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309683 03/27/17
1� SMyF u; ,� CITY OF CARMEL, INDIANA VENDOR: 359002 ONE CIVIC SQUARE THERMO FISHER SCIENTIFIC CHECK AMOUNT: $********30.60* *? CARMEL, INDIANA 46032 PO BOX 712480 CHECK NUMBER: 309683 +,y. CINCINNATI OH 45271-2480 CHECK DATE: 03/27/17 [TON G�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 100129 3594034 30.60 CHLOROFORM AND HCL e 2 C, . / 64 \ S _ < _ ® ®N ID a ) ° # § E k § LL w o / / / f c f L) § ¥ 2 CL ' / Q \ K § k § / m > w # i e L i [ w § 2 ) IM Q § ) ° /R a L g °k § U� Q 0 \ /§ G (E kg { f 2% q_ $ Z L) � / w # 7 \ d \ o c ¥ o f 2 } \ 2 } k kQ Q \ o :E E # � § EL 7 0 \ k ° /) � ± k � � 2 q § t - $ _ k > k § 3 . =b 7 04 \ k k $ 04- / 2 f § ) B b ( 2 c § $ a") % E d / § CCD ® y § 2 § 8 3 § 2 XO < 7 f :5 k k § # - . » % | z G % = 6 75 0 2o k F- 0 E 7 # $ E @ \ 2 7 § ) LL o U 75 � � � c R $ $ w 2 CN ƒ O ) I,- LL@ ^ - m $ O U § ] Q q b o I Z § ] k k $ $ 0 z 7 It / / / b 0 #g (L F-- -\ D = b m O 2 o � \ E 2 O a W o 2 $ E 5 0 LO > a \ 6 } } CA t < z C # E \ L 8 2 \ LU 2 co0 U k § 0 ƒ % & / t k 2 z y ° % C k § k@ 2 Q W _ � f / § j \ QCL §) ° �f I � U g °6 L o0 /Lh� I � �� { m a « k 2\ � ) Z L) ° \ 8 2 CL 0 § / G 2 f k 0 2 6 § k S c (DzLLn f � § U 0 ( � f Q k % :E k � � ) } \ W \ 5\ ƒ � E 2 R k 0 k w 3 a _ § 7 � 2 © % S ) 2 I { § / 0 0) § \ k k 2 f2 & D f \ 2 E U d S b ° k 5 t > D ) 2 z - :5 E » { % | z $ � \ zz k 2 ^ - § / @ \ 2 a o « p O % � I � f $ $ 3r UL ƒ \ 9 ) 3 ƒ to O \ o ■ w Cl) k ® $ Q g g N w o k = 2 > LO k k /© 0 D z L q O f b / ) ® x 2 « # e Mn q 2 b 2 O 2 0 [ 0 L E L) REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519 Fisher Scientific ACCT# 950782-001 4500 TURNBERRY DRIVE FEIN 23-2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE Part of Thermo Fisher Scientific CHICAGO IL 60133 60693 PLEASE REFER TO THIS INVOICE NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV.DATE 100129 03/06/2017 3594034 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE I DUPLICATE H70476344 950782-001 CHI SHIPPING POINT 02/16/2017 1 SOLD TO: SHIP TO: INVOICE TYPE: NOR FON CON THIS IS A ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL ❑ CITY OF CARMEL POLICE DEPT SHIPMENT POLICE DEPT 3 CIVIC SQ DUE: 04/05/2017 3 CIVIC SQ CARMEL IN 46032-2584 CARMEL IN 46032-7570 TERMS: NET 30 DAYS FROM INVOICE DATE. PAYABLE IN U.S. CURRENCY. IIIIIIIIIII""IIT11111'I'Illll��lllllll�lllllll'Illlllll'Ill'I Visit: www.fishersci.com DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT NUMBER SHIPPED CALLER-JOHN PHONE-111-111-1111 SHIPMENT NBR: 003 FROM: EPD ON 03/06/2017 ORDERED PART # CX10556 CHLOROFORM ACS 500MLCHLOROFOR MCX10556 1 EA 52.05 52.05 ORIG CAT NBR CX10556 MERCHANDISE SUBTOTAL 52.05 NON STANDARD TRANSPORTATION CH 21.20 TOTAL INVOICE AMOUNT 73.25 FOR YOUR PROTECTION, OUR COMPANY DOE NOT ACCEPT CREDIT CAW NUMBERS VIA FAX OR EMAIL TELL US ABOUT YOUR RECENT CUSTOMER SERVICE EXPERIENCE BY CO PLETING A SHORT URVEY. THIS S OULD TAKE NO LONGECR THAN THREE MINUTES. ENTER THE LINK I O YOUR BROWSER AND ENTER THE PASSCODE 32HOWN. http://survey.medallia.com/fishersci PASSCODE: USA-PGH-CS2 E-INVOICE @HTTPS://WWW.E-SCICOM.COM/T OFISHER/REGISTER.ASP See reverse side for complete terms and conditions or visit htt�://www.fishersci.conVsalesterms PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE.THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION AND SIGNED FOR BY THE TRANSPORTATION COMPANY.CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF GOODS TO CARRIER.DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT.WITHOUT THIS DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED.SELLER CERTIFIES THAT ALL GOODS(OR SERVICES)COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,AND 12 OF THE FAIR LABOR STANDARDS ACTS OF 1938,AS AMENDED,AND OF THE REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION. THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE.SOME PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. 1515 2812 0 0 2457142 0am4mex000Felap 000187580