159371 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
0 ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $175.95
t? CHICAGO IL 60693
CHECK NUMBER: 159371
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
651 5023990 5698744 175.95 MATERIALS SUPPLIES
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INVOICE NO 5698744 DATE: 1 04/25/2008
I; �I, tltllrtt. Itlltrlt llttt rt ltll ,ltrtrll,rLL Ill. rltlr,ttltll PURCHASE JEFF COOPER
ORDER
CARMEL WWTP NUMBER
D 9609 HAZEL DELL PARKWAY Net 30 Days From Invoice Date
INDIANAPOLIS, IN 46280 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
S Sort Seg: 646 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL WWTP ACCOUNT 351506
I COOPER, JEFF REF. NO. 308134466 -1 emit to:
P 9609 HAZEL DELL PARKWAY Hach Company
INDIANAPOLIS, IN 46280 2207 Collections Center Dr
T United States Chicago, IL 60693
O
Phone: (800) 22' -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
2 SENSOR CAP REPLACEMNT,HQd SERIES 5811200 2 80.00 160.00
LDO
*TRACKING NUMBERS: 036916540145635
ORDER CONTACT: SUBTOTAL 160.00
JEFF COOPER Shipping Charges 15.95
3175712634 TAX 0.00
Notes: INVOICE TOTAL 175.95
SERVICE NOTES: Instrument needs upgraded from 2mm to 1mm
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42 -0704420
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Test Systems Environmental LAS' Radiometer
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.ten co.p.,.ye,s.t wac�a.H e�a McBIRN EY
800 548 -4381 800 454 -0263 800 949 -3766 800 454 -0263 800 454 -0263 800 368 -2723
Fax: 574-264-4533 Fax: 970-461-3919 Fax: 970-461-3921 Fax: 970-461-3919 Fax: 970-461-3919 Fax: 301-874-8459
VOUCHER 085455 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
5698744 01- 7202 -05 $175.95
i
Voucher Total $175.95
Lost 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
1
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 .5/8/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2008 5698744 $175.95
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
i
Date Officer