320346 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 358238
ONE CIVIC SQUARE LABCHEMINC
CHECK AMOUNT: $*******571.01*
.;_ � •:
CARMEL, INDIANA 46032 1010 JACKSON'S POINTE COURT CHECK NUMBER: 320346
vM o BLDG 1000 CHECK DATE: 01/04/18
•... roH ZELIENOPLE PA 16063
4w�DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
651 5023990 1011891 571.01 OTHER EXPENSES
VOUCHER NO. 177012 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 358238 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
LABCHEM INC CITY OF CARMEL
1010 JACKSON'S POINTE COURT An invoice or bill to be properly itemized must show: kind of service,where performed,
ZELIENOPLE, PA 16063 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
571.01 358238 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LABCHEM INC Terms
Carmel Wasterwater Utility 1010 JACKSON'S POINTE COURT Due Date
BOARD MEMBERS
I hereby certify that that attached invoice ZELIENOPLE, PA 16063
(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
1011891 01-7202-05 $571.01 and received except
12/19/2017 1011891 $571.01
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
INVOICE
Chem Invoice ID :1011891
Sales Order ID :1016149
performance through chemistry Invoice Date :12/13/2017
Jackson's Pointe Commerce Park-Building 1000 Ship Date : 12/13/2017 1:04:00 PM
1010 Jackson's Pointe Court,Zelienople,PA 16063 Customer PO ID :S17905
Ph:412-826-52301 Fax:724-473-0647 1 www.labchem.com
Page Number :1 of 2
AR Terms: Due Date: Amount Due:
Net 30 Days 1/12/2018 $571.01
Bill To: 1265 Ship To
CARMEL WWTP CARMEL WWTP
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280
USA
INDIANAPOLIS,INDIANA 46280
US
Order-Date: 12/7/201.7 4:47:45.PM FOB: Zelienople,PA
Packing Slip: 614798 Currency Type: USD
Ship Method: Economical Ground
Line Nbr Item ID/Item Name Unit of Shipped Unit Price Sales Tax Extra Extended
Cust Item ID Measure Qty Charges Price
1 LC226005/SILVER NITRATE,0.0141N(0.0141M) EA 1.0000 $337.0000 0.00% $0.0000 $337.00
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
G342-01 06/13/2019 1
Line Item Total: $337.00
2 LCI 86001/PHOSPHATE(AS PHOSPHORUS) EA 1.0000 $38.6000 0.00% $0.0000 $38.60
STANDARD,50ppm(1mL=0.05mg P) B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
G254-06 09/13/2018 1
Line Item Total: $38.60
3 LC188501/POTASSIUM CHROMATE INDICATOR EA 2.0000 $19.8000 0.00% $0.0000 $39.60
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
G256-14 09/22/2019 2
Line Item Total: $39.60
4 LC148451/GLUCOSE-GLUTAMIC ACID EA 3.0000 $37.4000 0.00% $0.0000 $112.20
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
G324-09 11/28/2019 3
Line Item Total: $112.20
Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA
INVOICE
Chem Invoice ID :1011891
Sales Order ID :1016149
performance through chemistry Invoice Date : 12/13/2017
Jackson's Pointe Commerce Park-Building 1000 Ship Date : 12/13/2017 1:04:00 PM
1010 Jackson's Pointe Court,Zelienople,PA 16063 Customer PO ID :S17905
Ph:412-826-52301 Fax:724-473-0647 1 www.labchem.com
Page Number :2 of 2
AR Terms: Due Date: Amount Due:
Net 30 Days 1/12/2018 $571.01
Bill To: 1265 Ship To:
CARMEL WWTP CARMEL WWTP
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280
USA
INDIANAPOLIS,INDIANA 46280
US
Order Date: 12/7/2017 4:47:45 PM FOB: Zelienople,PA
Packing Slip: 614798 Currency Type: USD
Ship Method: Economical Ground
Line Nbr Item ID/Item Name Unit of Shipped Unit Price Sales Tax Extra Extended
Cust Item ID Measure Qty Charges Price
Subtotal: $527.40
Sales Tag: $0.00
Tracking Numbers:
Shipping Charges: $43.61
724157046835,724157046846 Total: $571.01
Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA