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333909 12/27/18
y ut.4!H,y CITY OF CARMEL, INDIANA VENDOR: 358238 h ONE CIVIC SQUARE LABCHEM INC CHECK AMOUNT: $*******247.58* y� f� CARMEL, INDIANA 46032 1010 JACKSON'S POINTE COURT CHECK NUMBER: 333909 BLDG 1000 CHECK DATE: 12/27/18 ZELIENOPLE PA 16063 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1062471 247.58 OTHER EXPENSES VOUCHER NO. 187097 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 358238 IN SUM OF$ 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 247.58 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 1062471 01-7202-05 $247,58 and received except 12/20/2018 1062471 $247.58 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 :1062471 Sales Order ID :1066144 performance through chemistry Invoice Date : 12/12/2018 Jackson's Pointe Commerce Park-Building 1000 Ship Date : 12/12/2018 1:31:00 PM 1010 Jackson's Pointe Court,Zelienople,PA 16063 Customer PO ID :S 19186 Ph:412-826-5230 Fax:724-473-0647 1 www.labchem.com Page Number :I of 1 AR Terms: Due Date: Amount Due: Net 30 Days 1/11/2019 $247.58 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: 12/11/2018 2:10:20 PM FOB: Zelienople,PA —Packing Slip: 665579 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 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 H268-19 10/30/2020 6 Line Item Total: $231.00 Subtotal: $231.00 Sales Tax: $0.00 Tracking Numbers: Shipping Charges: $16.58 454568370749 1 Total: $247.58 Received by : Date r_._.___._ _._._ PO #. :� 19 I$ Ac-ct #: _ © aUa.�s .11 Use: C1 M"Ccj 5?Oc� rr Ia Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA Packing Slip El Packing Slip Number :665579 Customer Purchase Order ID :S19186 1� ab- Chem Sales Order ID : 1066144 performance through chemistry Ship Date : 12/12/2018 1:31:00 PM Jackson's Pointe Commerce Park-Building 1000 1010 Jackson's Pointe Court,Zelienople,PA 16063 Page Number : 1 Ph:412-826-52301 Fax:724-473-0647 1 www.labchem.com 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: 12/11/2018 2:10:20 PM - FOB:Zelienople,PA Ship Method: Economical Ground Territory: Contact Name: Ship To POID: No.of Cartons: 1 Line Item ID Cust Item ID Rea.Date Rea.Oty Ship Backordered t' Item Name 1 LC148451 12/12/2018 6.00 6.00 0.00 GLUCOSE-GLUTAMIC ACID EA EA Lot Number Lot Trans Otv H268-19 6.00 aM Form#20.10 03/19/2014 See"www.labchem.com"for C of and MSDS information All Products Made In USA