183762 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
h ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $276.45
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 183762
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 714584 276.45 OTHER EXPENSES
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ORIGINAL
INVOICE
CHEM A AR CH REORDERS CALL: 1- 800 -527 -9921 CHEMSEARCH
CORRESPONDENCE To: 23261 NETWORK PLACE
P.O. BOX 152170 FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232
❑2VING, TEXAS 75015
www.CHEMSEARCH.coni
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
(EFT)
CARMEL UTILITIES
3450 W 131 ST ST payments are encouraged
CARMEL UTILITIES WESTFIELD IN
760 3RD AVE SW STE 110 46074
To enroll please call
CARMEL IN 46032
1- 800-527- 9919 -x0831
Cust. Acct. No. invoice No. invoice Date Terms Sales Rep Order No. Ship Date Customer P.O. No.
_002J.0277_ 71458 03 10 NET 1 0 DAYS 6386 0789P 03-0
Product Packaging Description Unit Price Qty Billed Amount
1831 1 X35LB MAXI -LUBE FG (35 7.50 35 LB$ 262.50
Merchandise State Tar Local Tax *Shi )inR Inv. Total Amount
262.50 1 13.95 1 276.45
IN Tax 003512371 -001 -3 Federal Id# 75- 0457200
CHEM,5FARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST RE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOCDS. MERCHANDISE NOT ACCEPTEI) FOR CREDIT WITHOUT OUR PRIOR
PTRTTTEN CONSFITT. DIS?RiSVIION SER"ICES ]NCLUD4 .11II2PTNG G T ANDLING CHARGES P.O.R. DELVD.
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VOUCHER 105143 WARRANT ALLOWED
00352978 IN SUM OF
CHEMSEARCH
23261 Network Place
Chicago, IL 60673 -1232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT* AMOUNT Audit Trail Code
714584 01- 7200 -02 $276.45
Voucher Total $276.45
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 s
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
00352978
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673 -1232 Due Date 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or biil(s)) Amount
3/22/2010 714584 $276.45
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 Officer