190286 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $195.95
CHICAGO IL 60693
CHECK NUMBER: 190286
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6898446 195.95 OTHER EXPENSES
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INVOICE NO 6898446 DATE: 1 09/09/2010
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S ORDER
CITY OF CARMEL NUMBER
D Wastewater Treatment Plant Net 30 Days From Invoice Date
760 3rd Ave SW TERMS
T Carmel, IN 46032 -2072
O United States FREIGHT Prepay And Bill Customer
g Sort Seg: 614 Tray: 3
CARRIER RPS- RPS *FedEx- Ground
H CITY OF CARMEL ACCOUNT 1833045
1 9609 HAZEL DELL PKWY REF. NO. 309327551 -1 emit to:
P WWTP Hach Company
INDIANAPOLIS, IN 46280 -2935 2207 Collections Center Dr
T United States Chicago, !L 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 PRIC EXT. PRICE
1 pH GEL PROBE, STD, w/1 m CABLE PHC10101 1 180.00 180.00
'TRACKING NUMBERS: 050316370658044
ORDER CONTACT: SUBTOTAL 180.00
JEFF COOPER FREIGHT CHARGES 15.95
3175712634
TAX 0.00
Notes: INVOICE TOTAL 195.95
For order discrepancies or product exchanges please call 800- 227 -4224 or 970- 669 -3050 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
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NHach Hydromet HachxFlow'Produc #s &'Servrces& ptsEnvrronmental Tes# Systemst(ETS)Otlierlach Brands;
800 949 3766 X80,0 368 2723 x 380548 43$1 800 454 -0263.
;Fax 970
Fax 574 264 4533 F 970 461: 391
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VOLICHER 106264 WARRANT ALLOWED
11.8000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 COLLECTIONS CENTER DR.
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6898446 01- 7202 -05 $195.95
Voucher Total $195.95
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 19 0 5)
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 COLLECTIONS CENTER DR. Terms
CHICAGO, IL 60693 Due Date 9/23/2010
Invoice Invoice Description
Date Dumber (or note attached invoice(s) or bill(s)) Amount
9/23/2010 6898446 $195.95
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 Officer