158910 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $963.35
�,o CARMEL INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 158910
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5670413 963.35 OTHER EXPENSES
INVOICE NO 5670413 DATE: 1 04/07/2008
s
IItltll tlltttttlltttl, lttltllltttltttllltttllttltllttl ,l PURCHASE Jaimie 4/5/08
O CARMEL UTILITIES ORDER I,
\b 1
L NUMBER lU G
D LOVEALL, KERRI Net 30 Days From Invoice Date
760 3RD AVE SW STE 110 TERMS
T CARMEL, IN 46032 -7612
p United States FREIGHT Prepay And Bill Customer
S Sort Seg: 698 Tray: 3
CARRIER RPS- RPS" *FedEx- Ground
H CARMEL UTILITIES ACCOUNT 052653
1 FOREMAN, JAIMIE REF. NQ. 308132318 -1 Remit to:
P 3450 W 131 ST ST Hach Company
W ESTFIELD, IN 46074 -8267 2207 Collections Center Dr
T United States Chicago, IL 60693
O 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
2 ALKALINE CYANIDE REAGENT, 500ML 2122349 1 48.95 48.95
'TRACKING NUMIBERS: 503 ',6375659-503
3 PAN 'INDICATOR SOLN, 0.1% 500ML 2122449 1 49.95 49.95
'TRACKING NUMBERS: 50316375659510
4 ASCORBIC ACID PWD PLWS PK/100 1457799 2 16.60 33.20
'TRACKING NUMBERS: 50316375659510
5 KIT, MAINT, FOR CL17s SOLD AFTR 3/00 5444300 6 107.00 642.00
'TRACKING NUMBERS: 50316375659510
6 RGT 1, TISAB SOLN 473ML 2812811 6 25.50 153.00
'TRACKING NUMBERS: 50316375659510
ORDER CONTACT: SUBTOTAL 927.10
JAIMIE FOREMAN Shipping Charges 36.25
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 963.35
SERVICE NOTES: BSP? 5 DAY TAT "`RUSH' "HACH59126
For order discrepancies or product exchanges please call 1 800 227 4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental GL O® LA n
Systems v ;t Environmental 1 Radiometer
Test
B e tignc me Eimronmenr as worrnrt y�NSTRUMEN TS �analytiCal �H
ae C_ i K MCBIRNEY
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 081479 WARRANT ALLOWED
118000 IN SUM OF
L
HACH CHEMICAL CO. CORP
s 2207 Collections Center Dr.
Chicago, IL 60693 0
ZRN
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5670413 01- 6200 -03 $963.35
v1�
r,)
Voucher Total $963.35
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 4/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/21/2008 5670413 $963.35
F
>ra
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
Gc �iC LLB A""
Date Officer