182910 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC
li CHECK AMOUNT: $156.58
CARMEL, INDIANA 46032 200 WILLIAM PITT WAY
PITTSBURGH PA 15238 CHECK NUMBER: 182910
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 728667 156.58 OTHER EXPENSES
INVOICE
LT LabChem Inc Invoice 11) :728667
200 William Pitt Way Sales Order ID 732125
Pittsburgh, PA 15238 Invoice Date 2/18/2010
Phone: (412) 826 -5230 Ship Date 2/18/2010 9:07:44 AM
Fax: (412) 826 -5234 Customer PO ID TARA
Page Number I of I
AR Terms: N 30 Days Due Date: 3/20/2010
Bill To 1265 Ship To
CARMEL WWTP CARMEL WWTP
ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY
760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935
SUITE 110 USA
CARMEL, IN 46032
USA
Order Date: 2/17/2010 _FOB: PA,
Packing Slip: 328782 Currency Type USD
Ship Method: I edEx Ground Service
Bill of Lading
Line Nbr/ Item ID Item Name Unit of Shipped Unit Price Disc Sales Tax/ Extra Extended
PO Line Cust Item 11) Measure Qty VAT Charges Price
I LC148451 /GLUCOSE- hA 3.00 $28.9000 0.00% $0.0000 586.70
GLUTAMIC ACID
l
Lot Number Lot Trans Qty
9345 -16 3
Line Item Dotal: $86.70
2 LC226002 SILVLR NITRATE, EA 2.00 $30.0000 0.00% $0.0000 $60.00
0.0141N (0.0141 M)
2
Lot Number Lot Trans Qty
9343 -23 2
Line Item Total: $60.00
Tracking Numbers: Total: $146.70
015396436637555 Sales Tax: $0.00
VAT Tax: 50.00
Shipping Charges: $9.88
Due Amount: $156.58
Form 434.00 10/26/2005 PM See "www.labchem.net" for C of A and MSDS Information Ali Products Made In USA
VOUCHER 097384 WARRANT ALLOWED
h r P
358238 IN SUM OF
LABCHEM INC
200 WILLIAM PITT WAY
PITTSBURGH, PA 15238
Carmel' Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
728667 .01- 7202 -05 $156 -58
Voucher Total $156.58
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995).
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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
358238
LABCHEM INC Purchase Order No.
200 WILLIAM PITT WAY Terms
PITTSBURGH, PA 15238 Due Date 2/23/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2010 728667 $156.58
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
Date tcer