163199 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
ONE CIVIC SQUARE FISHER SCIENTIFIC CHECK AMOUNT: $209.30
CARMEL, INDIANA 46032 ACCT 440371 -001
13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 163199
CHICAGO IL 60693
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9980888 209.30 MATERIALS SUPPLIES
i
REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00- 432 -1519
Fi sher ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Scientific 6069G0 IL 60133 3 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 9980888
F11359 1 08/13/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
A82198241 440371 -001 CHI SHIPPING POINT 08/06/2008 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE TARA RUBISH TFUSISA
CARMEL UTILITIES CITY OF CARMEL PAR.nAL
STE 110 WASTEWATER TREATMENT PLT
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 09/12/2008 s�MErrr
CARMEL IN 46032 -7612 INDIANAPOLIS IN 46280 -2935 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
Visit the Fisher Web Site:www. fish ersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA RUBUSH
PHONE 317 571 -2634
SHIPMENT NBR: 002 FROM: NED ON 08/13/2008
STERI -WRAP I 24X24IN 500 /CS 11 890 8D 1 CS 189.29 189.29
MERCHANDISE SUBTOTAL 189.29
NON CONTRACT SHIPPING 20.01
TOTAL INVOICE AMOUNT 209.30
PLEASE USE REMIT TO ADDRESS ABOVE AND I CLUDE DEPT. NBR.
SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS
PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE. THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION
AND SIGNED FOR BY THE TRANSPORTATION COMPANY. CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF
GOODS TO CARRIER. DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF
CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT. WITHOUT THIS
DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED. SELLER CERTIFIES THAT ALL GOODS (OR SERVICES) COVERED
BY THIS INVOICE WERE PRODUCED IN COMPLIANCE W ITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12
OF THE FAIR LABOR STANDARDS ACTS OF 1938, AS AMENDED, AND OF THE REGULATIONS AND ORDERS OF THE
UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION.
THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE. SOME
PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. SEE REVERSE SIDE
FOR DISCOUNT OR PRICE REDUCTION DISCLOSURE REQUIREMENTS.
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Or colicermn,, ra FISHER DISCALAUVIS AIA_ NVARRANTUr"'
101141;*Fif EXPA! 1 0431. MISLAY OR STATUTORY, i:�" 11 Ni VVARICANIIES OF
fNI hiqlA V I TCLI"Ut PURVOSV In 4h 3i! 5, Or iockhanal oransopontrA vh
'3*i SOLE AND EXCIANIVE ATENIFI.)Y AUAINSf FISLIER ANY CAUSI, OF At'
ARGIN(4 0L1AY4,`ffV. SALFOR USE (MANI PRODUCT DESCRIBED HEREIN SHALL BE OF
THP PROIWCT OR hUXUND OFT11F VAID FOR
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VOUCHER 086174 WARRANT ALLOWED
,97251 IN SUM OF
FISHER SCIENTIFIC 440371
Z)EPT 440371
3551 COLLECTIONS CTR DR
s CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9980888 01- 7202 -05 $189.29
9980888 01- 7202 -05 $20.01
P
Voucher Total $209.30
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
97251
FISHER SCIENTIFIC 440371 Purchase Order No.
DEPT 440371 Terms
13551 COLLECTIONS CTR DR Due Date 8/25/2008
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2008 9980888 $209.30
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer