160374 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $2,083.59
CHICAGO IL 60693 CHECK NUMBER: 160374
CHECK DATE: 6/10/2008
DEPA ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
601 5023990 W08230 5743596 1,563.74 REAGENTS
601 5023990 W08230 5743597 519.85 REAGENTS
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INVOICE NO 5743596 1 DATE: 1 05/29/2008
ItltIIIIII l.t.. tll... ItLtLIIIt�tLttlll tttttllt�IJtLtltl PURCHASE J Fore 05282008124703
s 7� Q ORDER
CA�f:MEL UTILITIES NUMBER LJ V
D LOVEALL, KERRI Net 30 Days From Invoice Date
760 3RD AVE SW STE 110 TERMS
T CARMEL, IN 46032 -7612
O United States FREIGHT Prepay And Bill Customer
S Sort Seg: 1166 Tray: 4
CARRIER RPS RPS* *Fed Ex- Ground
H CARMEL UTILITIES ACCOUNT 052653
3450 W 131ST ST REF. N 308202440 -1 emit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Or
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 FERROVER, IRON REAGENT PK/100 2105769 20 17.29 345.80
*TRACKING NUMBERS: 50316376271261
3 RGT 1, TISAB SOLN 473ML 2812811 11 25.50 280.50
*TRACKING NUMBERS: 50316376271261
4 FLUORIDE STD, 5.OMG /L 473ML 2797111 4 18.60 74.40
*TRACKING NUMBERS: 50316376271261
5 SPADNS REAGENT SOLN, 3.78L 44417 1 57.09 57.09
*TRACKING NUMBERS: 50316376271247
6 as REAGENT SET, CHLORINE TOTAL CL17 2557000 16 42.85 685.60
*TRACKING NUMBERS: 50316376271254
7 FLUORIDE STD, 0.5MG /L 473ML 2743811 4 17.60 70.40
*TRACKING NUMBERS: 50316376271261
ORDER CONTACT: SUBTOTAL 1,513.79
JAIMIE FOREMAN Shipping Charges 49.95
317 -571 -2639 TAX 0.00
Notes: INVOICE TOTAL 1,563.74
For order discrepancies or product exchanges please call 1 -800- 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental G»L F LA n
xe.
Test Systems �7 EnvPronmental t Radiometer
A c yme..,� International Be 2gnc meE Wolenr is ttartn It /Ly I STRU NTS Sanatytica^ aSH
�ec�p Bs d MCB112NEY
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 5743597 1 DATE: 1 05/29/2008
1 I. I.. ItllttlL,ttt ll... I. I.. Itllltttltttllltttttllttltltlttlrl PURCHASE J Fore 05282008125212
s ORDER Q' -3b
L CARMEL UTILITIES NUMBER
D LOVEALL, KERRI Net 30 Days From Invoice Date
760 3RD AVE SW STE 110 TERMS
T CARMEL, IN 46032 -7612
O United States FREIGHT Prepay And Bill Customer
S Sort Seg: 1167 Tray: 4
CARRIER RPS RPS* *Fed Ex- Ground
H CARMEL UTILITIES ACCOUNT 1052653
1 3450 W 131 ST ST I REF. NQ. 1308203604:-l:J to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
Chicago, IL 60693
?hone: (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 FERROVER, IRON REAGENT PK/100 2105769 10 17.29 172.90
'TRACKING NUMBERS: 503163,'•6271353
3 DPD FREE CHLORINE RGT, PI(/1000 2105528 1 160.00 160.00
*TRACKING NUMBERS: 50316376271353
4 DPD TOTAL CHLORINE RGT, PK/1000 2105628 1 160.00 160.00
*TRACKING NUMBERS: 50316376271353
ORDER CONTACT: SUBTOTAL 492.90
JAIMIE FOREMAN Shipping Charges 26.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 519.85
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42 -0704420
Environmental G»L FI LA CHAT P Tests stems Environmental Radiometer
International
y B Rignc me Ennwr was Rana INSTRUMENTS i21l analytical
Aff.d p qli —d MCBIKNEY
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
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VOUCHER 081996 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP �Q��
22,07 Collections, Center Dr.
;hicago, IL 60693 0 O
E P'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
r� 7 5743597 01- 6200 -06 $519.85
Voucher Total 5 c
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, t
price per unit, etc.
Payee
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 6/5/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/5/2008 5743597' $519.85
Y
46
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