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314794 8/15/2017
CITY OF CARMEL, INDIANA VENDOR: 358403 D ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*****1,750.00* s rq CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 314794 +y, 7300 TUSSING ROAD CHECK DATE: 08/15/17 REYNOLDSBURG OH 43068 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 I0167623 1,750.00 OTHER CONT SERVICES n X -4 » 0 i « k q 3 - E 0 D ? ƒ c ¥ # 2 2 ¥ Q OD # > O / $ O k 0 $ f 2 m ( 0 U) O r b % \ ca z / / k k / m w § -• . O c { § m k 0 69 O m w # 5 -n I O 0 \ / \ / cn e c / k O 2 » k » @ § n o n m f4t 4t� � J > D T. § ? 2 ° > -n O `/ K O¢ / m � \ 8 $ ) a $ g 9 - 2 > ® f g k @ 3 \ E 0 E F ¥ C , / 2 ; k q 7 _ � CD / � R / \ k ® � ƒ \ =rm > CD . 5 , £ , E n m \ 3, F 5 = / g k 0 co \ k (D CL < a) 0) ° ( 6 & C / » k ƒ § m 3 g o [ © � « o/ m - ƒ CD CD .« \ j \) P k �§ Di / 0 C \ k § c \ � k 0 / gCD M � k ƒ C o K) # ) 0 CCD D \ 2 =r k k e) / 2 eƒ , \ D 0 D )« �E / \ j / m m . o a n 3 0 \ U CD £ ¥ ƒ z \ ] i ( ƒ C % CD \ E CD / \ p § k 2 2. co � \ 8 m ] CD \ z § C 69 } ƒ } 4 0 - 0 7 7 i co ) ® coLn CHARDON LABORATIORES I � Corporate Service&Research Center Invoice No. 10167623 7300 Tussing Road Reynoldsburg,Ohio 43068 2.800.8489526 Fax: 614.759.2558 Web: www.chardonlabs.com • . TO: TO: ACCOUNTS PAYABLE JOHN DUFFY CITY OF CARMEL-DEPT OF ADMIN CARMEL ENERGY CENTER ONE CIVIC SQUARE 777 THIRD AVENUE SW CARMEL, IN 46032 CARMEL, IN 46032 To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed information on these schedules,please see you Master Service Agreement. CUSTOMER P.O.NO. TERMS SALES PERSON CUSTOMER NO. INVOICE DATE NET 30 MARK HEIRBRANDT 297709 7/16/2017 ITEM • DESCRIPTION UNIT PRICE QTY EXTENDED PRICE PowerPure/Tower/Loop service 1,750.00 1.00 1,750.00 Submitted To AUG 01 2017 Clerk Treasurer REMIT TO: CHARDON LABORATORIES, INC. ACCOUNTS RECEIVABLE Sales Total 1,750.00 7300 TUSSING ROAD Trade Discount 0.00 REYNOLDSBURG, OHIO 43068 Shipping&Handling 0.00 Misc.Charges 0.00 We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00 requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 1,750.00 United States Department of Labor issued under Section 14,thereof. Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00 • 1,750.00