HomeMy WebLinkAbout197212 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
•i[ �,4'. CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $33.00
CHICAGO IL 60693 CHECK NUMBER: 197212
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7213587 33.00 MATERIALS SUPPLIES
ve_en�.n n"r%e= velmn Ica I
INVOICE NO 7213587 DATE: 1 04/22/2011
S �r�tr�r��er��eee�tn�e�rr��n�ne�e�r��er�ert�r�r�t��trerer��� PURCHASE JERRY CLOUD 4/12/11
o ORDER
L CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Carmel, IN 46074 -8267 TERMS
T United States
O FREIGHT Prepay And Bill Customer
S Sort Seg: 533 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
I CLOUD, JERRY Remit to:
P 3450 W 131ST ST EF. NO. 309632452 -2
CARMEL, 1N 46074 -8267 Hach Company
2207 Collections Center Dr
T United States Chicago, IL 60693
0 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 PRICE EXT. PRICE
1 TENSETTE NUMBER RING KIT 1 -10 2559710 2 16.50 33.00
'TRACKING NUMBERS: 050316373172127
ORDER CONTACT: SUBTOTAL 33.00
JERRY CLOUD
3175712669 TAX 0.00
Notes: INVOICE TOTAL 33.00
For order discrepancies or product exchanges please call 800 2274224 or 970 669 -3050 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
a Hach Hydromet Hach Flow Products &Services
800
Environnient'al,Test Systerns (ETS} P Other Hach Brands
x,949.3766 +p =`8fl0- 388 2723.` t t ti 800 648 ='43 1x 4
Fax 970 ,461' 921 F }Fax `.30 >1 874 8459 m F,x Fax ,574` 264 4533= f §fax. 9:70 461 =3919 is
3
VOUCHER 111050 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr. MATER
Chicago, IL 60693 OPERATK)M
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7213587 01- 6200 -03 $33.00
Voucher Total $33.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts I 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 5/4/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2011 7213587 $33.00
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