192063 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
ONE CIVIC SQUARE FISHER SCIENTIFIC CHECK AMOUNT: $295.28
CARMEL, INDIANA 46032 ACCT 440371 -001
a ;oN 0 13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 192063
CHICAGO IL 60693
CHECK DATE: 11/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7382250 126.99 OTHER EXPENSES
651 5023990 7626387 168.29 OTHER EXPENSES
REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00 -432 -1519
Fisher Scientific ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Pan of Thermo Fisher Scientific CHICAGO IL 60133
60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE
512323 11/08/2010 7626387
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE I DUPLICATE
H03054144 440371 001 CHI SHIPPING POINT 11/01/2010 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
THIS IS A
ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL 0
CARMEL UTILITIES WASTEWATER TREATMENT PLT SIIIPM @NT
STE 110 9609 HAZEL DELL PKWY DUE: 12/08/2010
760 3RD SW AVE INDIANAPOLIS IN 46280 -2935
CARMEL IN 46032 -7612 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
�I"' lll� ILI��II' 'Illtll�� 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: VND ON 11/05/2010
ORDERED PART 4589201
BOD BOTTLE INSERT 10 359 121 1 EA 168.29 166.29
ORIG CAT NBR 4589201
TOTAL INVOICE AMOUNT 168.29
FOR YOUR PROTECTION, OUR COMPANY DOEC NOT ACCEPT CREDIT CARD NUMBERS VIA FAC OR EMAIL
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 INTO YOUR BROWSER AND EN ER THE PASSCODE 3HOWN.
http: /survey.medallia.com /fishersci PASSCODE: USA- PGH -CS1
PLEASE USE REMIT TO ADDRESS ABOVE AND INCLUDE DEPT. NBR.
See reverse side for complete terms and conditions or visit http: /www.fishersci.comfwps/ portal CMSTATIC ?href= Footeritandcsale.1'sp
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.
7173 13734 0 0 1229109 h0020NEDj8007C2GI 000187563
TERMS AND CONDITIONS OF SALE Unless otherwise expies'slp agreed in writing, all sales are subject to the following terms and corelirior—
GE•NERAI Fisher Scientific Company L.LC. (`Seller') hereby applicable, Buyer may return the defective Products to Seller with all Seller or its licensor, as the case may be, retains all rights and interest in
offers Cor sale to the buyer named on the Face hereof "Buyer') the costs prepaid by Buyer. Replacement parts may be now or refurbished, software products provided hereunder.
ptoduccs listed can the face hereof (the "Products') on the express at the election of Seller. Ail replaced parrs shall become the property of Seller hereby grants to Buyer a royalty-free, non exclusive,
condition that Buyer agrees to accept and be bound by the terms Seller. Shipment to Buyer of repaired or replacement Products shall be nontransferable license, without power to sublicense, to use software
and conditions tier forth heroin. Any provisions contained in any made in accordance with the Dchvcry provisions of the Seller's Tcrttts provided hereunder solely- for Buyer's own internal business purposes on the
document issued by Buyer are expressly rejected and if the terms and Conditions of Sale Consurnables are expressly excluded from this hardware products provided hereunder and to use the related documentation
and conditions in this Agreement differ from the terms of Buycr s warranty, solely fix Buyer's own internal business purposes. This license rerminates
offer, this document shall be construed as a counter offer and shall Notwithstanding the foregoing, Products supplied by Seller that are when liever's lawful possession of the hardware products provided
nor he affective as air acceptance of Buyer's document. Buyer's ubnained by Seller from an original manufacturer or third party supplier hereunder ceases, unless earlier terminated as provided herein. Buyer agrees
roccipt of products or Seller's commcrecincnt of the services are not warrvuved by Seller, but Seller agrees to assign to Buyer any ma hold in confidence and not to sell, transfer, license, loan or otherwise
provided hereunder will consurute Buyer's acceptance of this warranty rights in such Itioduct that Scllcr may have [tom the original make available in any form to third parties the software products and related
Agreement. This is rho complete and exclusive statement of the manufacturer or third party supplier, to the extent such assignment is documentation provided hereunder. Buyer may not disassemble, decompile
contract between Seller and lfuycr with respect to Buy'er's purchase allowed by such original manufacturer or third parry 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 consent. Seller will be entitled to terminate this licerse'if Buyer fails
writing and signed by Seller and Buyer. Scllcr s failure to object t'o of O normal wear And ten,, (i) aeciden, disaster or cacnt of force to comply with any term or condition herein. Buyer agrees, upon germination
terns contained in any subseeluenr communication from liuyec will majeure, (iii) misuse, fault or negligence of or by Buyer, (v•) use of the of this license, immediately' to return to Seller all software products and
not be a waiver modification of the terms or forth herein. All Products in a mamter for which the)- were nor designed, (v) causes related documentation provided hereunder and all copies and portions
orders are subject to acceptance in writing by au authntized eternal to the Products such as, but nor limited to, power failure u, thereof.
representative of Seller. electrical power surges, (vi) improper storage and handling of the Ceruun of the software products provided by Seller may be owned by one
PRICE All prices published by Scllcr or quoted by Seller's Products of (vii) use of the Products in combination with equipment or or more third parties and licensed to Seller. Accordingly, Seller and Buyer
rcpreser ives may be changed at ant rime without notice All sofrvare not supplied by Seller. If Seller determines that Products for agree that such third parties retain ownership of and title to such software
prices quoted by Seller or Seller's representatives arc valid For thirty which Buvc, has requested warrwty services are not covered b the products- The warranty and indemnification provisions set forth herein shall
(30) days, unless otherwise stared in writing. All prices for the warranty heretmdi," Buycr shall pap or teiriahurse Scllcr for all costs of not apply to software products owned by Third parties and provided
Premiers will be as specified by Seller or, if no price has been in— eigaring and responding to %rich request at Seller's then prevailing hereunder.
specified or quoted, will be Seller', price in effect at the time of time and materials rates. If Seller provide, repair scrs-ices or 1.1MiTATION OF LIABILITY Nonvidlstanding anything to the contrary
shipment. All prim. arc subject to adjustment on account of replacement parts that are not covered by this warranty, Buyer shall pat contained herein, the liability- of Seller under these terns and conditions
specifications, d{nanutics, raw materials, cost of production, Seller therefore at Boner's then prevailing time and materials ra res. Any (whether b rya son of breach of contract, [or[, indemnification, or otherwise,
shipment arrmgements or other terms or conditions which are not installation, maintenance, repair, ser-iee, relocation or alteration to or but excluding liability of Seller for breach of warranty (the sole remedy for
part of Seller's igrin:d price quotation. of, or other Tampering with, the Products performed by ant' person or which shall be as prodded under WARRANTY above)) shall not exceed an
TAXI-,S AND (TI'I CHNiGES Prices Gtr the Products entity other than Seller without Seller's prior written approval, or utv amount equal to the lesser of (a) the rotad purchase price thererofore paid by
exclude all sales, value added and other taxes and duties imposed use of replacement parts not supplied by Seller, shall intrnedietcly void Buyer to Seller with respect to the Product(s) Siting rise to such liability- or
with respect to rho ale, delivery, or use of any Products covered and cancel all warranties with respect to the affected Products. (b) one million dollars (SI,000,000). Notwithstanding anything to the
hereby, all of which taxes and duties must lie paid by Buyer. If The obligations created by this waaanry statement ru repair or contrary contained herein, in no event shall Seller be liable for any indirect,
Buyer claims any exemption, Buyer must provide it valid, signed replace a defective Product shall be the sole remedy of Buy r in the cpc,i.,l. coo sequential or incidental damages (including without liennarion
certificate or loner of esemprion for each respective jurisdiction. event of a defective Product. Except as expressly' provided in this damages for hiss of use of facilities or equipment, loss of revenue, loss of
TERMS OF PAYMENT Seller may invoice Huger upon shipment warranty statement, Seller disclaims all other warranties, whether tiara, loss of profits or loss of goodwill), regardless of whether Seller (a) has
for the price and all other charge, payable bi Buyer in accordance express or implied, oral or written, with respect to the Products, been informed of the possibility of such damages o, (b) is negligent.
with the terms on tine face hereof, If no payment tones are stated including without limitation all implied warranties of merchantability or E \PORT RES'I'RICrIONS Buyer acknowledges that each Product and any
on he face hereof, pteurve, shall be net thirty (30) days from the Fitness for any' paninder purpose. Seller does not warrant that the related software and technology, including technical information supplied by
date of invoice If Buyer fails to pay ant amounts when clue, lfuycr Products are crrorfree or wilt accomplish any particular reach. Seller or contained in documents (collectively `Items is subject to cxporr
shll pat• Seller interest thereon at it periodic rate of one and one- 1�'DP.hINIQCATioN BY SItILLER Seller agrees to incicmnify, controls of the U.S. government, The export controls may include, but are
half percent (1.5 io) per month (or, if lower, the highest rate defend and save Buyer, its officers, directors, and employees from and not limited cc), those of the Export Administration Regulations of the U.S.
permitted by law), together with all costs anti expenses (including against: any and all damages, liabilities, actions, causes of action, suits, Department of Commerce (the "FAR which nhav restrict or require
w'ithour hesitation reasonable
oe}3' fees and disbursements and claims, demands, losses,, costs and expenses (including without licenses for the cxporr of Items From the United States and their re- export
court costs) incurred by Seller in cohecring such overdue amounts limitation reasonable attorney's fees) (`Indemnified Items for (i) from otter countries. Buyer shall comply with the EAR and all other
or otherwise unfrrrcing Seller's rights hereunder. Seller reserves the injury to or death of persons or damage to property to the extent applicable laws, regulations, laws, treaties, and agrcemenrs relating to the
right to require from Buyer full or partial payment In ndvaflcq or eauged by the negligence or willful 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, or 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 Plaice's financial condition does not performance of services at Buyei s premises tinder this Agreement and government agency; (i) cxporr or re- cxparr any' lrem, or (ii) export, re- export,
justify' the terms of payment specified. All payments shall be made (ii) claims that a Product infringes arty valid United States patent, disailaure Or supply ant Item To any restricted or embargoed country or to a
in U.S. 17ollars. copyright or trade secret, provided, itotvcver, Seller shall have no person or entip whose privilege to participate in exports has been denied or
DELIVERY CANCELLATION OR CHANCES BY BUYER liabiliry under this Section to the extent any such luderinificd Items are restricted be the U.S. government. Buyer shall eooperate full, with Seller in
The Producrs will be shipped to the destination specified by Buyer, caused by either (i) the negligcn it will5d misconduct of Buyer, its ally official d nofficla or inspection audit inspection related to applicable export or
EOM Seller's shipping point. Seller will have the right, at its employees, ascots or representatives or contractor,, (ii) by any third import control u laws or regulations, and shall utdetmufy and hold Seller
election, to make partial shipments of rho Products and to invoice party, (ii) use of a Product in combination with equipment or software harmless from, or in connection with, any vvalruon of this Section by Buyer
each shipment separately. Seller reserves the right to stop delivery of not supplied by Seller where the Product would not itself he infringing, c r its employees, consultants, agents, atsronters.
Products in transit and to withhold shipments in whole or in part if (iv) cornpfiance with Buyer's designs, specifications or instructions, (v) MISCELI.A\ IiOUS (n) Buyer mar not delegate any duties or assign any
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 rights or claims hereunder without Seller's prior written consent, and any
fails to perform its oblige ions hereunder. All shipping dates are not designed or (vi) modifications of the product by anyone other than such attempted delegation or assignment shall be void. The rights tied
approsintatc only, and Seller will not be liable for any loss of Seller without Sellers prior written approved. Buyer shall provide Seller obligations of the parr,,, hereunder shall be govcmed b and construed in
damage resulting from any delay in deliver}' of failure to deliver prompt written notice of any third part' claim covered b'v Seller's accordance with the haws of the Gmm�onweahh of Pennsylvania, without
which is due to an)' cause beyond Seller's reasonable canto )l. In the indemnifi -c—, obligations hereunder. Seller shall have the right to reference to its choice of law provisions Bach party hereby irrevocably
event of a delay due ro any cause beyond Seller's reasonable control, assume exclusive control of the clefense of such claim or, at the option consents to the exclusive jurisdiction of the state and federal courts located
Scllcr resen rho right io tcrnmate the order or to reschedule the of the Seller, to Sctrle the same. Buyer agrees to cooperate reasonably in Allegheny Count=, Pennsylvania, USA, in any action arising out of or
shipment within a reasonable period of time, and Buyer will nor be with the Seller in connection with the performance by Seller of its relating to this Agreement and waives any other venue to which it may be
cnti tied ai refuse delivery nr odie wis, be relieved of amt, obligatiohs oblige dons in this Secnon, entitled by domicile or otherwise. (c) In the event of any legal proct,oding
as the result of such delay. Products a% to which delivery- IS dclay No vhsranding the above, Seller's infringement related between the Seller and Buycr r,ladng ro this Agreement, neither party may
due to nay cause within Buyer's control stay be placed in storage b indemnification obligations shall be extinguished and relicwnl if Seller, claiut alto right to a trial by jury, and both parties waive any tight they may
Seller at Buyer's risk and expense and for Buyer's account. Orders it its discretion and at its own expense (a) procures for liven, the right, have under, applicable law or otherwise to a right to a uial by jury. Ater action
in process may be canceled only with Seller's w"riacn consent and at no additional espouse to Buyer, to cont tie using the Product-, (b) arising under this Agreement nursr be brought within one (1) year from the
upon payment of Seller's cancellation charges. Orders in p,,, -,s replaces or modifies [lie Product so that it 1pecomes nun infringing, date that the cause of action arose. (d) The appin anon to this Agreenom of
may not be changed except with Scllcr s written consent and upon provided The modrunition or replacement does not ad",scly affect the the UN. Convention on Contracts for the International Sale of Goods is
agreement by the parties as to an appropriate adjustment in the specifications of the Product; 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 dtencke%_ Credit will not be allowed for Products prtcriad, refund to Buyer die amortized anrounrs paid by Buyer with conrnlned heroin shall be held by a court of competent jurisdiction to be
returned without the prior written consent of Scllcr. respect thereto, based on it five (5) year amortization schedule. The irc-lid, illegal or onesforceable in any res pea, rho validity, legAliv, and
ITTLE AND RISK OF LOSS Notwithstanding the trade terms foregoing indemnification provision _states Seller's entire liability to enforceability of the remaining provisions contained hercin shall remain in
indicated above and subject to Seller's right to stop delivery of Buyer for the claims described hereinr full force and effect, tiles the revision materially changes the bargain. (f)
Produces in transit, ride to ,tad risk of loss of the Products will pass 1N6ESI \IPICATI0N BY BUYER Hirer shall indenuiify, defend Seller's failure to enforce, or Seller's waiver of a breach of, any provision
m Buver upon delivery of possession of the produces by Seller to with competent and experienced counsel and hold harmless Seller, ice contained herein shall not constitute a waiver of any other breach or of such
the carrier; provided, however, that title io any software parent, subsidiaries, affiliates and divisions, and their respective provision. U Unless otherwise expressly stared on the Product or in the
incorporated within or forming a part of the Products shall at all officers, duc,orors, shareholders and employees, from and against any ducni— rintrion accompanying the Product, the Product is intended for
a with Scllcr or the licensor(a) thereof, as the case map be and all damage_%, hibihnes, actions, causes of action, stilts, 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, rn vitro diagnostic uses, es virtu or in
perform Substantially in conformance with Seller's publishcd reasonable attorneys' fees and disbursements and count costs) to rho rim Therapeutic uses, or any type of consunption by or application to
specifications and be free from defect in material and extent arising from or in connection with (i) the negligence or willful humans or Animals. (h) Buy- agrees that all pricing, discounts and technical
workmanship, when subjected to normal, proper and intended misconduct of Buyer, its agents, employccs, representatives or information that Seller provides to Buyer are the confidential and proprietary
usage by properly gained pci-mar el, for the period of time set Firth contractors; (ii) use of a Pmducr in cumhination with equipmcnr or information of Seller. Buyer agrees to (t) keep such information confidential
in the product documentation, publishcd specifications or package software not supplied by Seller where the product itself would nor be and not disclose such information to any third party, and (2) use such
inscn, if a period of time is nor specified in Seller's product infringing; (iii) Seller's compliance with designs, Specifications or information solely for Buyers intcmal purposes and in connection with the
ducuntcimnon, published specificarions or package inserts, the instructions supplied to Seller b Brayer, (TV) uu. of a Product in an Products supplied hereunder. Nnvh'ing hercin shatl resaict the use of
warruuv period _shall be one (1) year from the: date of shipment to application at environment for which it was not desigucd; nr (v) information available tU the general public (i) Are or communication
Buyer for equipment and ninety O0) days fit all other products (the modifications of a Product by anyone other than Seller vi liou, Seller's required or pertnhted I— euude, shall be in writing and shall be deemed
"Warrant- Period Seller agrees during the Warranty Period, to prior written approval, received when personally delivered or three (3) business day's after being sent
repair or replace, e Scller's option, l acctivc Products so as to cause SOl ',Midi respect w any software products incorporated in by ce,tifed mail, postage prepaid, m a party at the address specified herein or at
the same to agorae in .ubstan list conformance with said published or flaming a pert of the Products hercuridei, Seller and Huger intend such other address as either party may Crom rime to time dcsignare to the other.
specifications; provided that Buyer shall (a) promptly notify Seller in and 1gT ee that such software pnnlucr_e are being licensed and not sold, ACCEIrrAHI,F PA)'j LENT \1B'I'IdODS. The Seller prefers to receive pa)-ment
writing upon the discovcry if anv defect. which ..price shall include and char the words "purchase "sell" or similar or derivative words are via ACfI or other elecuoruc m—face metheds that directly- exchange fluids
understood :Ind agreed ru mean "license and that the word "Buyer" between the Bu ers and Seller's bank accounts. The Seller also ace is checks
rho product model and serial number (if applicable) and details of 3' c P
the warrant) claim; and (b) after Seller's review, Seller will provide or similar or d rive words arc understood and agreed to r roan stalled to one of its lnckbos ne ivancc locations Ahh nigh the Seller does a c tepr
ne
Bever vt -nth settee data and /or a Return \4a«xial Authorization "licensee Notwithstanding anything to the cunaary contained hotels, t t fret the credit card payments ar Csele.
ht. ti— ,f purchase, a domes or accept —dv ard
("RbIA" which may include biohaz a ard deeo rienri rlou pct men s a poau o
procedures and other product- spcciftc handling instructions, Then, if TF- BACKER
REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00 -432 -1519
0 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
60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE
512323 11/01/2010 7382250
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
H03054144 440371 001 CHI SHIPPING POINT 11 /01 /2010 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
THIS IS A
ACCOUNTS PAYABLE CITY OF CARMEL PARTIAL FRI
CARMEL UTILITIES WASTEWATER TREATMENT PLT SHIPMENT
STE 110 9609 HAZEL DELL PKWY
760 3RD SW AVE INDIANAPOLIS IN 46260 -2935 DUE: 12/01/2010
CARMEL IN 46032 -7612 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
�It�t ��IIII�III� 'I'I'll�� Visit: www.fishersci.com
DESCRIPTION CATALOG QUANTITY I UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA WASHINGTON
PHONE- 317 -571 -2634 EXT 211
SHIPMENT NBR: 001 FROM: CDC ON 11/01/2010
BUFFER COLRD RED PH 4.00 500ML SB101 500 3 EA 11.02 33.06
LOT 105315
BUFFER CLRD YEL PH 7.00 500ML SB107 500 3 EA 14.66 44.04
LOT 105027
BUFFER COLRD BLUE PH 10 500ML SB115 500 3 EA 15.53 46.59
LOT 105835
MERCHANDISE SUBTOTAL 123.69
SHIPPING -FUEL SURCHARGE 3.30
TOTAL INVOICE AMOUNT 126.99
FOR YOUR PROTECTION, OUR COMPANY DOEE NOT ACCEPT CREDIT C NUMBERS VIA FAC OR EMAIL
FOR YOUR REFERENCE, AN ASTERISK HAS EEEN PLACED BY THOSE I rEMS FOR WHICH MS S(S) WILL BE PROVIDED
UNDER SEPARATE COVER. CONTACT YOUR CUSTOMER SERVICE REPRES &ENTATIVE IF ADDIT LONAL INFORMATION NEEDED.
TELL US ABOUT YOUR RECENT CUSTOMER SERVICE EXPERIENCE BY CO PLETING A SHORT URVEY. THIS SHOULD TAKE NO LONG !,R
THAN THREE MINUTES. ENTER THE LINK IN O YOUR BROWSER AND EN ER THE PASSCODE HOWN.
http: /survey.medallia.com /fishersci PASSCODE: USA -PGH -CSI
PLEASE USE REMIT TO ADDRESS ABOVE AND I CLUDE DEPT. NBR.
See reverse side for complete terms and conditions or visit httD: /www fishersci com /wps /portal /CMSTATIC ?href= Footer /tandcsale isp
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.
7173 13735 0 0 1229109 h0020NED18007C2GI 000187563
i
VOUCHER 106596 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
7626387 01- 7202 -05 $168.29
7; 022 5 o d!. 7zU2.os r b.$�f
Voucher Total f
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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
97251
FISHER SCIENTIFIC 440371 Purchase Order No.
DEPT 440371 Terms
13551 COLLECTIONS CTR DR Due Date 11115/2010
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/15/201( 7626387 $168.29
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