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Home My WebLink About331000 10/09/18 `%��"'� CITY OF CARMEL, INDIANA VENDOR: 118000 ® � ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $*****5,863.60* :�� _� CARMEL, INDIANA 46032 2207 COLLECTION CENTER DRIVE CHECK NUMBER: 331000 �"�9mi�. CHICAGO IL 60693 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 11144607 733.20 OTHER EXPENSES 601 5023990 11147888 271.34 OTHER EXPENSES 601 5023990 11148545 4,859.06 OTHER EXPENSES VOUCHER NO. 182937 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 118000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER HACH CHEMICAL CO. CORP CITY OF CARMEL 2207 Collections Center Dr. An invoice or bill to be properly itemized must show: kind of service,where performed, Chicago, IL 60693 dates service rendered, by whom,rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $5,863.60 118000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR HACH CHEMICAL CO. CORP Terms Carmel Water Utility 2207 Collections Center Dr. Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), Chicago,IL 60693 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 11144607 01-6200-03 $733.20 and received except 10/3/2018 11144607 $733.20 11147888 01-6200-03 $271.34 10/3/2018 11147888 $271.34 11148545 01-6200-03 $4,859.06 10/3/2018 11148545 $4,859.06 1 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 NO 11148545 DATE: 1 09/24/2018 g 'I"SII"�II�III�I�'I.��I�'I.IIIIIIII'll'�II�II'I��II�IIII�I'�II PURCHASE JF092018 ORDER o CARMEL UTILITIES 0 NUMBER U 3450 W L,KERRI 131ST ST TERMS Net 30 Days From Invoice Date 3450 W T CARMEL, IN 46074-8267 O United States FREIGHT Prepay And Bill Customer CARRIER UPS-UPS**UPS--Ground S H CARMEL UTILITIES ACCOUNT 1052653 I FOREMAN,JAIMIE I REF. NO. 315279661-3 r emit to: P 4915 E 106TH ST Hach Company CARMEL,IN 46033 2207 Collections Center Dr T United States Chicago,IL 60693 O - — -- - -- Phone:(800)227-4224 These commodities are sold,packaged,marked,and labeled for destinations in the United States. Exportation of these commodities may require special licensing,packaging,marking or labeling. LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 1 as REAGENT SET, CHLORINE FREE CL17 2556900 16 57.65 922.40 *TRACKING NUMBERS: 1ZBA89VO0334984030 1 Z8A89V00334984049 2 FERROVER, IRON REAGENT PK/100 2105769 30 23.17 695.10 *TRACKING NUMBERS:1Z8A89V00334982998 3 STABLCAL AMPULE KIT, 2100P 2659405 1 171.61 171.61 *TRACKING NUMBERS: 1ZBA89VO0334982970 4 SPEC COLOR STD, DPD CHLORINE-LR 2635300 1 163.53 163.53 *TRACKING NUMBERS: 1Z8A89V00334982970 5 RGT 1, TISAB SOLN 473ML 2812811 6 38.49 230.94 *TRACKING NUMBERS: 1Z8A89V00334982989 6 FLUORIDE STD, 5.OMG/L 473ML 2797111 3 28.05 84.15 *TRACKING NUMBERS: 1ZBA89VO0334982989 7 FLUORIDE STD, 0.5MG/L 473ML 2743811 4 26.65 106.60 *TRACKING NUMBERS: IZBA89VO0334982989 8 as REAGENT SET, CHLORINE TOTAL CL17 2557000 8 60.85 486.80 *TRACKING NUMBERS: 1Z8A89V00334982970 9 KIT, CL17 PRE-ASSY MAINT, POST 3/00 5444301 5 213.84 1,069.20 *TRACKING NUMBERS: 1Z8A89V00334982989 PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COMrrERMS For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization. FEDERAL TAX ID#42-0704420 Environmental SEA-BIRD �® OTHER BRANDS Test Systems O V 1 1 COASTAL FROM HACH Hvdromet "r^" srcmA p INVOICE NUMBER 11148545 DATE: 09/24/2018 Page: 2 Be Right' LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 10 ALKALINE CYANIDE REAGENT, 500ML 2122349 1 67.70 67.70 *TRACKING NUMBERS:1Z8A89V00334982952 11 PAN INDICATOR SOLN, 0.1% 500ML 2122449 2 68.33 136.66 *TRACKING NUMBERS: 1Z8A89V00334982961 12 WATER, DEIONIZED 4L(DEMINERALIZED) 27256 2 26.37 52.74 *TRACKING NUMBERS: 1ZBA89VO0334982961 13 SPADNS2 (ARSENIC-FREE)FLUORIDE 2947517 2 86.43 172.86 REAGENT, 3.78 L *TRACKING NUMBERS. 1ZBA89VO0334982943 14 FILTER, GLASS FBR 47MM A/E PK/100 2551456 1 47.07 47.07 *TRACKING NUMBERS. 1Z8A89V00334982998 15 DPD FREE CHLORINE RGT 10 ML, PK/1000 2105528 1 167.12 167.12 *TRACKING NUMBERS. 1Z8A89V00334982961 16 FERROUS IRON RGT PP 25ML PK/100 103769 10 26.50 265.00 *TRACKING NUMBERS: 1Z8A89V00334982998 17 SULFURIC ACID 1.600N, CARTRIDGE 1438901 1 19.58 19.58 *TRACKING NUMBERS: 1ZBA89VO0334990809 ORDER CONTACT: SUBTOTAL 4,859.06 JAIMIE FOREMAN (317)571-2639 TAX 0.00 Notes: INVOICE TOTAL 4,859.06 *Jaimie Foreman SERVICE NOTES: Hach Service Department Invoice for Work Order: Reference Service Report to view details. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization. FEDERAL TAX ID#42-0704420 Environmental $EA B I R DO® OTHER BRANDS FROM HACH � Test Systems OTT COASTAL Hydromet �,y srcnu INVOICE NO 11144607 DATE: 1 09/20/2018 S Ir�IIIIIIIIIII�II�III'I'I'llll�'I�I�I'�'IJill 1'11'll" PURCHASE KR091218-A O ORDER CARMEL UTILITIES LD 3450 W 131ST ST NUMBER Net 30 Days From Invoice Date CARMEL, IN 46074-8267 TERMS T United States O FREIGHT S CARRIER UPS-UPS"UPS--Ground H CARMEL UTILITIES ACCOUNT 052653 t 4915E 106TH STREF. NO. 315267465-3 emit to: P CARMEL, IN 46033 Hach Company United States 2207 Collections Center Dr T 0 Chicago,IL 60693 — - — — - -- - --- - - - --- - — -- - -- - — -- -- -Phcne:-(800)=227-4224 -- These commodities are sold,packaged,marked,and labeled for destinations in the United States. Exportation of these commodities may require special licensing,packaging,marking or labeling. LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 1 as COND SOLN, 100-1000US/CM 1L 25M3A2000-119 3 122.20 366.60 *CONDUCTIVITY VALUE: 100 *TRACKING NUMBERS: 1Z8A89V00334953135 2 as COND SOLN, 100-1000US/CM 1L 25M3A2000-119 3 122.20 366.60 *CONDUCTIVITY VALUE:1000 *TRACKING NUMBERS. 1ZBA89VO0334953135 ORDER CONTACT: SUBTOTAL 733.20 JAIMIE FOREMAN 317 571 4144 TAX 0.00 Notes: INVOICE TOTAL 733.20 SERVICE NOTES: Hach Service Department Invoice for Work Order: Reference Service Report to view details. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization. FEDERAL TAX ID#42-0704420 Environmental Test Systems OTT SEABIRD O OTHER BRANDS �r-� COASTAL HACH Hydromet �^�� srGnra INVOICE NO 11147888 DATE: 1 09/21/2018 g 'I�'II"'II��I'lll�ll"II�'�I�IIIIIII""II��I'I'��I��1�1111'll� PURCHASE JF092018 o ORDER CARMEL UTILITIES NUMBER U LOVEALL,KERRI Net 30 Days From Invoice Date 3450 W 131 ST ST TERMS T CARMEL, IN 46074-8267 o United States FREIGHT Prepay And Bill Customer CARRIER UPS-UPS"UPS--Ground S H CARMEL UTILITIES ACCOUNT 052653 1 FOREMAN,JAIMIE REF. NO. 315279661-2 Remit to: P 4915 E 106TH ST, Hach Company CARMEL, IN 46033 2207 Collections Center Dr T United States Chicago,IL 60693 _-- - - ---- - --Phone:(800)227-4224 --— - These commodities are sold,packaged,marked,and labeled for destinations in the United States. Exportation of these commodities may require special licensing,packaging,marking or labeling. LN# PRODUCT DESCRIPTION. ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 1 DPD TOTAL CHLORINE RGT 10 ML PK/1000 2105628 1 167.12 167.12 *TRACKING NUMBERS: 1ZBA89VO0334978109 ORDER CONTACT: SUBTOTAL 167.12 JAIMIE FOREMAN (317)571-2639 TAX 0.00 Notes: INVOICE TOTAL 167.12 *Jaimie Foreman SERVICE NOTES: Hach Service Department Invoice for Work Order: Reference Service Report to view details. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization. FEDERAL TAX ID#42-0704420 Environmental SEABIRD ®o OTHER BRANDS Test Systems � 0% O FROM HACH COASTAL . n HvdrometMW siGnu, INVOICE NO 11146366 DATE: 1 09/21/2018 S 1111111111111111111111 all I I[Illl'1I"1'1 PURCHASE JF092018 o ORDER L CARMEL UTILITIES NUMBER D LOVEALL, KERRI Net 30 Days From Invoice Date 3450 W 131 ST ST TERMS T CARMEL, IN 46074-8267 0 United States FREIGHT Prepay And Bill Customer s CARRIER UPS-UPS**UPS--Ground H CARMEL UTILITIES ACCOUNT 052653 I FOREMAN,JAIMIE REF. NO. 315279661-2 Remit to: P 4915 E 106TH ST Hach Company CARMEL, IN 46033 2207 Collections Center Dr T United States Chicago,IL 60693 - -O ----- - -- -Phone:-(800)-227-4224 These commodities are sold,packaged,marked,and labeled for destinations in the United States. Exportation of these commodities may require special licensing,packaging,marking or labeling. LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 1 DELIVERY TUBE, 180 DEG HOOK PK/5 1720500 1 9.52 9.52 'TRACKING NUMBERS: 1Z8A89V00334976147 ORDER CONTACT: SUBTOTAL 9.52 JAIMIE FOREMAN FREIGHT CHARGES 94.70 (317)571-2639 TAX 0.00 Notes: INVOICE TOTAL 104.22 'Jaimie Foreman SERVICE NOTES: Hach Service Department Invoice for Work Order:Reference Service Report to view details. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/-rERMS For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization. FEDERAL TAX ID#42-0704420 _ Environmental SEA-BIRD O® OTHER BRANDS Test Systems / LJ0% FROM HACH C=>om1 a�,ea,,, 4- COASTAL Hvdromet y srcnra MACH Delivery ID: 28971322 TtVII Pae 1 of 1 Packing List Be Might Dae: 09/24/2018 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN Jaimie Foreman AMES,IA 50010-0907 3450 W 131 ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074.8267 CARMEL IN 46033 PH:(800)227-4224 United States(US) United States(US) ID� FX:(970)669.2932 PH:7332855 PH:(317)571.2639 l-T H p R PP.OKE�SH�-�Y M' Order. 315279661 Account Number: 052653 Purchase Order: JF092018 Order Contact: JAIMIE FOREMAN Jaimie Foreman Customer Ref: Carrier: UPS Ground Contact Phone: (317)571-2639 Customer Rei: Total Pieces: 2 CARTON ITEM ITEM DESCRIPTION UOM QTY PO NUMBER CUSTOMER ITEM 28971322-1 2556900 as REAGENT SET,CHLORINE FREE CL17 EA 10 J 92018 28971322-2 2556900 as REAGENT SET,CHLORINE FREE CL17 FA 6 V 3F092018 ***Attention Customer-Additional Shipment Details*** IMPORTANT: Back ordered items do not appear on this Packing List document. If out-of-stock quantities exist on your order,you will receive an e-mail confirmation at the time of shipment. To view order history for your account,visit www.hach.com. You must be registered to view your order history. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COM/TERMS ReceivedZI Date : PO # : 1cqz0!8 ACCT # : W-0-25 S END v HACH Delivery ID: 28955768 TM Page 1 of 2 Packing List Be Right Date: 09/24/2018 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN Jaimie Foreman AMES.IA 50010-0907 3450 W 131ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074.8267 CARMEL IN 460M PH:(800)227.4224 United States(US) United States(US) FX:(970)669.2932 PH:7332855 PH:(317)571.2639 Order. 315279661 i Account Number. 052653 Purchase Order. JF092018 Order Contact: JAIMIE FOREMAN Jaimie Foreman Customer Ref: Carrier. UPS Ground Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 6 CARTON ITEM ITEM DESCRIPTION UOM QTY APO NUMBER CUSTOMER ITEM 28955768-1 2947517 SPADNS2(ARSENIC-FREE)FLUORIDE REAGENT,3.78 L EA 2 JF092018 28955768-2 2122349 ALKALINE CYANIDE REAGENT, SOOML EA 1 ]F092018 28955768-3 27256 WATER,DEIONIZED 4L(DEMINERALIZED) EA 2 t1 3F092018 2105528 DPD FREE CHLORINE RGT 10 ML,PK/1000 PK 1 IF092018 2122449 PAN INDICATOR SOLN,0.1% SOOML EA 2 IF092018 28955768-4 2557000 as REAGENT SET,CHLORINE TOTAL CL17 EA 8 IF092018 __2635300 __ SPEC COLOR STD,DPD CHLORINE-LR— - _ EA 1 {� JF092018 2659405 STABLCAL AMPULE KIT,2100P EA 1 ✓IF092018 28955768-5 2743811 FLUORIDE STD,0.5MG/L 473ML EA 4 'V 3F092018 2797111 FLUORIDE STD,5.0MG/L 473ML EA 3 ✓ JF092018 2812811 RGT 1,TISAB SOLN 473ML EA 6 3F092018 5444301 KIT,CL17 PRE-ASSY MAINT,POST 3/00 EA 5 3F092018 28955768-6 103769 FERROUS IRON RGT PP 25ML PK/100 PK 10 v 092018 2105769 FERROVER,IRON REAGENT PK/100 PK 30 IF092018 2551456 FILTER,GLASS FBR 47MM A/E PK/100 PK 1 L IF092018 Received : # Zf�-0 Date : oq z,1i� —Attention Customer-Additional Shipment Details' P ® # 1C_bq Zo 18 !ACCT # : �Z 3 Use : IBJ C� The following lot numbers were sept: Item 103769 8176 06/25/2023 10 l 2947517 8179 06/28/2023 1 1/r' 2947517 8213 08/01/2023 1 �/�`QV}/� -;� 27256 8227 08/16/2023 2 LA `-N -NP's L �i; ivi. MACH Delivery ID: 28955768 TM Page 2 of 2 Packing List Be Right Date: 09/24/2018 Item Lot Number Exp.Date Quantity 2122449 8233 08/23/2023 2 2812811 8239 08/28/2019 6 2122349 8240 12/30/2021 1 2743811 8240 05/30/2022 4 2797111 8240 08/30/2023 3 2105769 8241 09/05/2022 30 2105528 8248 09/07/2023 1 2659405 8248 1 2635300 8254 09/11/2020 1 IMPORTANT: Back ordered items do not appear on this Packing List document. If out-of-stock quantities exist on your order,you will receive an e-mail confirmation at the time of shipment. To view order history for your account,visit www.hach.com. You must be registered to view your order history. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COM/TERMS END MACH Delivery ID: 28973292 Tnn Page 1 of 1 Packing List Be Right Date: 09/24/2018 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAMIE FOREMAN Jaimie Foreman AMES,IA50010-0907 3450 W 131ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074-8267 CARMEL IN 46033 PH:(800)227-4224 United States(US) United States(US) FX:(970)669.2932 PH:7332855 PH:(317)571.2639 Order. 315279661 Account Number: 052653 Purchase Order: JF092018 Carrier: UPS Ground Order Contact: JAIMIE FOREMAN Jaimie Foreman Customer Ref: Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 1 CARTON ITEM ITEM DESCRIPTION UOM I QTY I J10 NUMBER I CUSTOMER ITEM 28973292-1 1438901 ' SULFURIC ACID 1.600N,CARTRIDGE EA 1 ]F092018 ***Attention Customer-Additional Shipment Details*** The following lot numbers were sent: Item Lot Number Exp.Date Quantity 1438901 8247 05/06/2020 1 IMPORTANT: Back ordered items do not appear on this Packing List document. If out-of-stock quantities exist on your order,you will receive an e-mail confirmation at the time of shipment. To view order history for your account,visit www.hach.com. You must be registered to view your order history. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COM/TERMS Received ' (,� 'ZlvZ 09)Z�l�� ®ate . OgZ-6 I8 PO # : Use : ( END � �_ �0 MACH Delivery ID: 28940694 TM Pae 1 of 1 Packing List Be Right Dae: 09/20/2018 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE 3450 W 131ST ST Receiving Dept AMES,IA 50010-0907 CARMEL,IN 46074.8267 4915 E 106TH ST United States(US) United States(US) CARMEL IN 46033 PH:(800)227-0224 United States(US) FX:(970)669.2932 PH:317 5714144 Order. 315267465 Account Number. 052653 Purchase Order: KR091218-A Order Contact: Receiving Dept Customer Ref: Carrier: UPS Ground Contact Phone: 317 571 4144 Customer Rei: Total Pieces: 1 CARTON I ITEM JITEM DESCRIPTION UOM I QTY PO NUMBER CUSTOMER ITEM 289406941 25M3A2000-119 as COND SOLN,100-1000US/CM 1L EA 6 KR091218-A ***Attention Customer-Additional Shipment Details*** The following lot numbers were sent: Item Lot Number Exp.Date Quantity 25M3A2000-119 8256B 09/14/2020 3 25M3A2000-119 8256C 09/14/2020 3 IMPORTANT: Back ordered items do not appear on this Packing List document. If out-of-stock quantities exist on your order,you will receive an e-mail confirmation at the time of shipment. To view order history for your account,visit www.hach.com. You must be registered to view your order history. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COM/TERMS Received * Date : LP PO # : Z _q ACCT #: Zv. Use : END 0104 - MACH Delivery ID: 28957595 TM Page 1 of 1 Packing List Be Right Date: 09/21/2018 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAMIE FOREMAN Jaimie Foreman AMES,IA 50010-0907 3450 W 131 ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074-8267 CARMEL IN 46033 PH:(800)227.4224 United States(US) United States(US) FX:(970)669-2932 PH:7332855 PH:(317)571.2639 Order: 315279661 Account Number: 052653 Purchase Order: JF092018 Carrier: UPS Ground Order Contact: JAIMIE FOREMAN Jaimie Foreman Customer Rei: Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 1 CARTON ITEM ITEM DESCRIPTION UOM I QTY PO NUMBER I CUSTOMER ITEM 28957595-1 2105628 DPD TOTAL CHLORINE RGT 10 ML PKI1000 PK 1 IF092018 "'Attention Customer-Additional Shipment Details' The following lot numbers were sent: Item Lot Number Exp.Date Quantity 2105628 8248 09/10/2023 1 IMPORTANT: Back ordered items do not appear on this Packing List document. If out-of-stock quantities exist on your order,you will receive an e-mail confirmation at the time of shipment. To view order history for your account,visit www.hach.com. You must be registered to view your order history. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COM/TERMS ReceiZ1�z Dat . P 0 A c END HACH Delivery ID: 28959767 TM Page 1 of 1 Packing List Be bight Date: 09/21/2018 SHIPPED FROM BILL-TO SHIP-TO DELIVER-TO HACH COMPANY CARMEL UTILITIES CARMEL UTILITIES 100 DAYTON AVE KERRI LOVEALL JAIMIE FOREMAN Jaimie Foreman AMES,IA 50010-0907 3450 W 131 ST ST 4915 E 106TH ST United States(US) CARMEL,IN 46074.8267 CARMEL IN 46033 PH:(600)227.4224 United States(US) United states(US) FX:(970)669-2932 PH:7332855 PH:(317)571.2639 Order. 315279661 Account Number: 052653 Purchase Order: JF092018 Order Contact: JAIMIE FOREMAN Jaimie Foreman Customer Ref: Carrier: UPS Ground Contact Phone: (317)571-2639 Customer Ref: Total Pieces: 1 CARTON ITEM ITEM DESCRIPTION UOM I QTY PO NUMBER CUSTOMER ITEM 28959767-1 1720500 DELIVERY TUBE,180 DEG HOOK PKt5 PK 1 3F092018 ***Attention Customer-Additional Shipment Details*** IMPORTANT: Back ordered items do not appear on this Packing List document. If out-of-stock quantities exist on your order,you will receive an e-mail confirmation at the time of shipment. To view order history for your account,visit www.hach.com. You must be registered to view your order history. PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANYS TERMS&CONDITIONS OF SALE,PUBLISHED ON HACH COMPANYS WEBSITE AT WWW.HACH.COM/TERMS Received • l,(-Q �Zt�Z Date: : J��I�f3 PO # : , 1r--nQrZoL8 _ACCT # : 1070 Use . lab Lu5 END