162734 08/20/2008 i
CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
ONE CIVIC SQUARE FISHER SCIENTIFIC
CARMEL, INDIANA 46032 ACCT 440371 -001 CHECK AMOUNT: $1,253.49
13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 162734
CHICAGO IL 60693
CHECK DATE: 8/2012008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11359 9834568 1,253.49 LAB SUPPLIES
I
i
a:
REMITTO: INQUIRE AT: (800) 766-7000 N1519
Fisher ACCT 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Scientifi c 60693G0 IL 60133 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 9834568
F11359 08/07/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I 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 THIS ISA
CARMEL UTILITIES CITY OF CARMEL PARTIAL
STE 110 WASTEWATER TREATMENT PLT SHIPMENT
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 09/06/2008
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.fishersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA RUBUSH
'rnvira- S17
SHIPMENT NBR: 001 FROM: MWD ON 08/07/2008
KIMWIPE SML 4- 1/2X8 -1/2 280 /PK 06 666A 1 CS 165.58 165.58
BG AUTO PP RED 14X19 200 /PK 01 828B 1 PK .74.84 74.84
FB NITRILE GLV PF LF L 100 /PK 19 130 1597D 4 CS 119.16 476.64
FB GLV LTX PF AMBI LG 100 /PK 11 394 5C 4 CS 94.42 377.68
DRIERITE INDICAT 8 MESH 5LB 07 578 3B 1 EA 48.47 48.47
GLV POLY SHLDR LENGTH L 100 /PK 19 181 539 1 PK 33.50 33.50
MERCHANDISE SUBTOTAL 1,176.71
SHIPPING 69.63
SHIPPING-FUEL SURCHARGE 7.15
TOTAL INVOICE AMOUNT 1,253.49
FOR YOUR REFERENCE, AN ASTERISK HAS BEEN PLACED BY THOSE 2 EMS FOR WHICH MS S(S) WILL BE P OVIDED
UNDER SEPARATE COVER. CONTACT YOUR CUSTOMER SERVICE REPRES NTATIVE IF ADDIT ONAL INFORMATI N NEEDED.
PLEASE USE REMIT TO ADDRESS ABOVE AND INCLUDE 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 WITH 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 RETURNE 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.
TERMS A30) (I)NDITH)NS CA" SAIX
0141JUS: Ilia 14 no and smTras oF sale km 10, W&W nix now do emu No hkoi\vo-"a- Saicn; and BUYL 1 VW"
"d "ind on Buy&n InAvImsc or Oct or,Aher cmunenn whAil virtmin tenrin ow anuhtion-%i nwild" jq"" add lo, or dtco,ls ;.-'rlo "A do
low kno, or cmAknin ov sInfle to 14hor ly uLvA the nmdhlon dva I'Whoeh Ano—oui C.Aiditkov of Sulu 0W be z1v NA;
�roni rid compAlls. if HBO 20 Buyer han h; 101o4o7e ovmUvd duo a ifognm 0191crt vnukv t wimmAng npwit'io ('OV..tijn;""
lizc -aie ol sueh, 011�3 Jnd condn-iO,IS -0fSoJk'h Amaraol wrnwn won; dall piva. q IF THESE FERVIS AND
(NINDITIONSAI(F NUFA03WTABIX 110 WE 31 1111. BUY19? NIL ST IA) W FN tISHERMBIEDIATEIVY
WRITING,
WA HRAN YYAX%,l1TVIA()N 01 [JABIIJTY: lY the cvvm; nnuin .if min FWwr will nwhe availoW to 11 4 b"kzy'-nrthc'
v n k0!
vromnspyn. voWSWITAM 1W WM&TY Qqwornhy Ty ro IFIS11FR DIS00IMS A! T At ARRANVIVY,
11 W 1! it it 1% OWNS! A). BIPLILED OR WATI, A&W ACITIMNU !ME AldIAN FIFS OF MARCU 1 N! A 10 1 1
1 A 1 1INLS" 11 12 A PA III I IAII INKII)SE. by w ciTn: WH Wk: be HAL kir &Wcmai or avaqwoAl Twup-,
wm4ww awhy. MEYERS SWO AND EXCLUSIVE WAIEDY A(.,AFNSTF'ISJIJ'Al 1 AN%'( OF A(AHON
ARMING Wtf OF "I SAI FOR USE, OF 'ANY IIRODIA-Ai DESCIUBED HEIZEIN SHAM, BE IZP',1l[,ACFNJ1 NT 10F
AW PR(W(A Oit REFUND QW)FITIE PKWIFASE I'RIFT, PAIDFORTIff, IIROIYUCA'.
IAAHTATION (IF A(vrj()NS: Au cavl of %'-i'kal Ag tanwh Avoronn" )9.o" Vic (.'u'aoonci' ;F <'u dl o'dh�n' onc t
yov pvto we dwy ly Uameofaunm amnlud, AV Wma xqmcing or Awl TY he deemal waked by Qv)nm
an&" CtammT mW Who ;1ma3f? in lliiihin jdncly 001 dys Emu dw W A Anvics to w0h Wi Tspw•
is rellwad
kuym 4. hmn WWWO clam! 1 to !M%TLWIY Wcfow aid
!1 CC� E l t d In i''> tm ti price wo norm! lath lmx W s dvinribcd pad A Know in corns clAmol or LUTgaii madc in tile?
Boys Unly W&WO. 110100.e liello'ra) or -,�a!ohnhh emu paqwurs wqm&g vinih dinknuv a wlkwmg; W&I Scc0l;y W.
Nvown 12413 W i-ti i,A), -1-' 1 Seci,ion 1500; A kb) IN (A BqYr Tall make "rinn, rcquest to I in the cwn Won
rt"!n!3:addhiorin mi'mindion Buy 100wr W kal, h nwel Hq relown, iw dockswvAhuxams,
RITURNS: IN 'ill i bovTwOwd piloruinkno0gary I" Kwo to Wha &xWonsom a djul") a KQ
a:5,_0LkQC1W PC w%wpt as m INS&K Wo I" vy, wl wadi in WWr`sCUUWaCaMkg
W WIN: UnIn vAcy" ise %prYin! in a, wj 70 ti mn W A haNce. K B. 04 "it g MAw tic 3'1 prcyrid W na"k U
!oChinge Or I_ Mwon "Wn, TOO I" C06 "I and a WqMRTem";ve "dial "'Olsomcm
V Wo, 1 i ant M a yv W) any am is was Ucce'"n K) Vol 0 i V I A An. "W vivo a nip ps I V-1w, 104 UK 1 n�
nv 15"r Won dw onx1oh is ow on W Ann0bod harvat A of of och .,is .it W pmd ri; Ow Buywr
CIA VVIS: My O ;n, u.nicarn" &nnigo o W in uvr& AaN he pKed Wangh aw mak tit- 101hytic
in Wvviiv 01 HUAU (Whony "Inn awhNIV o; Wre niJW=QkwQhRwdj vyncd by W ihWau AQW. NsK
-r mol 100 WKwAy, InusmstoW problew. Ankility (a WAY in P ill alcri�lN or a: uat
M n Inwerhon shorlage ace oi an% i"'d (W mikuno aullorhy. c lantivies, an o5my gwymmemal wKWAY (W 1W
ill by other tr- o Kincs 3"wsony:40 amno 4 Awh di" "folle of dclivul 1dr)c
onq)felilal "l i�i to I.Apmwo q Ywh KgO .4 Kme w am* he anvonAonvim"ary R) clwiporinve RY A &lay,
Kh"di he �lvel'nCd by, �,iO,Mj Ucd undoir �ind inierprcni,d iq amtnNuce wah 14, law, tW dw wa,.'
P=no h wirix 1i the event th a. any pnn idw inc havo shall be don ivlinod 1'o'l flli lM""oldorceahlo"' al odler S)odl!
1 4"M in ON tai '"llldcffim z 11'J Qnolmmed oil W to enAgavaloc (a the lip Amptu exic"I Ycrus'Ahle
VPUCHER 086119 WARRANT ALLOWED
m
7251 IN SUM OF
FISHER SCIENTIFIC 440371
DEPT 440371
13551 COLLECTIONS CTR DR
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9834568 01- 7202 -05 $1,176.71
9834568 01- 7202 -05 $76.78
0 1135
Voucher Total $1,253.49
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
w,
97251
FISHER SCIENTIFIC 440371 Purchase Order No.
DEPT 440371 Terms
13551 COLLECTIONS CTR DR Due Date 8/14/2008
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
I
8/1412008 9834568 $1,253.49
I
hereby certify that the attached invoice(s), or bills) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 r
U�
Date Officer