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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