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Home My WebLink About305166 11/14/16 f CITY OF CARMEL, INDIANA VENDOR: 118000 ® 3. ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*****4,051.82* a. CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 305166 CHICAGO IL 60693 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 10158603 4,051.82 OTHER EXPENSES VOUCHER # 163168 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 10158603 01-6200-03 4,051.82 Voucher Total 4,051.82 Cost distribution ledger classification if claim paid under vehicle highway fund INVOICE NO 10158603 DATE: 1 10/20/2016 g I'II��II'I'I"II�"'I'�I'�I"I'�I�I�I�I�'��'ll�llll��lllllll�ll'I PURCHASE JF101716. o ORDER L CARMEL UTILITIES NUMBER D 3450 W L,KERRI 131ST ST TERMS Net 30 Days From Invoice Date 3450 W T CARMEL, IN 46074-8267 O United States FREIGHT s CARRIER UPS-UPS**UPS--Ground H CARMEL UTILITIES 11ACCOUNT 052653 1 FOREMAN,JAIMIE REF. NO. 1314343799-1 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)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 AMMONIA SALICYLATE PP PK/100 2653299 2 68.60 137.20 *TRACKING NUMBERS: 1Z8A89V00325829411 2 DPD FREE CHLORINE RGT 10 ML, PK/1000 2105528 3 161.73 485.19 *TRACKING NUMBERS. 1Z8A89V00325829448 3 DPD TOTAL CHLORINE RGT 10 ML PK/1000 2105628 4 161.73 646.92 *TRACKING NUMBERS. 1Z8A89V00325829448 4 FERROVER, IRON REAGENT PK/100 2105769 50 21.56 1,078.00 *TRACKING NUMBERS. 1Z8A89V00325829475 5 RGT 1, TISAB SOLN 473ML 2812811 9 34.99 314.91 *TRACKING NUMBERS. 1Z8A89V00325829439 6 FLUORIDE STD, 5.OMG/L 473ML 2797111 3 25.45 76.35 *TRACKING NUMBERS. 1Z8A89V00325829457 7 FLUORIDE STD, 0.5MG/L 473ML 2743811 3 24.19 72.57 *TRACKING NUMBERS. 1Z8A89V00325829457 8 as REAGENT SET, CHLORINE TOTAL CL17 2557000 8 54.85 438.80 *TRACKING NUMBERS: 1Z8A89V00325829420 9 as REAGENT SET, CHLORINE FREE CL17 2556900 8 52.19 417.52 *TRACKING NUMBERS. 1Z8A89V00325829411 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.COMrrERMS 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 6RAtw'(�S `o.. .Test Systems '® 0% COASTAL FROM HACH 7 , �.�ti Hvdromet LAZI SIGMA 8 INVOICE NUMBER 10158603 DATE: 10/20/2016 Page: 2 Be Right' LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 10 WATER, DEIONIZED 4L(DEMINERALIZED) 27256 2 24.61 49.22 *TRACKING NUMBERS. 1Z8A89V00325829466 12 ALKALINE CYANIDE REAGENT, 500ML 2122349 1 63.03 63.03 *TRACKING NUMBERS: 1Z8A89V00325829402 13 BUFFER SOLN, HARDNESS 1 1000ML 42453 2 41.95 83.90 *TRACKING NUMBERS.1Z8A89V00325829457 _.. .__---_--_--- --.-------------------------....... .._...._........ 14 BUFFER SOLN, HARDNESS 1 500ML 42449 1 24.34 24.34 *TRACKING NUMBERS: 1Z8A89V00325829457 15 AMMONIA CYANURATE RGT PP PK/100 2653199 2 43.80 87.60 *TRACKING NUMBERS: 1Z8A89V00325829411 ORDER CONTACT: SUBTOTAL 3,975.55 JAIMIE FOREMAN FREIGHT CHARGES 76.27 (317) 571-4144 TAX 0.00 Notes: INVOICE TOTAL 4,051.82 *JF101716 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 - T S EA•B 1 R D � � % OTHER ERAN.1 -Test Systems �T■ COASTAL. FROM HACH Hvdromet :aasN s1u HACH I (i Delivery ID: 25957347 TM Page 1 of 2 Packing List Be Right Date: 10/20/2016 SHIPPED FROM BILL-TO SHIP-TO R e c e i v NT-t- I HACHCOMPANY CARMELUTILITIES CARMELUTILITIES 100 DAYTON AVE KERRILOVEALL JAI MI E FOREMAN JR 0171611�1/�ir�eF ernan 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) PO # : (J FX:(970)669.2932 PH:7332855 PH:(317)571-0144 ACCT # : Use : Order: 314343799 ` Account Number. 052653 Purchase Order: JF101716. Order Contact: JAIMIE FOREMAN JF101716/Plant 1/JaimieF Customer Ref: Carrier. UPS Ground Contact Phone: (317)571-4144 Customer Ref: Total Pieces: 8 CARTON ITEM ITEM DESCRIPTION UOM QTY PO NUMBER CUSTOMER IT 25957347-1 2122349 ALKALINE CYANIDE REAGENT, SOOML EA 1 JF101716. 25957347-2 2556900 as REAGENT SET,CHLORINE FREE CL17 EA 8 JF101716. d 2653199 AMMONIA CYANURATE RGT PP PK/100 PK 2 3F101716. ✓ 2653299 AMMONIA SALICYLATE PP PK/100 PK 2 JF101716. 25957347-3 2557000 as REAGENT SET,CHLORINE TOTAL CL17 FA 8 JF101716. 25957347-4 2812811 RGT 1,TISAB SOLN 473ML EA 9 IF 101716. 25957347-5 2105528 DPD FREE CHLORINE RGT 10 ML,PK/1000 PK 3 JF101716. 2105628 DPD TOTAL CHLORINE RGT 10 ML P1<41000 PK 4 JF101716. 25957347-6 42449 BUFFER SOLN,HARDNESS 1 SOOML EA 1 JF101716. 42453 BUFFER SOLN,HARDNESS 1 1000ML EA 2 JF101716. 1/ 2743811 FLUORIDE SrD,O.SMG/L 473ML EA 3 JF101716. 2797111 FLUORIDE STD,S.OMG/L 473ML FA 3 JF101716. 25957347-7 27256 WATER,DEIONIZED 41.(DEMINERALRED) EA 2 JF101716. 25957347-8 2105769 FERROVER,IRON REAGENT PK/100 PK 50 JF101716. ***Attention Customer-Additional Shipment Details*** The following lot numbers were sent: Item Lot Number Exp.Date Quantity 2812811 6263 09/15/2017 9 2797111 6265 09/19/2021 3 2653199 6266 01/15/2020 2 2105769 6266 09/15/2020 50 HACH Delivery ID: 25957347 TM Page 2 of 2 Packing List Be Right Date: 10/20/2016 Item Lot Number Exp.Date Quantity 2743811 6267 06/21/2020 3 42453 6272 03/26/2021 3 2653299 6272 09/21/2021 2 2105628 6273 09/23/2021 4 2105528 6278 09/27/2021 3 27256 6280 10/05/2021 2 2122349 6285 02/07/2020 1 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 DHOW MUM city o f Mar meUtilI les 3450 W. 131st. Street 317-733-2855 Carmel. In 46074 Fax: 317-733-2053 Date 1 011712 01 6 Assigned P.®. ]Ei017-1.6] Department Water Inner Dept Lab Shipping Address 4915 E 106th St.Indianapolis IN 46280 Billing Address 3450 W. 131 st Street.Carmel IN 46074 1 Budget Account 620.3 Asset Tag Required? Yes F-/1 No QPA Contract D Yes No Qty- Description Unit Price Amount Hach Ouote#51581821075 3975.55 Lab reaaents and suoolies -- 011 _ - -- i U Total 3975.55 Justification: (included in current year budget ❑] Yes No Reagents and Supplies for labs Suggested Vendor HACH Co. PO Box 389,foland Co 80530 Requested By a Date O Approved By Title Date Manager up rvisor Date perati anager PURCHASE ORDER REQUEST