319482 12/12/17 �`p''f• CITY OF CARMEL, INDIANA VENDOR: 097251
ONE CIVIC SQUARE FISHER SCIENTIFIC CHECK AMOUNT: $*****1,203.08*
CARMEL, INDIANA 46032 ACCT 440371-001CHECK NUMBER: 319482
9'lroii.�o` 13551 COLLECTIONS CENTER DRIVE CHECK DATE: 12/12/17
CHICAGO IL 60693
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER _ AMOUNT DESCRIPTION
651 5023990 0322582 1,203.08 OTHER EXPENSES
VOUCHER NO. 176845 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 097251 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FISHER SCIENTIFIC CITY OF CARMEL
DEPT 440371 An invoice or bill to be properly itemized must show: kind of service,where performed,
13551 COLLECTIONS CENTER DR. dates service rendered, by whom, rates per day, number of hours, rate per hour,
CHICAGO, IL 60693 numbers of units, price per unit, etc.
Payee
$1,203.08 097251 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FISHER SCIENTIFIC Terms
Carmel Wasterwater Utility DEPT 440371 Due Date
BOARD MEMBERS 13551 COLLECTIONS CENTER DR.
I hereby certify that that attached invoice CHICAGO, IL 60693
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0322582 01-7202-05 $1,203.08 and received except 11/28/2017 0322582 $1,203.08
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519
0 Fisher Scientific ACCT# 440371-001 4500 TURNBERRY DRIVE FEIN 23-2942737
Part of Thermo FisherScienTrfic 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
CHICAGO IL 60133
60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV.DATE
517827 11/15/2017 0322582
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
D73193676 440371-001 CHI SHIPPING POINT 11/15/2017 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
DUANE JARVIS THIS IS A
ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL ❑
CITY OF CARMEL WASTEWATER TREATMENT PLT SHIPMENT
WASTEWATER TREATMENT PLAN 9609 HAZEL DELL PKWY DUE: 12/15/2017
9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280-2935
INDIANAPOLIS IN 46280-2935 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
Illlll�lllll�llllll�lllll��ll�l�l�l��lrllllll11111Jill IIIII11111 Visit: www.fishersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER-DUANE JARVIS
PHONE-317-571-2634
- --SHIPMEI3T NBR: OOY -FROM--CDC —'ON --11/15/2017- -- — --- �- `— -- --
ORDERED PART # 1329720
POLYSEED CAPSULES 50/PK 13 297 200 * 2 PK 123.45 246.90
ORDERED PART # 1364190
PH ELECTRD STRG SOLN. 475ML BTL 13 641 908 * 1 EA 55.68 55.68
LOT VQ1
ORDERED PART # 075783B
DRIERITE INDICAT 8 MESH 5LB 07 578 3B * 1 EA 78.86 78.86
LOT NOB
.ORDERED PART # SB10150
BUFFER COLRD RED PH 4.00 500ML SB101 500 * 6 EA 15.54 93.24
LOT 173425
ORDERED PART # SB10750
BUFFER CLRD YEL PH 7.00 500ML SB107 500 * 6 EA 15.12 90.72
LOT 173426
ORDERED PART # SB11550
BUFFER COLRD BLUE PH 10 500ML SB115 500 * 6 EA 15.87 95.22
LOT 173794
SHIPMENT NBR: 002 FROM: EPD ON 11/15/2017
ORDERED PART # 118908D
STERI-WRAP. I 24X24IN 500/CS 11 890 8D 1 CS 252.30 252.30
LOT 104532
SHIPMENT NBR: 003 FROM: MWD ON 11/15/2017
ORDERED PART # 0.725007
- - - -----3:90.56' -
__>70024-CYL TD PYRX=VST :500Nff,1PK --'r —_---07 250 071- - - 4 PK � -
REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519
0 Fisher Scientific ACCT# 440371-001 4500 TURNBERRY DRIVE FEIN 23-2942737
Part of Thermo Fisher Scientific 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
CHICAGO IL 60133
60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV.DATE
517827 11/15/2017 0322582
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE I DUPLICATE
D73193676 440371-001 CHI SHIPPING POINT 11/15/2017 2
SOLD TO: SHIP TO: INVOICE TYPE:
NOR ' FON -CON
DUANE JARVIS THIS is A
ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL 0
CITY OF CARMEL WASTEWATER TREATMENT PLT SHIPMENT
WASTEWATER TREATMENT PLAN 9609 HAZEL DELL PKWY DUE: 12/15/2 017
9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280-2935
INDIANAPOLIS IN 46280-2935 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
Visit: www.fishersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
NON STANDARD TRANSPORTATION CH 43.43
SHIPPING-FUEL SURCHARGE 3.70
TOTAL INVOICE AMOUNT - --- - -- -- -- --l-,203-.08--
FOR
;203.0 FOR YOUR PROTECTION, OUR COMPANY DOE NOT ACCEPT CREDIT NUMBERS VIA FAC-OR EMAIL
(*) FOR YOUR REFERENCE, AN ASTERISK HAS BEEN PLACED BY THOSE I EMS .FOR WHICH MS S(S) WILL BE PROVIDED
UNDER SEPARATE COVER. CONTACT YOUR CUSTOMER SERVICE REPRESENTATIVE IF ADDIT ONAL INFORMATION NEEDED.
TELL US ABOUT YOUR RECENT CUSTOMER SERVICE EXPERIENCE BY C04PLETING A SHORT URVEY. THIS SHOULD TAKE NO LONGER
THAN THREE MINUTES. ENTER THE LINK IN90 YOUR BROWSER AND ENCER THE PASSCODE HOWN.
http://survey.medallia.com/fishersci PASSCODE: USA-PGH-CS2
E-INVOICE @HTTPS://WWW.E-SCICOM.COM/T OFISHER/REGISTER.ASP
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 W ERE.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.
1649 3045 0 0 2581753 OCDdC61000C7FsD 000187566