311114 5/9/2017 ��'� ��'*'• CITY OF CARMEL, INDIANA VENDOR: 118000
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' �' ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $"""""6,114.60'
?4 CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK NUMBER: 311114
+,, CHICAGO IL 60693 CHECK DATE: 05/09/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 10413137 6,114.60 OTHER EXPENSES
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® INVOICE NUMBER 10413137
DATE: 04/17/2017
Page: 1
Be Right'
DETACH TOP PORTION AND RETURN N17FFH PAYINIEN'T TO: TOTAL: $6,114.60
Hach Company
2207 Collection Center Drive
Chicago, IL 60693 Have you ordered online?
Phone: (800) 227-4224 Order at HIM HACH COM
104131-30 600526533 600006-11-460 041-TT7
Sort Seg: 304 Tray: 2 DETACH HERE Original
INVOICE NO 10413137 DATE: 04/17/2017
s �IIIII��I'�I'llll�l��l'I�'III�II�I�II�I��'�I1�"�'I�III"I"I�1�� PURCHASE JF041217
o
L CARMEL UTILITIES ORDER
NUMBER
D LOVEALL,KERRI Net 30 Days From Invoice Date
3450 W 131ST ST TERMS
T CARMEL, IN 46074-8267
O United States FREIGHT
CARRIER UPS-UPS**UPS--Ground
s
H CARMEL UTILITIES 1ACCOUNT052653
I 4915 E 106TH ST REF. NO. 314582427-1 Remit to:
P PLANT 1 Hach Company
CARMEL WATER 2207 Collections Center Dr
T INDIANAPOLIS,IN 46280 Chicago,IL 60693
O United States 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 BROMCRESOL GR-METH RED PP PK/100 94399 2 16.07 32.14
*TRACKING NUMBERS: 1Z8A89V00328101709
3 as REAGENT SET, CHLORINE FREE CL17 2556900 15 52.19 782.85
*TRACKING NUMBERS. 1Z8A89V00328101683
1Z8A89V00328101692
4 SAMPLE CELL 2100 PORTABLE TURB, PK/6 2434706 1 33.95 33.95
*TRACKING NUMBERS: 1Z8A89V00328101709
5 KIT, CL17 PRE-ASSY MAINT, POST 3/00 5444301 11 200.37 2,204.07
*TRACKING NUMBERS: 1Z8A89V00328101709
6 SULFURIC ACID, 19.2N 100ML MDB 203832 1 20.48 20.48
*TRACKING NUMBERS. 1Z8A89V00328101692
7 ASCORBIC ACID PWD PLWS PK/100 1457799 10 21.16 211.60
*TRACKING NUMBERS. 1Z8A89V00328101709
8 HARDNESS 3 TEST SOLN 1000ML 42653 1 35.98 35.98
*TRACKING NUMBERS: 1Z8A89V00328101692
9 ee TENSETTE PIPET 1.0-10.0 ML 1970010 1 262.36 262.36
*TRACKING NUMBERS: 1Z8A89V00328101709
10 STIR BAR, POLYGON 7/8X3/16 IN 4531500 2 7.18 14.36
*TRACKING NUMBERS: 1Z8A89V00328101709
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
4 Environmental SEA-BIRD / —�' OTHER BRANDS
Test Systems .ytrk, I.. tom,^ ,% FROM HACK
® INVOICE NUMBER 10413137
DATE: 04/17/2017
Page: 2
Be Right'"
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE
11 PHENOLPHTHALEIN PP PK/100 94299 2 16.52 33.04
*TRACKING NUMBERS: 1Z8A89V00328101709
12 SULFURIC ACID 1.600N, CARTRIDGE 1438901 . 1 18.23 18.23
*TRACKING NUMBERS: 1Z8A89V00328101709
13 FERROUS IRON RGT PP 25ML PK/100 103769 10 24.61 246.10
*TRACKING NUMBERS: 1Z8A89V00328101709
14 FERROVER, IRON REAGENT PK/100 2105769 25 21.56 539.00
*TRACKING NUMBERS:1Z8A89V00328101709
15 FLUORIDE STD, 5.OMG/L 473ML 2797111 3 25.45 76.35
*TRACKING NUMBERS. 1Z8A89V00328101692
16 FLUORIDE STD, 0.5MG/L 473ML 2743811 3 24.19 72.57
*TRACKING NUMBERS: 1Z8A89V00328101692
17 RGT 1, TISAB SOLN 473ML 2812811 11 34.99 384.89
*TRACKING NUMBERS: 1Z8A89V00328101692
18 as REAGENT SET, CHLORINE TOTAL CL17 2557000 19 54.85 1,042.15
*TRACKING NUMBERS:1Z8A89V00328101674
1Z8A89V00328101683
ORDER CONTACT: SUBTOTAL 6,010.12
JAIMIE FOREMAN FREIGHT CHARGES 104.48
(317)571-2639 TAX 0.00
Notes: INVOICE TOTAL 6,114.60
*JF041217
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 SEABIRD --\ OTHER BRANDS
Test Systems OTT ( _
.�•� .,, ..s�.s COASTAL / FROM HACH
� leu,. �`_
HACH
Delivery ID: 26834917 TM Page 1 of 2
Packing List Be Right Date: 04/17/2017
SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO
HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES
100 DAYTON AVE KERRILOVEALL JF041217
AMES,IA 50010-0907 3450 W 131 ST ST CARMEL WATER
United States(US) CARMEL,IN 46074-8267 4915 E 106TH ST
PH:(800)227.4224 United States(US) PLANT 1
FX:(970)669-2932 PH:7332855 INDIANAPOLIS IN 46280
United States(US)
PH:(317)571-2639
Order: 314582427
Account Number: 052653 Purchase Order: 5041217 Carrier: UPS Ground
Order Contact: JF041217 Customer Ref:
Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 4
CARTON ITEM ITEM DESCRIPTION UOM QTY PO NUMBER CUSTOMER ITEM
26834917-1 + 2557000 as REAGENT SET,CHLORINE TOTAL CL17 EA 14 JF041217
26834917-2 fj 2556900 as REAGENT SET,CHLORINE FREE CL17 EA 9 IF041217
2557000 as REAGENT SET,CHLORINE TOTAL CL17 EA 5 .JF041217
26834917-3 ' 42653 HARDNESS 3 TEST SOLN 1000ML EA 1 JF041217
203832 SULFURIC ACID,19.2N 100ML MOB EA 1 JF041217
(I 2556900 as REAGENT SET,CHLORINE FREE CL17 EA 6 JF041217
2743811 FLUORIDE STD,0.5MG/L 473ML EA 3 JF041217
• 2797111 FLUORIDE STD,5.OMG/L 473ML EA 3 JF041217
• 2812811 RGT 1,TISAB SOLN 473ML EA 11 JF041217
26834917-4 94299 PHENOLPHTHALEIN PP PK/100 PK 2 JF041217
0 94399 BROMCRESOL GR-METH RED PP PK/100 PK 2 IF041217
• 103769 FERROUS IRON RGT PP 25ML PK/100 PK 10 .31`041217
1438901 SULFURIC ACID 1.600N,CARTRIDGE EA 1 JF041217
11 1457799 ASCORBIC ACID PWD PLWS PK/100 PK 10 IFG41217
r 1970010 ee TENSETTE PIPET 1.0-10.0 ML EA 1 JFD41217
• 2105769 FERROVER,IRON REAGENT PK/100 PK 25 IF041217
• 2434706 SAMPLE CELL 2100 PORTABLE TURB, PK/6 PK 1 JF041217
R 4531500 STIR BAR,POLYGON 7/8X3/16 IN EA 2 .JF041217
5444301 KIT,CL17 PRE-ASSY MAINT,POST 3/00 EA 11 .JF041217
"'Attention Customer-Additional Shipment Deta We c e i v e d
Date : ®y2- �t"1
The following lot numbers were sent:
ACCT # : t
Use : a ,
MACH
Delivery ID: 26834917 TM Page 2 of 2
Packing List Be Right Date: 04/17/2017
Item Lot Number Exp.Date Quantity
42653 7047 02/14/2022 1
2797111 7067 03/07/2022 3
103769 7073 03/08/2022 10
203832 7081 03/20/2022 1
1438901 7088 11/27/2018 1
2105769 7088 03/22/2021 25
94299 7089 03/24/2021 2
2812811 7089 03/28/2018 11
1457799 7094 03/28/2022 10
2743811 7094 01/03/2021 3
94399 7100 04/04/2020 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