163225 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $115.85
CHICAGO IL 60693
CHECK NUMBER: 163225
CHECK DATE: 9/3/2008
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5832411 115.85 CHEMICALS
i
INVOICE NO 5832411 DATE: 1 07/37/2008
11rlllllrllllllllllllrr�ll ,�llrlll PURCHASE J Fore 07302008082702
S ORDER
CARMEL UTILITIES NUMBER
D 760 3RD AVE SW STE 110 Net 30 Days From Invoice Date
CARMEL, IN 46032 -7612 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
RPS- RPS *FedEx Ground
S Sort Seg: 830 Tray: 3
CARRIER
H CARMEL UTILITIES ACCOUNT 052653
l' 3450 W 131 ST ST REF. N 308288572 -1 Remit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
O 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
2 SAMPLE CELL, 25X60MM PK/6 10ML MARK 2427606 2 21.65 43.30
'TRACKING NUMBERS: 050316377027782
3 HARDNESS 3 TEST SOLN 1000ML 42653 2 28.30 56.60
'TRACKING NUMBERS: 050316377027782
ORDER CONTACT: SUBTOTAL 99.90
JAIMIE FOREMAN Shipping Charges 15.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 115.85
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAY. ID 42 -070442
Environmental G 7L I LA CHA T n
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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
VOUCHER 082714 WARRANT ALLOWED
I
IN SUM OF
"HACH CHEMICAL CO. CORP *Q*T
F
2207 Collections Center Dr. N
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
5832411 01- 6180 -03 $115.85
`4 9
Voucher Total $115.85
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 8/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2008 5832411 $115.85
w
Z
r
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