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,.° `•. CITY OF CARMEL, INDIANA VENDOR: 118000
g OCHECK AMOUNT: S""`1,178.15`
NE CIVIC SQUARE HACH COMPANY
COLLECTIONS CENTER DRIVE CHECK NUMBER: 306449
CARMEL, INDIANA 46032 CHIC
CHICAGO IL 60693 CHECK DATE: 12/21/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10215123 739.35 OTHER EXPENSES
601 5023990 10217189 438.80 OTHER EXPENSES
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® INVOICE NUMBER 10215123
DATE: 12/01/2016
Page: 1
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TOTAL: $739.35
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Haveyou ordered online?
Phone: (800) 227-4224 Order at WWW.HACH.COM
10215120 008330458 00000073935 120116
Sort Seg: 378 Tray: 8 DETACH HERE Original
INVOICE NO 10215123 DATE: 12/01/2016
PURCHASE S16703
O ORDER
L CITY OF CARMEL NUMBER
D JARVIS, DUANE 9609 HAZEL DELL PKWY TERMS Net 30 Days From Invoice Date
T INDIANAPOLIS, IN 46280-2935
O United States FREIGHT
CARRIER UPS-UPS**UPS--Ground
s
H CITY OF CARMEL 11ACCOUNT 833045 Remit to:
1 JARVIS,DUANE REF. NO. 314396754-1
P 9609 HAZEL DELL PKWY Hach Company
INDIANAPOLIS, IN 46280-2935 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 as PHOSPHORUS TNT+ HR PK/25 (0.5-5 MG/L TNT844 6 52.79 316.74
PO4-P)
*TRACKING NUMBERS: 1Z8A89V00326339716
3 as PHOSPHORUS TNT+ UHR PK/25 (2- TNT845 6 52.79 316.74
20MG/L PO4-P)
*TRACKING NUMBERS: 1Z8A89V00326339725
4 IT NESSLER RGT EX ALK, 100TESTS MDB 2119432 2 26.55 53.10
*TRACKING NUMBERS: 1Z8A89V00326339707
ORDER CONTACT: SUBTOTAL 686.58
DUANE JARVIS FREIGHT CHARGES 52.77
(317) 571-2634 x 1640 TAX 0.00
Notes: INVOICE TOTAL 739.35
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.COMITERMS
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 , - --�� OTHERBRANDS,
Test Systems COASTAL FROM HACH
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® INVOICE NUMBER 10217189
DATE: 12/02/2016
Page: 1
Be Right'"
TOTAL: $438.80
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online?
Phone: (800) 227-4224 Order at WWW.HACH.COM
10217189 000526533 00000043880 120216
DETACH HERE Original
INVOICE NO 10217189 DATE: 12/02/2016
g 'IIS'I��'III�I���I"VIII'I'��'�II'I""�I"�"I��I11��'�'llll�'I� PURCHASE JF112916
O ORDER
L CARMEL UTILITIES NUMBER
D LOVEALL,KERRI Net 30 Days From Invoice Date
CARMEL UTILITIES3450 W 131ST ST TERMS
T CARMEL,IN 46074-8267
O United States
FREIGHT
3 Sort Seg: 166
CARRIER I UPS-UPS**UPS --Ground
H CARMEL UTILITIES ACCOUNT 1052653
1 FOREMAN,JAIMIE REF. NO, 1314396694- Remit to:
P 4915 E 106TH ST Hach Company
PLANT 1 2207 Collections Center Dr
T CARMEL WATER Chicago,IL 60693
O INDIANAPOLIS,IN 46280 Phone:(800)227-4224
United States
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 as REAGENT SET, CHLORINE TOTAL CL17 2557000 8 54.85 438.80
*TRACKING NUMBERS: 1Z8A89V00326370146
ORDER CONTACT: SUBTOTAL 438.80
JAIMIE FOREMAN
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 438.80
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. E
HACH
Delivery ID: 26202144 TM Page 1 of 1
Packing List Be Right Date: 12/02/2016
SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO
HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES
100 DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN
AMES,IA 50010-0907 3450 W 131ST ST CARMEL WATER
United States(US) CARMEL,IN 46074-8267 4915 E 106TH ST
PH:(800)227-4224 United Slates(US) PLANT 1
FX:(970)669 2932 PH.7332855 INDIANAPOLIS IN 46280
United States(US)
PH:(317)571-2639
Order: 314396694
Account Number: 052653 Purchase Order: JF112916
Order Contact: 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
262021441 2557000 as REAGENT SET,CHLORINE TOTAL CL17 EA 8 IF112916
***Attention Customer-Additional Shi ment Details***
ReceivedZI�Z
Date : 14111(2
Po # : zgtU
ACCT # : Zn.3
Use : S
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