HomeMy WebLinkAbout191272 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC
CARMEL, INDIANA 46032 200 W LLIAM PITT WAY CHECK AMOUNT: $221.33
PITTSBURGH PA 15238
CHECK NUMBER: 191272
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 747116 221.33 7202.50
INVOICE
LK LabChem Inc Invoice ID :747116
200 William Pitt Way Sales Order ID :750575
PittBburgh, PA 15238 Invoice Date 10/18/2010
Phone: (412) 826 -5230 Ship Date 10/18/20107.19:08 AM
Fax: (412) 826 -5234 Customer PO ID DAVEDYE
Page Number :I of I
AR Terms: Net 30 Days Due Date: 11/17/20.1.0
Bill To: 1265 Ship To
CARMEL WWTP CARMEL WWTP
ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY
760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280
SUITE I 10 USA
CARMEL, IN 46032
USA
Order Date: 10/15/2010 FOB: Pittsburgh, PA
Packing Slip: 347226 Currency Type USD
Ship Method: Fed Ex Ground Service
Bill of Lading
Line Nbr/ Item 11) Item Name Unit of Shipped Unit Price Disc Sales Tax/ Extra Extended
PO Line Cust Item ID Measure Qty VAT Charges Price
I L.C148451 /GLUCOSIi- EA 4.00 $28.9000 0.00% $0.0000 5115.60
GLUTAMIC ACID
1
Lot Number Lot Trans Qty
0230 -I8 4
Line Item Total: S115.60
2 LC226002 SILVER NITRATE, EA 3.00 $30.0000 0.00% $0.0000 $90.00
0.0141N {0.0141M)
2
Lot Number Lot Trans Qtv
0132 -03 2
0183 -01 1
Line Item Total: $90.00
Tracking Numbers: Total: $205.60
015396436765739,015396436765746 Sales Tax: $0.00
VAT Tax: $0.00
Shipping Charges: $15.73
Due Amount: $221.33
Fonn #34.00 10/26/2005 PM Sec "www.labchem.net" for C of A and MSDS Information All Products Made In USA
VOUCHER 106460 WARRANT ALLOWED
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
747116 01- 7202 -05 $221.33
Voucher Total $221.33
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 10/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10122!201( 747116 $221.33
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