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Home My WebLink About195530 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1 0 ONE CIVIC SQUARE LABCHEM INC CHECK AMOUNT: $244.73 CARMEL, INDIANA 46032 200 WILLIAM PITT WAY PITTSBURGH PA 15238 CHECK NUMBER: 195530 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 756885 244.73 MATERIALS SUPPLIES INVOICE LK LabChem Inc Invoice 11) :756885 200 William Pitt Way Sales Order 11) 760517 Pittsburgh, PA 15238 Invoice Date :2/22/2011 Phone: (412) 826 -5230 snip Date 2/22/2011 2:22:54 I'M Fax: (412) 826 -5234 Customer PO 11) S12418 Page Number I of 2 AR Terms: Net 30 Days Due Date: 3/24/2011 Bill To 1265 Ship To CARMEL WWTP CARMEL WWTP ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY 760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935 SUITE 110 USA CARMEL, IN 46032 USA Order Date: 2/22/2011 FOB: Pittsburgh, PA Packing Slip: 357020 Currency Type USD Ship Method: PedEx Ground Service Bill of Lading Line Nbr/ Item 11) Item Name Unit of Shipped Unit Price Disc Sales Tax/ Extra Extended PO Line Cust Item 11) Measure Qtv VAT Charges Price I LC 148451 /GLUCOSE- EA 4.00 $30.0000 0.00% $0.0000 $120.00 GLUfAMIC ACID I Lot Number Lot Trans Otv 0348 -02 4 Line Item Total: $120.00 2 LC226002 SILVER NI "IRA "1'E, EA 3.00 $31.2000 0.00% $0.0000 $93.60 0.0141N (0.0141M) 2 Lot Number Lot "Trans OtN A005 -24 3 Line Item Total: $93.60 3 LC 188501 POTASSIUM EA 1.00 $15.4000 0.00% $0.0000 $15.40 CHROMATE INDICATOR 3 Lot Number Lot Trans Otv A040 -12 I Line Item Total: S15.40 Form #34.00 10/26/2005 I'M Sec "WWW.labchem.net" for C of A and MSDS Infonnation All Products Made In USA INVOICE LabChem Inc Invoice 11) :756885 200 William Pitt Way Sales Order ID 760517 Pittsburgh, PA 15238 Invoice Date 2/22/2011 Phone: (412) 826 -5230 Ship Date 2/22/2011 2:22:54 PM Fax: (412) 826 -5234 Customer PO 11) 512418 Page Number :2 of 2 AR Terms: Net 30 Days Due Da te: 3/24/2011 Bill To 1265 ship To CARMEL WWTP CARMEL WWTP ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY 760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935 SUITE 110 USA CARMEL, IN 46032 USA Order Date: 2/22/2011 1013: Pittsburgh, PA Packing Slip: 357020 Currency Type USD Ship Method: 1=edEx Ground Set-vice Bill of Lading: Line Nbr/ Item ID Item Name Unit of Shipped Unit Price Disc Sales Tax/ Extra Extended PO Line Cust Item 11) Measure Qly VAT Charges Price Tracking Numbers: 'Total: 5229.00 015396465018660, 015396465018677 Sales'1'ax: $0.00 VAT Tax: $0.00 Shipping Charges: $15.73 Due Amount: $244.73 Fonn #34.00 10/26/2005 I'M See "www.labchem.net" for C of A and MSDS Infonnation All Products Made In USA VOUCHER 107245 WARRANT ALLOWED 358238 IN SUM OF LABCHEM INC 200 WILLIAM PITT WAY PITTSBURGH, PA 15238 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT* AMOUNT Audit Trail Code 758885 01- 7202 -05 $244.73 Voucher Total $244.73 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 358238 LABCHEM INC Purchase Order No. 200 WILLIAM PITT WAY Terms PITTSBURGH, PA 15238 Due Date 3/7/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/7/2011 756885 $244.73 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