191635 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
ONE CIVIC SQUARE FISHER SCIENTIFIC
CARMEL, INDIANA 46032 ACCT 440371 -001 CHECK AMOUNT: $6,131.81
13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 191635
CHICAGO IL 60693
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7030747 131.08 MATERIALS SUPPLIES
651 5023990 7100029 654.71 MATERIALS SUPPLIES
652 5023990 7171110 5,346.02 2308.00
REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -9-00 -432 -1519
l� f Fisher Scientific ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Part of Thermo Fisher Scientific CHICAGO IL 60133
CHICAGO REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE
512290 10/26/2010 7171110
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE I DUPLICATE
A02731624 440371 -001 CHI SHIPPING POINT 09/30/2010 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
TARA RUBUSH 'n I lS
ACCOUNTS PAYABLE CITY OF CARMEL PAR rt,v.
CARMEL UTILITIES WASTEWATER TREATMENT PLT srilpMrN1r
STE 110 9609 HAZEL DELL PKWY DUE: 11/25/2010
760 3RD SW AVE INDIANAPOLIS IN 46280 2935
CARMEL IN 46032 -7612 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
Il l II I I' Visit: www.fishersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA RUBUSH
PHONE -317- 571 -2634
SHIPMENT NBR: 001 FROM: VND ON 10/25/2010
STEAMSCRUBBER UNDERCOUNTER 120 10 359 100 1 EA 5,259.25 5,259.25
MERCHANDISE SUBTOTAL 5,259.25
DIRECT SHIPMENT CHARGE 86.77
TOTAL INVOICE AMOUNT 5,346.02
FOR YOUR PROTECTION, OUR COMPANY DOE NOT ACCEPT CREDIT C NUMBERS VIA FAC OR EMAIL
TELL US ABOUT YOUR RECENT CUSTOMER SE VICE EXPERIENCE BY CO PLETING A SHORT 3URVEY, THIS S OULD TAKE NO LONG R
THAN THREE MINUTES. ENTER THE LINK IN O YOUR BROWSER AND EN ER THE PASSCODE 3HOWN.
http: /survey.medallia.com /fishersci PASSCODE: USA- PGH -CS1
PLEASE USE REMIT TO ADDRESS ABOVE AND I CLUDE DEPT. NBR.
See reverse side for complete terms and conditions or visit httr): /www. fishersci. com /wps/ portal /CMSTATIC ?href= Footerltandcsale.msp
PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE. THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION
AND SIGNED FOR BY THE TRANSPORTATION COMPANY. CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF
GOODS TO CARRIER. DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF
CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT. WITHOUT THIS
DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED. SELLER CERTIFIES THAT ALL GOODS (OR SERVICES) COVERED
BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12
OF THE FAIR LABOR STANDARDS ACTS OF 1938, AS AMENDED, AND OF THE REGULATIONS AND ORDERS OF THE
UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION.
THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE. SOME
PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES.
7652 14712 0 0 1224314 j0010N9k5m007cdYe 000187556
TERMS AND CONDITIONS OF SALE Unless uthe —ki, expressly agreed in writing, all sales are subject to the following terms and conditions:
GENLRAI_ Fisher Scientific Company L.L.C. "Seller hereby t applicable, Buyer may remm the defective products to Seller with all Seller or its licensor, as the case may be, retains all riglits andritkersu in
offers for sale to the buyer named on the face hereof ("Buyer the costs prepaid by Buyer. Replacement parts may be new or refurbished, software products provided hereunder.
products listed nn the face hereof (the "Products on the express at the election of Seiler, All replaced parts shall become the property of Seller hereby grants to Buyer a rovalty -free, non exclusive,
condition that Buyer agrees to accept and be bound by the terms Seller. Shipment to Kuper of repaired or replacement products shall be nontransferable license, }without pouter to srabher to use software
and conditions set forth herein. Any provisions contained in any made in accordance with the Deliver' provisions of the Seller's Terms provided hereunder solely for Buyers own internal business purposes on the
document issued by Buyer are expressly- rejected and if the terms and Conditions of Sale Consutaables are expressly excluded from this hardware products provided hereunder and to use the related documentation
and conditions in this Agreement differ from the reins of Buyers warranty. solely for Buyer's own internal business purposes. This license terminates
offer, this document shall be construed as a counter offer and shall Norwithstanding The foregoing, Products supplied by Seller That are when Buyer's lawful possession of the hardware products provided
not he effective as an acceptance of Buyer's document. Buyers obtained by Seller from an original mane facmrec or third parry supplier hereunder ceases, unless earlier terminated :is provided herein. Buyer agrees
receipt of Products or Seller's commencement of the services are nor warranted by Seller, but Seller agrees To assign to Buyer any to hold in confidence and not to sell, transfer, license, loan or otherwise
provided hereunder will constitute Buyer's acceptance of this warranty lights in such Product that Scllcr may have from the original make available in any form to third parties the software products and related
Agreement. This is the complete and exclusive statement of the manufacturer or third party supplier, to the extent such assignment is documentanon provided hereunder. Buyer may not disassemble, recompile
contract between Seller and Buyer with respect to Be ver's purchase allowed be such original manufacturer or third party supplier. or reverse engineer, copy, modify, enhance or otherwise change or
of the Products. No waiver, consent, modification, amendment or In no event shall Seller have any obligation to make repairs, supplement the software products provided hereunder without Seller's prior
change of the terms contained herein shall be binding unless in replacements or corrections required, in whole or in part, as The result written consert. Seller will be entitled ut Terminate this license if Buyer fails
writing and signed by Seller and Buyer. Seller's failure m object ro of O normal wear and rear, (ii) accident, disaster or event of force to comply with con term or condition herein. Buyer agrees, upon termination
retnn contained in any sum quern n6manuminition From Buyer will majcure, (in) misuse, fault of negligence of or by Buyer, (iv) use of the of this license, immediately to return to Seller all software products and
not be a waiver or modification Of the terms set forth herein. All products in a manner for which they were not designed. (v) causes related documentation provided hereunder and all copies and portions
orders arc subject to acceptance in writing by an authorized external to the Products such as, but not limited to, power failure. or [hereof.
representative of Seller. electrical power surges, (vi) improper storage and handling of the Certain of the software products provided by Seller may be owned by one
PRICL•: All prices published by Seller or quoted b Seller's products or (vi) use of the Products in combination with equipment or or more Third patties and licensed to Seller. Accordingly, Seller and Buyer
representatives may be changed at any rune without notice. All software not supplied by Seiler. if Seller determines that Products for agree that such third parties ectain ownership of and tide to such software
Prices quoted by Seller or Seller's representatves are valid for thirty which Buyer has requested warranty services are not covered by the produce. The warnmry and indemnification provisions set forth herein shall
(30) days, unless otherwise stated in writing. All prices for the warranty hereunder, Buyer shall pay or rcimbursc Seller for all costs of not apply to software products owned by third parties and provided
Products vill be as specified by Seller of, if no price has been investigating and responding to such request at Seller's then prevailing hereunder.
specified or quoted, will be Seller's price in officer at the ratio of time and materials rates. If Seller provides repair services or LIMITATION Olt LIABIIJTY Notwithstanding anything to The contrary
shipment. All prices are subject to adjustment on account of replacement parrs that are not covered by this warranty, Buyer shall pay contained herein, the liability of Seller under these terms and conditions
specifications, quantities, raw materials, cost of production, Seller therefore at Seller's then prevailing time and materials rates. Any (whether by reason of breach of contract, tort, indemnification, or otherwise,
shipment arrangemenrs or other terms or conditions which are not installation, maintenance, repair, service, relocation or alteration m or but excluding habruy of Seller for breach of warranty (the sole remedy for
part of Seller's original price quotation. of, or other tampering with, the Produces performed by any person or which shill be as provided under WARRANTY above)) shall not exceed an
TAXES AND OTHER CHARGES Prices for the products entity other Than Seller without Seller's prior written approval, or any amount equal to the lesser of (a) the total purchase price theretofote paid by
exclude all sales, value added and other taxes and duties imposed use of replacement parts not supplied by Seller, shall immediately void Buyer to Seller with respect to the Pmduct(s) giving rise to such liability or
with respect ro The sale, delivery, or use of any products covered and cancel all warranties with respect to the affected Products. (b) one million dollars I,00M)O0). Notwithstanding anything to he
hemb,, a6 of which Taxes and duties must be paid by Buy— If '['be obligations created by this warranty statement to repair or contrary- contained herein, in no event shall Scllcr be liable for any indirect,
13uver claims any exemption, Buyer must provide a valid, signed replace it defective Product shall be the sole remedy of Buyer in the special, consequential or incidental damages (including without limitation
certificate or letter of exemption for each respective jutisriction. event of a defective product. Except as expressly provided in this damages for loss of use of facilities Or equipment, loss of revenue, loss of
TISR\IS OF PAY \TENT Seller may invoice Buyer upon shipment warranty statement, Seller disclaims all other warranties, whether data, loss of profits or loss of goodwill), regardless of whether Seller (a) has
for the price and all other charges payable by Buyer in accordance express or innplied, and or written, with respect to the Products, been informed of the possibility of such damages or (b) is negligent.
with the terms on the face hereof. If no paynnent teens are stated including without limitation all implied warranties of merchantability or EXPORT RESTRICTIONS Buyer acknowledges that each Product and any
on the face hereof, payment shall he net thirty (30) days from the fitness for any particular purpose. Seller does not warrant that the related software and technology, including technical information supplied by
date of invoice. If Buyer fails to pay anv amounts when due, Buyer products are error -free or will accomplish any particular result. Seller or contained in documents (collectively `Items is subject to export
shall pay Seller interest thereon at a periodic rate of one and one- INDG \LN IPICATION BY SLLLER Scllcr agrees to indemnify, controls of the U.S. government. The export controls may include, but are
half percent (1 S per month (at, if lower, the highest rate defend and save Buyer, its officers, directors, and employees From and not limited to, those of the 1..sport Administration Regulations of the U.S.
pertained by iaw), together with all costs and expenses (including against any and all damages, liabilities, actions, causes of action, suits, Department of Commerce (the "EAR'), which may restrict or require
without limitation reasonable attorney's' fees and disbursements and claims, demands, losses, costs and expenses (including without licenses for the export of Items from he United Stares and their re- export
court costs) incurred by Seller in collecting such overdue amounts limitation reasonable attorneys fees) 'Indemnified ltems'1 for (i) From other countries. Buyer shall comply with the EAR and all other
or otherwise enforcing Seller's rights hereunder. Seller reserves the injury to or death t ,if persons Or damage to property to The extent applicable laws, regulations, laws, treaties, and agreements relating to he
Tight to require from Buyer fall or partial payment in advance, or caused by the negligence or willhil misconduct of Seller, its employees, export, re- export, and import of any Item. Buyer shall not, without first
other security that is satisfactory to Seller, at any time that Seller agents or representatives or contractors in connection with the obtaining the required license to do so from the appropriate U.S.
believes in good faith That Buyers financial condition does not performance of services at Buyers premises under this Agreement and government agency; (i) export or re- export any Item, or (u) export, re- export,
justify the terms of payment specified. All payments shall be made (it) claims that Product infringes any valid United States patent, distribute or supply any Tten to any restricted or embargoed courier• or to a
in U.S. Dollars. copyright or trade secret; provided, however, Seller shall have no person or entity whose privilege to participate in exports has been denied or
DELIVERY: CANCELLA OR CHANGPS BY BUYER liability tinder this Section to the extent any such Indemnified Items are restricted by the U.S. government. Buyer shall cooperate fully with Seller in
The products will be 'shipped to the destination specified b Buyer, caused by cither O the negligence or willful misconduct of Buyer, its any official or unofficial audir or inspection related to :applicable export or
F.O.B. Sellers shipping point. Seller will have. the right, at its employees, agents or representatives or contractors, (ii) by any third import control laws or regulations, and shall indemnify and hold Seller
election, to make partial shipments of the products and to invoice party, (ui) use of a Product in combination with equipment or software harmless front, or in connection with, any violation of this Section by Buyer
eadh shipment sepanuely_ Seller re—c, the right to stop delivery of out supplied by Seller where the Produci would not itself be infringing, or its employees, consuhams, agents, or customers.
Products in transit and to wiThhold shipments in whole or in part if (iv) compliance with Buyer's designs, specifications or instructions, (v) RBSCELI.ANEOUS (a) Buyer may not delegate any duries nor assign :unv
Buyer fails to make any payment to Seller when due or otherwise use of the Product in an application or environment for which it was right_, or claims hereunder without Sellers prior written consent, and any
fails to perform its obligations hereunder All chipping dares pre not designed or (vi) modifications of the Product by anyone other than such attempted delegation or assignmenr shall be void. (b) The rights and
approximate only, and Seller will not be liable for any loss or Seller without Sellers prior written approval, Buyer shall provide Seller obligations of the parties hereunder shall he governed by and construed in
damage resulting from any delay in dclivery or failure to deliver prompt written notice of an third parry claim covered by Seller's accordance with the laws of the Commonwealth of peonsvlvania, without
which is due to any cause beyond Seller's reasonable control. In the indcmniftcation obligations hereunder. Seller shall have the right to reference to its choice of law provisions. Each party hereby irrevocably
event of a delay due to any cause beyond Seller's reasonable control, assume exclusive control of the defense of such claim or, at the option consents to the exclusive jurisdiction of the state and federal courts located
Seller reserves the right to terminate the order or to reschedule the of the Seller, to settle the same. Buyer agrees to cooperate reasonably in Allegheny County, Pennsylvania, USA, in any action arising out of or
shipment within it reasonable period of rime, and Buyer will nor be with the Seller in connection with the petf rmance by Seller of its relating to This Agreement and waives any other venue nn which it may be
entitled to refuse delivery or otherwise be relieved of any obligations obligations in this Section. entitled by domicile or otherwise. (c) In the event of any legal proceeding
as the result of such delay. Products as to which delivery is delayed Notwithstanding the above, Sellers infringement related between the Seller and Buyer relating To this Agreement, neither party may
due to any cause within Buyer's control may be placed in storage by indemnification obligations shall be extinguished and relieved if Seller, claim the right to a Trial by jury, and both parties waive any right they may
Scllcr at Buyers risk and expense and for Buyer', account. Orders at its discretion and at its own expense (a) procures for Buyer the right, have under applicable law or otherwise to a right tO a trim by jury. Any action
in proress may be canceled only with Sellers written consent and at no additional expense to Buyer, to continue using the product; (b) arising under this Agreement must be brought within one (I) year from the
upon pavment of Seller's cancellation charges. Orders in process replaces or modifies The product so that it becomes non- iefrunging, date that the cause of action arose. (d) The application to this Agreement of
may not be changed except with Seller's written consent and upon provided the modification or replacement does not adversely affect the the U.N. Convention on Contracts for the International Sale of Goods is
agreement by the parties as to an appropriate adjustment in the specifications of the Produce, or (c) in the event (a) and (b) are not hereby expressly excluded. (c) in the event that any one or more provisions
purchase price Therefore. Credit will not be allowed for Products practical, refund to Buyer the amorriaed amounts paid by Buyer with contained herein shall be held by a court of competcnt jurisdiction to be
tenoned without the prior written consent of Seller. respect thereto, based on a five (S) year amortization schedule. The invalid, illegal or unenforceable in any respect, the validity, legaliry and
Ti rLE AND RISK OF LOSS Notwhhstandieg the [code terms foregoing indemnification provision states Seller's entire liability em
to enforceability of the remaining provisions contained herein shall remain in
indicated above and subject to Sellers right to stop delivery of Buyer for the claims described herein. full Fo rce and effecr, unless the revision materially changes the bargain. (E)
products in transit, title to and risk of loss of the Products will pass INDFMNIFICATION BY BUYER Buyer shall indemnify, defend Seller's Failure to ecfxce, or Seller's waiver of a breach of, any provision
to Buyer upon delivery of possession of the products by Seller to with competent and experienced counsel and hold harmless Seller, its contained herein shall nor constitute a waiver of any other breach or of such
[he carrier; provided, however, that title to any software parent, subsidiaries, affiliates and divisions, and their respective provision. (g) Unless otherwise expressly srare<.d on the Producr or in The
incorporated within or forming a part of the products shall at all officers, directors, shareholders and employees, from and against any documentation accompanying the Product, the product is intended for
times remain with Seller or the hcensor(s) thereof, as the case may be. and all damages, liabilities, actions, causes of action, suits, claims, research only and is not to be used for any other purpose, including without
WARRANTY Seller warrants that the Products will operate or demands, losses, costs and expenses (including without limitation limitation, unauthorized commercial uses, in vrbn diagnostic uses, a swan or ter
perform substantially- in conformance with Seller's published reasonable attorneys' fees and disbursements and court costs) to the oleo Therapeutic uses, or any type of consumption by or application to
spcufrcations and be free from defects in material and extent arising from or in connection with (i) the negligence or willful humans or animals. (h) Buyer agrees That all pricing, discounts and technical
workmanship, when subjected to normal, proper and intended misconduct of Buyer, its agents, employees, representatives or information that Seller provides to Buyer are the confidential and proprietary
usage by properly trained personnel, for the period of time set forth contractors; (a) use of a Product in combination with equipment or information of Seller. Buyer agrees ro (1) keep such information confidential
in the product documentation, published specifications or package software not supplied by Seller where the Product itself would not be and no[ disclose such information to any third party, and (2) use such
inserm if a period of time is not specified in Seller's product infringing; (iii) Seller's compliance with designs, specifications or information solely for Buyer's internal purposes and in connection with the
duntmenmtiun, published specifications to package inserts, the instructions supplied to Seller by Buyer; (iv) use Of a Product in an Pruducrs supplied hereunder. Nothing herein shall restrict tine use of
warranty period shall be one (1) year From the dare of shipment to application or environment for which it was not designed; or (v) information available TO the general public O Any notice air communication
Buyer For equipmenr and ninety (90) days for all other products (the modifications of it Product by anyone other thin Seller without Shcer's required or permuced hereunder shall be in writing and shall be deemed
"Warrant period'), Seller agrees during The Warranty Period, to prior written approval. received when personally del or three (3) business days after being sent
repair or replace, at Seller's option, defective products so as to cause SOf"T V With respect to any sof ware products incorporated in by reniricd mail, postagc prepaid, to a party at the address specif ed herein or at
the same ro operate in substantial conformance with said published or forming a parr of the products hereunder, Seller and Buyer intend such other address as either party may from time to time designate to the other.
specifications; provided that Buyer shall (a) promptly notif Seller in and agree that such software products are being licensed and nor sold, ACCEPTABLE PAYMENT METHODS: The Seller prefers w cecciva payment
writing upon the discover' of any defect, which notice shall include and that the words "purchase "sell" or similar or derivative words are via ACfI or other electronic interface methods that directly exchange funds
the product model and serial number (if applicable) and details of understood and agreed to mean "license and that the word "Buyer" between the Buyers and Seller's bank accounts. The Seller also accepts checks
the warranty claim; and (b) after Seller's review, Seller will provide or similar or derivative words are understood and agreed to mean mailed to one of its lockbox remittance locations. A ithoitgh the Seller does accept
Buyer with service data and /or a Return 'Malarial Authorization "licensee Norwricsnunding anything to fine contrary contained herein, credit card payments at rite tune of purchase, it does not accept credit card
("R \U1 which may include biohazard decontamination payments after the point of sale.
procedures and other product- specific handling insructions, then, if TF- BACKER
VOUCHER 106529 WARRANT ALLOWED
97250 IN SUM OF
FISHER SCIENTIFIC CH10119
ACCT#440371 -001
DEPT CH10119
PALATINE, IL 60055 -0 119
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7171110 02- 2308 -00 $5,346.02
Depreciation
Voucher Total $5,346.02
Cost distribution ledger classification if
claim paid under vehicle highway fund
EV
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
97250
FISHER SCIENTIFIC CH10119 Purchase Order No.
ACCT #440371 -001 Terms
DEPT CH10119 Due Date 1113!2010
PALATINE, IL 60055 -0119
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2010 7171110 $5,346.02
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1 -E3
Date Officer
REMIT TO INQUIRE AT: (BOO) 766 -7000 D- U- N -S -00- 432 -1519
Fisher Scientific ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
d/ 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Pan of Thermo Fisherscientiffc CHICAGO IL 60133
60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE
512313 10/22/2010 7030747
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
H02958805 440371 001 CHI SHIPPING POINT 10/22/2010 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
THIS IS A
ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL
c CARMEL UTILITIES WASTEWATER TREATMENT PLT SHIPM19FN
Imo$ STE 110 9609 HAZEL DELL PKWY
760 3RD SW AVE INDIANAPOLIS IN 46280 -2935 DUE: 11/21/2010
CARMEL IN 46032 -7612 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
II +11 +��111� +III +III +n+ln+l� +�nll I +Ill lnl�nllll Visit: www.fishersei.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA WASHINGTON
PHONE 317 571 2634 EXT 211
SHIPMENT NBR: 001 FROM: MWD ON 10/22/2010
TUB SURG 3/8X1/2 50FT- 15M /PK 14 169 9E 1 PK 70.45 70.45
STANDARD 1M PPM N 475ML 13 641 924C 1 EA 60.63 60.63
TOTAL INVOICE AMOUNT 131.08
FOR YOUR PROTECTION, OUR COMPANY DOES NOT ACCEPT CREDIT C NUMBERS VIA F OR EMAIL
FOR YOUR REFERENCE, AN ASTERISK HAS BEEN PLACED BY THOSE I rEMS FOR WHICH MS SIS) WILL BE PROVIDED
UNDER SEPARATE COVER. CONTACT YOUR CUSTOMER SERVICE REPRES NTATIVE IF ADDITIONAL INFORMATION NEEDED.
TELL US ABOUT YOUR RECENT CUSTOMER SERVICE EXPERIENCE BY CO PLETING A SHORT URVEY. THIS SHOULD TAKE NO LONGER
THAN THREE MINUTES. ENTER THE LINK TN 70 YOUR BROWSER AND EN ER THE PASSCODE HOWN.
http: /survey.medallia.com /fishersci PASSCODE: USA- PGH -CS1
PLEASE USE REMIT TO ADDRESS ABOVE AND I CLUDE DEPT. NBR.
See reverse side for complete terms and conditions or visit http:// www. fishersci. com/ wp s/ portal /CMSTATIC ?href= Footerltandcsale.isD
PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE. THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION
AND SIGNED FOR BY THE TRANSPORTATION COMPANY. CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF
GOODS TO CARRIER. DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF
CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT. WITHOUT THIS
DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED, SELLER CERTIFIES THAT ALL GOODS (OR SERVICES) COVERED
BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12
OF THE FAIR LABOR STANDARDS ACTS OF 1938, AS AMENDED, AND OF THE REGULATIONS AND ORDERS OF THE
UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION.
THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE. SOME
PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES.
7039 13323 0 0 1223060 J0020N9106006vhgN 000187555
REMIT TO. INQUIRE AT: (800) 766 -7000 D- U- N -S -00 -432 -1519
Fisher Scientific ACCT# 440371 -001 4500 TURN13ERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Parl of Thermo Fisher Sciantrfic CHICAGO IL 60133
60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE
512313 10/25/2010 7100029
ORDER NO. ACCOUNT N0. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
H02958805 440371 -001 CHI SHIPPING POINT 10/22/2010 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
THIS IS A
ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL
CARMEL UTILITIES WASTEWATER TREATMENT PLT SHIPMENT
STE 110 9609 HAZEL DELL PKWY DUE: 11/24/2010
760 3RD SW AVE INDIANAPOLIS IN 46280 -2935
CARMEL IN 46032 -7612 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
yl fiill lf ln �l� illil I' ��IIII�III� 'I'I'll��lllll�lllllll'll�l�� Visit: www.fishersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA WASHINGTON
PHONE- 317 571 -2634 EXT 211
SHIPMENT NBR: 002 FROM: CDC ON 10/25/2010
DRI CONTRAD POWDER DETERG 2KG 04 355 4 1 CS 117.09 117.09
AUTOCLAVE TAPE 19MMX13M 11 889 14 2 EA 1.63 3.26
BUFFER COLRD RED PH 4.00 500ML SBI01 500 2 EA 11.02 22.04
LOT 105315
POLYSEED CAPSULES 50 /PK 13 297 200 2 PK 91.29 182.58
AMMONIA PH ADJUSTING ISA 13 641 883 1 EA 76.68 76.68
FINNTIP 63 2 -10ML BULK 100 /PK 21 377 52 10 PK 17.34 173.40
BOTTLE WM 250ML 12 /PK 02 896 2D 4 PK 14.29 57.16
MERCHANDISE SUBTOTAL 632.21
HAZARDOUS MATERIAL CHARGE 22.50
TOTAL INVOICE AMOUNT 654.71
FOR YOUR PROTECTION, OUR COMPANY DOE NOT ACCEPT CREDIT C NUMBERS VIA FAC OR EMAIL
FOR YOUR REFERENCE, AN ASTERISK HAS IEEN PLACED BY THOSE I EMS FOR WHICH MS S(S) WILL BE P OVIDED
UNDER SEPARATE COVER. CONTACT YOUR Cl STOMER SERVICE REPRES NTATIVE IF ADDITIONAL INFORMATION NEEDED.
THERE IS A $22.50 HAZARDOUS MATERIAL HANDLING CHARGE.
TELL US ABOUT YOUR RECENT CUSTOMER SE VICE EXPERIENCE BY COMPLETING A SHORT 3URVEY. THIS S OULD TAKE NO LONG R
THAN THREE MINUTES. ENTER THE LINK IN 10 YOUR BROWSER AND EN ER THE PASSCODE ;HOWN.
htt /fishers PASSCOAE_ USA- PGH_CS1
PLEASE USE REMIT TO ADDRESS ABOVE AND INCLUDE DEPT. NBR.
See reverse side for complete terms and conditions or visit httl2: /www. fishersci. com /wps/ portal CMSTATIC ?href= Footerltandcsale.osi)
PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE. THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION
AND SIGNED FOR BY THE TRANSPORTATION COMPANY. CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF
GOODS TO CARRIER. DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF
CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT. WITHOUT THIS
DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED. SELLER CERTIFIES THAT ALL GOODS (OR SERVICES) COVERED
BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12
OF THE FAIR LABOR STANDARDS ACTS OF 1938, AS AMENDED, AND OF THE REGULATIONS AND ORDERS OF THE
UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION.
THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE. SOME
PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES.
7039 13324 0 01223060 J0020N9106006vhgN 000187555
VOUCHER 106481 WARRANT ALLOWED
97251 IN SUM OF
FISHER SCIENTIFIC 440371
DEPT 440371
13551 COLLECTIONS CTR DR
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7100029 01- 7202 -05 x`/ $632.21
7100029 01- 7202 -05 $22.50
70 3O7 L11 o i 7�,O� -0 5 c3 1, O
fey °t
Voucher Total ^"I�
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Forra 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
97251
FISHER SCIENTIFIC 440371 Purchase Order No.
DEPT 440371 Terms
13551 COLLECTIONS CTR DR Due Date 11/1/2010
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 7100029 $654.71
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