326943 06/29/18 CITY OF CARMEL, INDIANA VENDOR: 358238
ONE CIVIC SQUARE LABCHEM INC CHECK AMOUNT: $*******624.75*
CARMEL, INDIANA 46032 1010 JACKSON'S POINTE COURT CHECK NUMBER: 326943
9�droei °' BLDG 1000 CHECK DATE: 06/29/18
ZELIENOPLE PA 16063
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1034969 624.75 OTHER EXPENSES
VOUCHER NO. 185763 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 358238 IN SUM OF$ 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
624.75 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
1034969 01-7202-05 $624.75 and received except 6/13/2018 1034969 $624.75
Z.
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
GKV Invoice ID :1034969
_ LabChem Sales Order ID :1039033
performance through chemistry Invoice Date :6/1/2018
Jackson's Pointe Commerce Park-Building 1000 Ship Date :6/1/2018 9:32:00 AM
1010 Jackson's Pointe Court,Zelienople,PA 16063 Customer PO ID :S18476
Ph:412-826-5230 1 Fax:724-473-0647 1 www.Iabchem.com
Page Number : 1 of 1
AR Terms: Due Date: Amount Due:
Net 30 Days 7/1/2018 $624.75
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: 5/29/2018 2:47:02 PM FOB: Zelienople,PA
Packing Slip: 637933 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 $347.1000 0.00% $0.0000 $347.10
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
H134-21 11/29/2019 1
Line Item Total: $347.10
2 LC148451/GLUCOSE-GLUTAMIC ACID EA 6.0000 $38.5000 0.00% $0.0000 $231.00
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
H072-11 04/13/2020 6
Line Item Total: $231.00
Subtotal: $578.10
Sales Tax: $0.00
Tracking Numbers:
Shipping Charges: $46.65
724157062485,724157062496 Total: $624.75
Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA