181279 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
i; 0
ONE CIVIC SQUARE JONES CHEMICALS, INC
1,,.; /io CARMEL, INDIANA 46032 232685 MONENTUM PLACE CHECK AMOUNT: $1,189.93
CHICAGO IL 60689 -5320 CHECK NUMBER: 181279
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 R5023990 W09080 454338 234.98 CHLORINE
601 R5023990 W09080 454339 672.98 CHLORINE
601 R5023990 W09080 454340 281.97 CHLORINE
IC:Z., v www.jcichemicals.corn INVOICE
1 Inv Date Invoice
ORIGINAL t
Jo nes Chemicals Inc JCI JONES CHEMICALS, INC.. 12/21/2009 454339
BEECH GROVE BRANCH LOCATION
Date Shipped Order /BOL
600 BETHEL AVENUE
BEECH GROVE IN 46107 12/2112005 321486
Customer Number I Phone: (317) 787 -8382
20142250 Fax: (317) 787
email: cs @jcichem.com
e
S CARMEL UTILITIES (ND) S ID 2
O ATTN:ACCTS PAYABLE H
L 3450 W. 131ST STREET I WATER TREATMENT PLANT #5
D p 5484 E. 126TH STREET
Westfield IN 46074- 1/ 1 CARMEL IN 46032
T USA T USA
o o
Customer PO FOB Remark Freight Terms Sales ID
ROB Destination Delivered SOUTH
Release Ship Via Terms Due Date Discount Due Date
JCI N 30 01120/2010 1/20/2010
Units I Package I Product Name I Total Quantity I Unit Price Amount
1.00 2,000 Ib CONTAINER CHLORINE 1.00001Ton 485.0000/Ton 485.00
1001 -004
CHLORINE (e}
4.00 150 Ib CYLINDER CHLORINE 600.000011b 0.313311b 187.98
1001 -006
CHLORINE
General Remarks: EMAIL INVOICE TO: kloveall @carmel.in.gov
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 672.98
N J Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
232685 Momentum Place THIS AMOUNT
Chicago, IL 60689 -5320 USA
Page 1 of 1
''JCI Welcomes payments by Visa, Amex, and EFT"
1 www.jcichemicals.com INVOICE
Invoice ORIGINAL I Inv Date
Chemicals Inc JCI JONES CHEMICALS, INC.. 12/21/2009 454340
BEECH GROVE BRANCH LOCATION I Date Shipped Order /BOL
600 BETHEL AVENUE
BEECH GROVE IN 46107
12/21/2009 321487
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787 -8384
email: cs @jcichem.com
S CARMEL UTILITIES (ND) S ID 10
O ATTN: ACCTS PAYABLE H
L 3450 W. 131ST STREET f WATER TREATMENT PLANT #3
4425 E. 126TH STREET
D Westfield IN 46074- p
CARMEL IN 46032
T USA T USA
O O
Customer PO FOB Remark Freight Terms Sales ID
ROB Destination Delivered SOUTH
Release t1
Ship Via Terms Due Date Discount Due Date
JCI N 30 01/20/2010 tr20 /2010
Units I Package I Product Name l Total Quantity I Unit Price Amount
6.00 150 lb CYLINDER CHLORINE 900.00000b 0.313396 281.97
1061 -006
CHLORINE
General ,emarks: EMAIL INVOIC E TO: kloveall @carmel.in.gov
NO MT'S RETD
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 281.97
Jt Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
232685 Momentum Place THIS AMOUNT
Chicago, IL 60689 -5320 USA
Page 1of1
*JCI Welcomes payments by Visa, Amex, and EFT*
www.jcichemicals.com INVOICE
J ORIGINAL
Inv Date Invoice
Jones t Chemicals Inc. JCI JONES CHEMICALS, INC.. 12/21/2009 454338
BEECH GROVE BRANCH LOCATION I Date Shipped Order /BOL
600 BETHEL AVENUE
BEECH GROVE IN 46107 12/21/2009 321485
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787 -8384
email: cs @jcichem.com
S CARMEL UTILITIES (ND) S ID 2
O ATTN: ACCTS PAYABLE C- WATER TREATMENT PLANT #5
L 3450 W. 131ST STREET
5484 E. 126TH STREET
D Westfield IN 46074-
p
CARMEL IN 46032
T USA T USA
O O
Customer PO FOB Remark Freight Terms Sales ID
ROB Destination Delivered SOUTH
Release Ship Via Terms Due Date Discount Due Date
JCI N 30 0112012010 02012010
Units I Package I Product Name I Total Quantity I Unit Price Amount
5.00 150 Ib CYLINDER CHLORINE 750.00000 0.3'133 lib 234.98
1001 -006
CHLORINE
General Remarks: EMAIL INVOICE TO: kloveall @carmel.in.gov
RET'D 1 MT CL2 ;YL
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 234.98
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
232685 Momentum Place THIS AMOUNT
Chicago, IL 60689-5320 USA
Page 1 of 1
*JCI Welcomes payments by Visa, Amex, and EFT*
VOUCHER 093985 WARRANT ALLOWED
350726 IN SUM OF
JONES CHEMICALS, INC a "ate
2,32685 MOMENTUM PLACE z
CHICAGO, IL 60689 -5320 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Boars! members
PO INV ACCT AMOUNT Audit Trail Code
454339 01- 6180 -03 $672.98
`t5 0. a
`tsq" 6t.cwt ,„23gq. g
Voucher Total ti t 3
Cost distribution ledger classification if
clejm paid under vehicle highway fuw
U
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
3.
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350726
JONES CHEMICALS, INC Purchase Order No.
232685 MOMENTUM PLACE Terms
CHICAGO, IL 60689 -5320 Due Date 12/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/23/2001 454339 $672.98
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
p y J1-3 4q \A, ►mow
Date Officer