157489 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $3,503.79
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 157489
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08024 5584359 3,175.19 REAGENTS
601 5023990 W08024 5623989. 328.60 REAGENTS
I
INVOICE NO 5584359 DATE: 1 02/07/2008
s
Ihl�tl�ll�tll�ttttllrrtltlt�l�lll�t�lt�tlll�trttlittltlrl�tl�l PURCHASE 2/6 Jaimie
CARMEL UTILITIES ORDER
D LOVEALL K ERR I Net 30 Days From Invoice Date
760 3RD AVE SW STE 110 C TERMS
T CARMEL, IN 46032 -7612
O United States Prepay And Bill Customer
S Sort Seg: 619 Tray: 3
CARRIER RPS- RPS "FedEx Ground
H CARMEL UTILITIES 1ACCOUNT 052653
1 FOREMAN, JAIMIE REF. NO. 308048124 -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
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 RGT 1, TISAB SOLN 473ML 2812811 7 25.50 178.50
'TRACKING NUMBERS: 50316374957556
2 FLASK, ERLENMEYER 25ML PK/12 50570 1 39.79 39.79
'TRACKING NUMBERS: 50316374957556
3 BUFFER SOLN, BLUE PH10.01 4L 2283656 1 36.50 36.50
'TRACKING NUMBERS: 50316374957532
4 as REAGENT SET, CHLORINE TOTAL CL17 2557000 16 42.85 685.60
'TRACKING NUMBERS: 50316374957549
5 DROPPER ASSY, CHILD RES PK /6 GLASS 2318506 2 9.79 19.58
'TRACKING NUMBERS: 50316374957556
6 BOTTLE, OBLONG HDPE 11 8M PK/6 2318406 1 3.85 3.85
'TRACKING NUMBERS: 50316374957556
7 BOTTLE, WASH, NALGENE YELLOW PK /6 2928201 1 31.35 31.35
'TRACKING NUMBERS: 50316374957556
8 BRUSH, CYLINDER SIZE 2 68700 2 2.59 5.18
'TRACKING NUMBERS: 50316374957556
9 SYRINGE, 1 C LUER SLIP TIP PKGD 1226300 5 1.29 6.45
'TRACKING NUMBERS: 50316374957556
10 SAMPLE CELL, 25X60MM PK /6 10ML MARK 2427606 2 21.65 43.30
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental GG Test Systems I O Environmental Radiometer
c a Be Fignc me Em wmenta woma. rNSTRU MENTS `anatyticaL
na,�e coA�e�.�a ...,,,.y e: a MCBIRNE:Y
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
INVOICE NUMBER 5584359
DATE: 02/07/2008
Page: 2
Be Right'
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE
11 DPD FREE CHLORINE RGT, PK/1000 2105528 4 160.00 640.00
"TRACKING NUMBERS: 50316374957556
12 DPD TOTAL CHLORINE RGT, PK/1000 2105628 5 160.00 800.00
'TRACKING NUMBERS: 50316374957556
13 HARDNESS 3 TEST SOLN 1000ML 42653 2 28.30 56.60
'TRACKING NUMBERS: 50316374957556
14 FERROVER, IRON REAGENT PK/100 2105769 30 17.29 518.70
'TRACKING NUMBERS: 50316374957556
15 SPADNS REAGENT SOLN, 3.78L 44417 1 57.09 57.09
'TRACKING NUMBERS: 50316374957532
ORDER CONTACT: SUBTOTAL 3,122.49
JAIMIE FOREMAN Shipping Charges 52.70
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 3,175.19
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental G��, O LACHAT n
Test Systems Environmental NSTRUM t Radiometer
International
Ae hC.� B— ee R,grrc me E worm ,r. `analytical �RaSH
^C���+ McB112N�'Y
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
INVOICE NO 5623989 DATE: 1 03/05/2008
s I�IIltllrllrlrll�lllttltrllltlltltllrll PURCHASE 2/6/08 Jaimie
0 CARMEL UTILITIES ORDER
L NUMBER
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: 621 Tray: 3
CARRIER RPS- RPS ""FedEx Ground
H CARMEL UTILITIES I ACCOUNT 1052 653
1 FOREMAN JAIMIE REF. NO. 1308048124 Remit to:
P W 131 ST ST
W ESTFIELD, IN 46074 -8267 I
WE Hach Company
T United States 2207 Collections Center Dr
Chicago, IL 60693
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 DISPENSER, 2.OML W/O BOTTLE 2230701 4 82.15 328.60
'TRACKING NUMBERS: 50316375273464
ORDER CONTACT: SUBTOTAL 328.60
JAIMIE FOREMAN
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 328.60
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental GL I O® LACI- AT n
Environmental Radiometer
Test Systems
International ae w'gnc me Envrronmenrrs 4tbrmn rNSTRUME `andlytiCal MARC
aeun cwe�e�,�a ,,,.,.n co„ MCB1KNh_Y
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
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 3/13/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/13/2008 5623989 $328.60
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
VOUCHER 081162 WARRANT ALLOWED
1,18000 IN SUM OF A HACH CHEMICAL CO. CORPA!?'
2207 Collections Center Dr. �r� z
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5623989 01- 6200 -03 $328.60
i
Voucher Total $328.60
Cost distribution ledger classification if
claim paid under vehicle highway fund