAGENT SET, CHLORINE TOTAL CL17 2557000 27 53.75 1,451.25 *TRACKING NUMBERS:1ZBA89VO0324786602 1Z8A89V00324786611 11 RGT 1, TISAB SOLN 473ML 2812811 13 33.85 440.05 *TRACKING NUMBERS:1Z8A89V00324786639 12 FLUORIDE STD, 0.5MG/L 473ML 2743811 6 23.39 140.34 --... --- .__.. - *TRACKING NUMBERS:1Z8A89 V00324786639 ORDER CONTACT: SUBTOTAL 7,503.16 JAIMIE FOREMAN FREIGHT CHARGES 112.79 (317) 571-2639 TAX 0.00 Notes: INVOICE TOTAL 7,615.95 *JF072816 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 © OTHER BRANDS �— 7 Test Systems f. COASTAL. �� FltOPdHACH • Hvdromet {t staKq HACH Delivery ID: 25502500 TM Page 1 of 2 Packing List Be Right Dae: 07/29/2016 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 1 D DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN JF072816/Plant 1 AMES,IA 50010-0907 3450 W 131 ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074.8267 CARMEL IN 46033 PH:(800)227-4224 United States(US) United States(US) FX:(970)669.2932 PH:7332855 PH:(317)571.2639 pA p $1 r i�(�'TH PRIDE By Order. 314230939 Account Number. 052653 Purchase Order. JF072816 Carrier. UPS Ground Order Contact: JAIMIE FOREMAN JF072816/Plant 1 Customer Ref: Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 6 CARTON ITEM ITEM DESCRIPTION UOM QTY PO NUMBER CUSTOMER ITEM 25502500-1 2557000 as REAGENT SET,CHLORINE TOTAL CL17 FA 15 3F072816 25502500-2 2556900 as REAGENT SET,CHLORINE FREE CL17 EA 3 IF072816 2557000 as REAGENT SET,CHLORINE TOTAL CL17 FA 12 IF072816 25502500-3 2556900 as REAGENT SET,CHLORINE FREE CL17 EA 15 IF072816 25502500-4 42653 HARDNESS 3 TEST SOLN 1000ML EA 2 JF072816 2743811 FLUORIDE STD,O.SMG/L 473ML FA 6 3F072816 / 2812811 RGr 1,TISAB SOW 473ML EA 13 IF072816 5444301 KIT,CL17 PRE-ASSY MAINT,POST 3/00 EA 15 JF072816 25502500-5 27256 WATER,DEIONIZED 4L(DEMINERALIZED) EA 2 JF072816 1438901 SULFURIC ACID 1.600N,CARTRIDGE EA 2 JF072816 2105528 DPD FREE CHLORINE RGT 10 ML,PKI1000 PK 2 JF072816 2105628 DPD TOTAL CHLORINE RGT 10 ML PK/1000 PK 1 JF072816 25502500-6 2105769 FERROVER,IRON REAGENT PK/100 PK 50 JF072816 ***Attention Customer-Additional Shipment Details*** e following lot numbers rere sent: Item Lot Number Exp.Date Quantity 2812811 6145 05/20/2017 11 19 2743811 6162 03/09/2020 6 r!a c e i v�e d : 27256 6187 06/30/2021 2 2812811 6194 07/08/2017 2 t e : 2105769 6194 07/11/2020 50 P o # Z 2105528 6200 07/13/2021 2 1438901 6202 03/18/2018 2 ACCT #: 20. E Use : MACH Delivery ID: 25502500 TM Page 2 of 2 Packing List Be Right Date: 07/29/2016 Item Lot Number Exp.Date Quantity 2105628 6207 07/18/2021 1 42653 6207 07/22/2021 2 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 END VOUCHER # 162397 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 10046123 01-6200-03 153.09 Voucher Total 3 c f�� 153.09 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 118000 HACH CHEMICAL CO. CORP Purchase Order No. 2207 Collections Center Dr. Terms Chicago, IL 60693 Due Date 8/12/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/12/2016 10046123 153.09 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 NO 10046123 DATE: 1 08/03/2016 S Jill PURCHASE JF080216 0 CARMEL UTILITIES ORDER L NUMBER D LOVEALL,KERRI Net 30 Days From Invoice Date 3450 W 131ST ST TERMS T CARMEL,IN 46074-8267 O United States FREIGHT Prepay And Bill Customer s CARRIER UPS-UPS**UPS—Ground H CARMEL UTILITIES ACCOUNT 052653 1 FOREMAN,JAIMIE REF. NO. 314234975-1 emit to: P 4915 E 106TH ST Hach Company CARMEL, IN 46033 2207 Collections Center Dr T United States Chicago,IL 60693 O Phone:(800)2274224 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 PRICE EXT. PRICE 1 EQUITRANSFERRANT PH7 BUFFER, 500ML 25M1A1025-115 2 67.65 135.30 'TRACKING NUMBERS:1Z8A89V00324829717 ORDER CONTACT: SUBTOTAL 135.30 JAIMIE FOREMAN FREIGHT CHARGES 17.79 (317)571-2639 TAX 0.00 Notes: INVOICE TOTAL 153.09 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 OTHER BRANDS t .Test Systems OTT _ a , COASTAL FROM HACH fmro et 's STGafa INVOICE NO 10044169 DATE: 1 08/02/2016 S I'II��II'I'I"II�"'I'�I'�I"I'�I�1�1�1�'��'ll�llll��lllllll�ll'I PURCHASE JF072816 p ORDER L CARMEL UTILITIES NUMBER D LOVEALL,KERRI Net 30 Das From Invoice Date 3450 W 131ST ST TERMS y T CARMEL, IN 46074-8267 p United States FREIGHT Prepay And Bill Customer S CARRIER UPS-UPS**UPS—Ground H CARMEL UTILITIES ACCOUNT 052653 1 FOREMAN,JAIMIE REF. NO. 314230939-2 Remit to: P 4915 E 106TH ST Hach Company CARMEL, IN 46033 2207 Collections Center Dr T United States Chicago,IL 60693 __O -- - --- — - - --- -- -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 PRICE EXT. PRICE 1 FLUORIDE STD, 5.OMG/L 473ML 2797111 6 24.59 147.54 `TRACKING NUMBERS: 1Z8A89V00324814410 ORDER CONTACT: SUBTOTAL 147.54 JAIMIE FOREMAN (317)571-2639 TAX 0.00 Notes: INVOICE TOTAL 147.54 *JF072816 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 Environmentali v� Y _ SEABIRD �"�a OTHER BRANDS Test S stemsCOAS vAL .__ 'tl" FROM HACH Hvdromet mw MGM HACH Delivery ID: 25517271 TIVI Pae 1 of 1 Packing List Be Right Dae: 08/03/2016 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN Plant 1/Jaimie Foreman AMES,IA 50010-0907 3450 W 131ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074-8267 CARMEL IN 46033 PH:(800)227.4224 United States(US) United States(US) FX:(970)669-2932 PH:7332855 PH:(317)571.2639 Order: 314234975 Account Number.. 052653 Purchase Order: JF080216 Order Contact: JAIMIE FOREMAN Plant 1/Jaimie Foreman Customer Ref: Carrier: UPS Ground Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 1 CARTON ITEM ITEM DESCRIPTION UOM I QTY I PO NUMBER CUSTOMER ITEM 25517271-1 25M1A1025-115 EQUMIANSFERRANT PH7 BUFFER,500ML EA 2 IF080216 —Attention Customer-Additional Shipment Details— The following lot numbers were sent: Item Lot Number Exp.Date Quantity 25M1A1025-115 6181 06/27/2017 2 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 (1111A Az15z Date : olcx�l � 0 # : �c9I'it) Use : END (i Delivery ID: 25516108 TM Page 1 of 1 Packing List Be Right Date: 08/02/2016 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN JF0728160ant 1 AMES,IA50010-0907 3450 W 131ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074.8267 CARMEL IN 46033 PH:(800)2274224 United States(US) United States(US) FX:(970)669-2932 PH:7332855 PH:(317)571-2639 Order: 314230939 Account Number. 052653 Purchase Order: JF072816 Order Contact: JAIMIE FOREMAN JF072816/Plant 1 Customer Ref: Carrier: UPS Ground Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 1 CARTON ITEM ITEM DESCRIPTION UOM I QTY P.O NUMBER I CUSTOMER ITEM 25516108-1 2797111 FLUORIDE STD,S.OMG/L 473ML EA 6 3F072816 —Attention Customer-Additional Shipment Details- ----------- -- — - --—- - -- -— - - - -- -- — � � The following lot numbers were sent: Item Lot Number Exp.Date <;- Quantity 2797111 6175 06/22/2021 6 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 : Z Date : Lc �Q�O�lL9 -, PACKED WITH PRIDE BY PO # : ILD TIM ®, ACCT #: W.J Use : END