160884 06/25/2008 I
CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $204.01
CHICAGO IL 60693 CHECK NUMBER: 160884
CHECK DATE: 6/25/2008
LSEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPT
651 5023990 5760069 204.01 OTHER EXPENSES
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INVOICE NO 5760069 DATE: 1 06/10/2008
s
Illlllllllllllllllllllllllllllllllllllllllllllllllllllltllllll PURCHASE TARA RUBUSH 060909
O CARMEL UTILITIES ORDER
I:. NUMBER
D 760 3RD AVE SW STE 110 Net 30 Days From Invoice Date
CARMEL, IN 46032 -7612 TERMS
T United States
O FREIGHT Prepay And Bill Customer
S Sort Seg: 653 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES 1ACCOUNT 1052653
1 9609 HAZEL DELL PKWY REF. N 308216381 -1 emit to:
P WASTEWATER TRMT PLT Hach Company
INDIANAPOLIS, IN 46280 -2935 2207 Collections Center Dr
T United States Chicago, IL 60693
O
Phone: (800) 227 -4324
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 FERRIC CHLORIDE SOLN, 1000ML 42953 2 12.45 24.90
*TRACKING NUMBERS: 50316376416068
3 CALCIUM CHLORIDE SOLN, 500ML 42849 4 16.35 65.40
*TRACKING NUMBERS: 50316376416068
4 MAGNESIUM SULFATE SOLN, 500ML 43049 4 11.35 45.40
*TRACKING NUMBERS: 50316376416068
5 PHOSPHATE BUFFER SOLN, 500ML 43149 4 13.09 52.36
*TRACKING NUMBERS: 50316376416068
ORDER CONTACT: SUBTOTAL 188.06
TARA RUBUSH Shipping Charges 15.95
3175712634 TAX 0.00
Notes: INVOICE TOTAL 204.01
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42 -0704420
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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 085726 WARRANT ALLOWED
118000 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
5760069 01- 7202 -05 $204.01
Voucher Total $204.01
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 6/17/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2008 5760069 $204.01
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