163760 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
0 f ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $2,500.00
CHICAGO IL 60693 CHECK NUMBER: 163760
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NU MBER AMOUNT DESC
659 5023990 5760972 2,500.00 OTHER EXPENSES
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INVIaf., NO 5760972 DATE: 1 06/10/2008
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ORDER DATA DELIVERY SERVICE (DDS)
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CITY OF CARMEL
L NUMBER
D WASTEWATER TREATMENT PLANT Net 30 Days From Invoice Date
760 3RD AVE SW TERMS
T CARMEL, IN 46032 -2072
O United States FREIGHT
S Sort Seg: 654 Tray: 3 CARRIER
H CITY OF CARMEL ACCOUNT 833045
1 760 3RD AVE SW REF. NO. 308218921 1 emit to:
P WASTEWATER TREATMENT PLANT Hach Company
CARMEL, IN 46032 -2072 2207 Collections Center Dr
T United States Chicago, IL 60693
O
Pht;re: (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 DDS BASIC MONTHLY CHARGE DDS BASIC 5 500.00 2,500.00
ORDER CONTACT: SUBTOTAL 2
JOHN DUFFY
5712443 TAX 0.00
Notes: INVOICE TOTAL 2,500.00
'THIS INVOICE IS FOR DATA DELIVERY SERVICES FOR THE MONTH OF JUNE 2208.
THAT ARE INSTALLED IN THE CITY OF CARMEL
CONTACT JOHN DUFFY 317 571 -2443 AND /OR ED WOLFE 317 571 -2634
For order N
or discrepancies p roduct exchanges lease call 1- 800 227 -4224 to obtain Return Authorization.
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FEDERAL TAX ID 42 -0704420
Environmental GL RE LA CHAT �i
Test Systems inter oral Environmental Radiometer
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ancme
analytical MARaSH
eu,ec p c Mc,B1KNEY
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 085727 WARRANT ALLOWED
�1�8000 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
5760972 D@ 1050 -74 $2,500.00
3
Voucher Total $2,500.00
Cost distribution ledger classification if
-zlaim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Y'
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 6/17/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2008 5760972 $2,500.00
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