158423 04/15/2008 1
tif CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $12,500.00
CHICAGO IL 60693
e CHECK NUMBER: 158423
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRI
j 651 5023990 5541239 12,500.00 CONT SVS —OTHER
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INVOICE NUMBER 5541239
DATE: 01/05/2008
Page: 1
Be Right
TOTAL: $12,500.00
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online
Phone: (800) 227 -4224 Order at WWW.HACH.COM
55412399 008330458 00001250000 010508
DETACH HERE Original
Sort Seg: 242 Tray: INVOICE NO 5541239 DATE: 1 01 /05/2008
LittllittllttiltttltitLliittlttltitli PURCHASE S09759 SVC# 030106 -1
S ORDER
O CITY OF CARMEL NUMBER
L WASTEWATER TREATMENT PLANT
D 760 3RD AVE SW TERMS Net 30 Days From Invoice Date
CARMEL, IN 46032 -2072
T
United States
O
FREIGHT
S CARRIER
H CITY OF CARMEL ACCOUNT 833045
1 760 3RD AVE SW REF. NO. 3973445 -1 Remit to:
P WASTEWATER TREATMENT PLANT Hach Company
CARMEL, IN 46032 -2072 2207 Collections Center Dr
T United States Chicago, IL 60693
O °hone: (800)227--0221
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 DDS MONTHLY DDS MONTHLY 5 500.00 2,500.00
2 DDS MONTHLY DDS MONTHLY 5 500.00 2,500.00
3 DDS MONTHLY DDS MONTHLY 5 500.00 2,500.00
4 DDS MONTHLY DDS MONTHLY 5 500.00 2,500.00
5 DDS MONTHLY DDS MONTHLY 5 500.00 2,500.00
ORDER CONTACT: SUBTOTAL 12,500.00
0.00
TAX
Notes: INVOICE TOTAL 12,500.00
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For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental G I 1 f` ICH�
ems Environmental Radiometer
Test Systems T A T
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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
PresCsed by State Board of Accounts
Form No. 301-S (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
Y�
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
,19
Signature Title
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.
Officer Title
I
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA
Favor Of
Total Amount of Voucher
S S Deductions
,0a a 00 00
I
Amount of Warrant r Z QO 0)
Month of 19
VOUCHER RECORD Not
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800 382 -8702 325