192785 12/15/2010 o e C�4
CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $176.95
4 =0 CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 192785
CHECK DATE: 1211512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232100 798596 176.95 GARAGE MOTOR SUPPIE
*'0 3 d i3?" 3, iii.' b» xx,^i x q
ORIGINAL
INVOICE
CHEMSEARCH. REORDERS CALL: 1- 800 -527 -9921 CHEMSEARCH
CORRESPONDENCE TO: 23261 NETWORK PLACE
P.O. T30X 152170 FAX t- 972- 438 -0634 CHICAGO, IL 60673.1232
NTNC, TLSAS 75015
www.CHEMSEARCH.cOm
SOLD TO: SHIPPED TO:
ACCOUNTS PAYABLE JASON OGLE
Electronic Funds Transfer
CITY OF CARMEL (EFT)
CITY OF CARMEL POLICE
3400 W 131ST payments are encouraged
POLICE CARMEL IN
3 CIVIC SQUARE 46032
CARMEL IN 46032 To enroll please call
1- 800 -527- 9919 -x0831
Cust. Acct. No. Invoice No. I Invoice Date Terms Sales Rep Order No. Ship Date I Customer P.O. No.
80230520 798 11 -29-10 NET 10 DAYS I 6386 0509CO 11-24-10
Product Packa -ing Descri vtion Unit Price Oty Billed Amount
5068 1 DOZ YIELD AEROSOL 162.00 1 DOZ 162.00
Merchandise State Tax Local Tax 'Shi 1in 7 I Inv. Total Amount
162.00 1 14.95 1 176.95
IN Tax #003512371-001-3 Federal Id# 75- 0457200
CHEMSEARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST HE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. WRCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. "DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES F_O.8. DELTTD.
VOUCHER NO. WARRANT NO.
ALLOWED 20
ChemSearch
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
$176.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. CT #/TITLE AMOUNT Board Members
1110 798596 42- 321.00 $176.95 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, December 09, 2010
&0jw -b
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/29/10 798596 payment for lubricant $176.95
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
20
Clerk- Treasurer