HomeMy WebLinkAbout193771 01/19/2011 q CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $86.94
,o CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 193771
CHECK DATE: 1119/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7033211 86.94 MATERIALS SUPPLIES
UC 1 mvsr1 r1CKC vriginai
INVOICE NO 7033211 DATE: 1 12!1572010
S
PURCHASE TARA 121410
0 CITY OF CARMEL ORDER
L NUMBER
D Wastewater Treatment Plant Net 30 Days From Invoice Date
760 3rd Ave SW TERMS
T Carmel, IN 46032 -2072
0 United States FREIGHT Prepay And Bill Customer
S Sort Seg: 605 Tray: 3
CARRIER RPS- RPS**FedEx- Ground
H CITY OF CARMEL 1ACCOUNT 833045
1 9609 HAZEL DELL PKWY I REF. NO. 130946195 3 Remit to:
P WWTP Hach Company
INDIANAPOLIS, IN 46280 -2935 2207 Collections Center Dr
T United States Chicago, !L 60693
O Phone: (800) 227 -4224
These commodities are sold, packaged marked, and labeled for destinations in the United Slates. Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
1 rr TEST KIT, NI -8 AMMONIA NITROGEN 224100 1 70.99 70.99
`TRACKWG NUMBERS: 050316371741165
050316371741172
ORDER CONTACT: SUBTOTAL 70.99
TARA WASHINGTON FREIGHT CHARGES 15.95
31 75712634 TAX 0.00
Notes: INVOICE TOTAL 86.94
For order discrepancies or product exchanges please call 800 2274224 or 970 669 -3050 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
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Hach Wydromet,u Wadi flo'wProducts Services Env�ranmentalTest Systems (ETS)a ether Wach Brands
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800 "949 3766 800 368 2723. $00 548 4381 800:454 0263,
Fax. 97.,0461 a 3921� t�3Fax 301° 874 8459 �g 4 574 264 4`533 Fax _970 461 x3919
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VOUCHER 106843 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 COLLECTIONS CENTER DR.
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7033211 01- 7242 -05 $86.94
Voucher Total $86.94
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 12/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
121291201( 7033211 $86.94
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
/hj //7
Date Officer