HomeMy WebLinkAbout191665 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,754.59
�o CHICAGO IL 60693
CHECK NUMBER: 191665
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6951596 1,754.59 MATERIALS SUPPLIES
INVOICE NO 6951596 DATE: 10/15/2010
lot„ IrIIr�ILf�I���I�I��IIrrI���IfI�II��I���IrI�IJlfr „„III PURCHASE J Fore 10152010092306
S. ORDER
CARMEL UTILITIES NUMBER
D 3450W 131 ststSt TERMS L, S Net 30 Days From Invoice Date
3450W
T Carmel, IN 46074 -8267
O United States FREIGHT Prepay And Bill Customer
S Sort Seg: 559 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
FOREMAN, JAIMIE R NO, 309380604 -1 Remit to:
P 3450 W 131 ST ST Hach Company
WESTFIELD, IN 46074 -8267 2207 Collections Center Dr
T United States Chicago, IL 60693
n 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 RGT 1, TISAB SOLN 473ML 2812811 2 27.69 55.38
TRACKiNG NUMBERS: 05031637109.1391
2 FERROVER, IRON REAGENT PK/100 2105769 30 18.25 547.50
'TRACKING NUMBERS: 050316371094391
3 as REAGENT SET, CHLORINE FREE CL17 2556900 12 44.39 532.68
'TRACKING NUMBERS. 050316371094391
4 as REAGENT SET, CHLORINE TOTAL CL17 2557000 12 46.59 559.08
'TRACKING NUMBERS: 050316371094407
ORDER CONTACT: SUBTOTAL 1,694,64
JAIMIE FOREMAN FREIGHT CHARGES 59.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 1,754.59
"Plant 5 reagents
For order discrepancies or product exchanges please call 800 227 4224 or 970 669 3050 to obtain Return Authorization.
FEDERAL TAX ID 42 0704420
Hach Hydrorn Hach Flow Products Environmental Test;Systerns (ETS) Other Hach B "rands
8009 49 &3766
wg�� 8Q 548 4381 s t h y 800 454 02fi3;
Faz 90 X 461 3921 Fax: x301 8748459 e
x fax 574 264 4533 Fax 97,0 461 -3919
.:1" T a,. w
VOUCHER 103171 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.�
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6951596 01- 6200 -03 $1,754.59
Voucher Total $1,754.59
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 1012912010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201( 6951596 $1,754.59
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 /Offic