162347 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
0 ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $2,821.75
CHICAGO IL 60693 CHECK NUMBER: 162347
CHECK DATE: 817/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
601 5023990 W08233 5754596 753.50 REPAIR TO SPECTROPHOM
b01 5023990 W08311 5816050 2,068.25 CHEMICALS
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INVOICE NO 5754596 DATE: 1 06/05/2008
ItlrltllrtllttttlltttltltItllltrltrtlll ,,.,tlltltllltl PURCHASE W08233
O CARMEL UTILITIES ORDER
L NUMBER
D 760 3RD AVE SW STE 110 Net 30 Days From Invoice Date
CARMEL, IN 46032 -7612 TERMS
United States
O FREIGHT
S Sort Seg: 603 Tray: 3 CARRIER
H CARMEL UTILITIES ACCOUNT 052653
1 5484 E 126TH ST REF NO. 1308213506-1 emit to:
P WATER TREATMENT PLANT Hach Company
CARMEL, IN 46033 -9289 2207 Collections Center Dr
T United States Chicago, IL 60693
D Phore:-(1300, 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 MODULE, ILLUMINATOR REPLACEMENT 5905900 1 268.00 268.00
2 Loaner Frt Chg /RPS- Surface (P) MC_FLR 1 24.00 24.00
3 Loaner Fee /Level Two (P) MC_LN2 1 175.00 175.00
4 Repair Frt Chg /RPS Surface (P) MC_FRR 1 24.00 24.00
5 Depot Labor Charge for HACH DEPOT_HACH 1.5 175.00 262.50
ORDER CONTACT: SUBTOTAL 753.50
TAX 0.00
Notes: INVOICE TOTAL 753.50
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental GL F 1 LA Radiometer
Test Systems International Environmental INSTRUM anal ticat
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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
INVOICE NO 5816050 DATE: 1 07/1872008
IJIIIILIIIJIIIIIIIIIIIIIII PURCHASE J Fore 07172008120528
CARMEL UTILITIES ORDER 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
CARRIER RPS- RPS**FedEx- Ground
S Sort Seg: 646 Tray: 3
H CARMEL UTILITIES
1 ACCOUNT 1052653
3450 W 131 ST ST I REF. NO. 130827153 7 -1 Remit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
O Chicago, IL 60693
^hcnr: ^OD 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 as REAGENT SET, CHLORINE TOTAL CL17 2557000 16 42.85 685.60
*TRACKING NUMBERS: 050316375879207
3 FERROVER, IRON REAGENT PK/100 2105769 30 17.29 518.70
*TRACKING NUMBERS: 050316376879207
4 KIT, MAINTENANCE CA610 FLUORIDE 5742100 6 109.00 654.00
*TRACKING NUMBERS: 050316376879207
5 DPD TOTAL CHLORINE RGT, PK/1000 2105628 1 160.00 160.00
*TRACKING NUMBERS: 050316376879207
ORDER CONTACT: SUBTOTAL 2,018.30
JAIMIE FOREMAN Shipping Charges 49.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 2,068.25
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization,
FEDERAL TAX ID 42- 070442
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Environmental G L T1 A Radiometer
Test Systems Ite n az „a, Environmental ,N RUM EMS analytical SH
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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 082499 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
1
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F o s"
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
g 3 l\ 5816050 01- 6180 -03 $2,068.25
g�,33 J`1 Cat lo3l-Ca3 753.
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Voucher Total ���1, 75 $2 5—
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 r
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 7/30/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/2008 5816050 $2,068.25
t
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