160353 06/10/2008 CITY OF CARMEL, INDIANA. VENDOR: 097251 Page 1 of 1
yf l ONE CIVIC SQUARE FISHER SCIENTIFIC
CARMEL, INDIANA 46032 ACCT 440371 -001 CHECK AMOUNT: $2,429.09
13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 160353
CHICAGO IL 60693
CHECK DATE: 6/10/2008
DEPARTME ACCOUNT PO NUMBER INV NUM AMOUNT DESCRIPTION
651 5023990 8431588 2,429.09 OTHER EXPENSES
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REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00- 432 -1519
Fisher
ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Scien#'f'C 60693G0 IL 60133 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 8431588
511213 05/29/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
B81501191 440371 -001 CHI SHIPPING POINT 05/29/2008 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE THIS IS A
CARMEL UTILITIES CITY OF CARMEL PARTIAL
STE 110 WASTEWATER TREATMENT PLT SHIPMEPI7
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 06/28/2008
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
PHONE- 317 571 -2634
SHIPMENT NBR: 001 FROM: MWD ON 05/29/2008
PIPET VOLUMETRIC CLASS A 25ML 13 650 2P 4 EA 15.78 63.12
GLASS FIBER FILTER 47MM 100PK AP4004700 10 PK 37.80 378.00
DRI CONTRAD POWDER DETERG 2KG 04 355 4 1 CS 134.09 134.09
FB NITRILE GLV PF LF M 100 /PK 19 130 1597C 1 CS 136.35 136.35
BUFFER COLRD RED PH 4.00 500ML SB101 500 4 EA 14.56 58.24
BUFFER CLRD YEL PH 7.00 500ML SB107 500 4 EA 14.29 57.16
BUFFER COLRD BLUE PH 10 500ML SB115 500 4 EA 14.63 58.52
AMMONIA PH ADJUSTING ISA 13 641 883 2 EA 79.59 159.18
STANDARD 1M PPM N 475ML 13 641 924C 1 EA 61.75 61.75
FINNTIP 63 2 -10ML BULK 100 /PK 21 377 52 10 PK 17.00 170.00
FB GLV LTX PF AMBI LG 100 /PK 11 394 5C 4 CS 94.42 377.68
FB NITRILE GLV PF LF L 100 /PK 19 130 1597D 4 CS 119.16 476.64
POLYSEED CAPSULES 50 /PK 13 297 200 2 FK 87.70,; 175
MERCHANDISE SUBTOTAL 2,306,13
—HAZARDOUS -m-kTITRIA! LU l C° I 21.50
SHIPPING 95.96
SHIPPING -FUEL SURCHARGE 5.50
TOTAL INVOICE AMOUNT 2,429.09
FOR YOUR REFERENCE, AN ASTERISK HAS BEEN PLACED BY THOSE I EMS FOR WHICH MS S(S) WILL BE P It OVIDED
UNDER SEPARATE COVER. CONTACT YOUR C STOMER SERVICE REPRES NTATIVE IF ADDITIONAL INFORMATION NEEDED.
CONTINUED
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 eHE 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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REMIT TO: INQUIRE AT: 800) 766 -7000 D- U- N -S -00- 432 -1519
Fished ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
t dontific CHICAGO IL 60133 60693 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 8431588
511213 05/29/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
B81501191 440371 -001 CHI SHIPPING POINT 05/29/2008 2
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE
THIS IS n
CARMEL UTILITIES CITY OF CARMEL
PARTIAL
STE 110 WASTEWATER TREATMENT PLT
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 06/28/2008 SHIPMENT
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
THERE IS A $21.50 HAZARDOUS MATERIAL HANDLING CHARGE.
PLEASE USE- REMIT TO A_TX)RESS -A_L OVF AND-!! CTATDE 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 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.
VOUCHER 085632 WARRANT ALLOWED
97251 IN SUM OF
FISHER SCIENTIFIC 440371
5
1 13551 COLLECTIONS CTR DR
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
8431588 01- 7202 -05 $2,327.63
8431588 01- 7202 -05 $101.46
Voucher Total $2,429.09
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 6/4/2008
CHICAGO, IL 60693
Invoice Invoice Description
,Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2008 8431588 $2,429.09
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