167325 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
=1 ONE CIVIC SQUARE FISHER SCIENTIFIC
CARMEL, INDIANA 46032 ACCT 440371 -001 CHECK AMOUNT: $178.06
13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 167325
CHICAGO IL 60693
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER, A DESCRIPTION
1110 4239099 2075733 178.06 OTHER MISCELLANOUS
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REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00- 432 -1519
Fish or ACCT# 950782 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Scien !C CHICAGO IL 60133 PLEASE REFER TO THIS INVOICE
�1 60693
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 2075733
ORDERI2 /10 /08SGT.ELLIOTT 12/11/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
H83450275 950782 -001 CHI SHIPPING POINT 12/10/2008 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE SGT ELLIOTT THIS ISA
CITY OF CARMEL CITY OF CARMEL PARTIAL
POLICE DEPT POLICE DEPT SHIPMENT
3 CIVIC S4 3 CIVIC SQ DUE: 01/11/2009
CARMEL IN 46032 -2584 CARMEL IN 46032 -2584 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 SGT JOHN ELLIOTT
PHONE- 317 -571 -2515
FOR YOUR PROTECTION, OUR COMPANY DOEI NOT ACCEPT CREDIT CAID NUMBERS VIA FAC OR EMAIL
SHIPMENT NBR: 001 FROM: MWD ON 12/11/2008
CHLOROFORM CERTIFIED ACS 500ML C298 500 2 EA 31.14 62.28
WEIGHING PPR 6X6 IN 500 /PK 09 898 12C 2 PK 17.29 34.58
BEAKER SET POLYPROPYLENE 5 /PK 02 591 16 1 PK 21.60 21.60
MERCHANDISE SUBTOTAL 118.46
HAZARDOUS MATERIAL CHARGE 22.00
SHIPPING 37.60
TOTAL INVOICE AMOUNT 178.06
FOR YOUR REFERENCE, AN ASTERISK HAS IEEN PLACED BY THOSE 2 EMS FOR WHICH MS S(S) WILL BE P OVIDED
UNDER SEPARATE COVER. CONTACT YOUR C STOMER SERVICE REPRES NTATIVE IF ADDITIONAL INFORMATI N NEEDED.
THERE IS A $22.00 HAZARDOUS MATERIAL HANDLING CHARGE.
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 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.
TERRAS AM) (IINDITU)NN CHI SAIA
ORDERS: The krms and vmylisms of M un,hi, invoice constim the ow tons ho ;an 104 KIM& 6ove s
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no IN am! U)MMA. U fidior nol Buyer Nov norwWrc cotteral My a 11MW "Idicri coran"I cow"ning aparm,:',
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WHEMER EXPRF, SFIJ, IM11JED OR S! kTUTORI'A NCI &DING aw wart AN ()F NIMCILM 1,11MIATY
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Qlvxuo'cl xxq AND 1OXCLUSIVE REMEDY ACIA5.. 1 MIMI[ 4,14 ANY tACNE ION
A III I ,1) G I I a. ''ITIE SAIA LIE MAW PROD L17 ING(A)VED HERFIN 111 l-, R, I-: ill A IVOF
THE PRMH CT OR REFUND OF THE PURCHASE. PP`B-'v PAID FOR 1'111-'PROW-1-71%
LWITMON OF WrIONIA Avy orruse of oafon bW Man Of %WTOMY inna be Wiplo by Cummp� !;a WL "Abn oSl t 11
yon linin Ow duo do: cauve olonkm amrned- Any disarpucy in pricitig or,Wwr cKay" Vah be dvanai waked by (ana)- wi
£,P c7n. MWr MAY, Wrer in vvroh, "Ahin niory (to &y4 Kom dr-- dio: sxh ilispttt'-A
I"ZiPT In been WkwPial of atul igronn 10 PaNwrl; 14phWe am!
nih, any discoom or inclunions in prick: as nth linAnts dewribcd oH this invoice in cknis c%pej IV AWITVS:padis by the
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Sc :Wm 1129EN Q Q jAj 42 W C. %roctiort 7h {b) tT W Buyer TO! make Winn rojiw,t to 110a At Vic event 13"yor
rayonq addithintA ArkwMalum Fron I'isher hi "M ni Inect repoturig d"Wate vwl"Whnt�'
RVTIMNS: WWi a iii oriziobw inn be o rd prAw in rinfiat any p"Wra to Writ k 04hw1 u 04ni w n 15
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y" a- or snitni to ohange wohow m0co SwoopqAtc, cletivan wid iitlll, ,te C enon are od"ni h
TA We 11c P d_ n a 1 s Kd zoo st"I V) any adjxis mocenivy w cover WhAvl, Shan. or o'dt�l of
Chi WS, To 0, 14 10 AM!- W W RVI W=W 11WIL MT "Wh And 5 OK 01 NWTV
MAWS: Any cishriq anicanog chnmyq ka ;t; in uwrsh 40 lw pInvd Gonyli We can WT bj the Wayn,
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ilp on (j Wy it m jaduni h) m0n vVINer, whcri sucn dely ow Mum is dirowly oi indirenly wancd h No QW. an AWL n6k
or mhuy labor prohlwns, itrabiliq or &hq in clHavog neccnal kohc InWWA4 or PNAUCO jvvv U3aW1
of any cail or irdInar_v iatnlorh.y' hoslijnies ii"! III' any 'tnd 6 y or ih�
WOOL (W by Oxxxqn,ance ofsp orlhw colaimneacy bey-ond lWaor's noasotamic connid. in nmh evant, Ow am (4,415vay or M:
or conTplion 3. SE: he pos"(;ned 11 such lengyn We aq rmy, to rewonal:nI,' ace -,sary iI) for I'v" d'L iy
plc S('
Mj he nweined by, Lind,n'vnd knaqwwoi qnaconk"ce sith the bob Mw nw-
;'cm 6n ht fit!] f, ice and Mo cnO Me aWwd novk% And he ccaistrucd ip as P) 1v MAWR P) th inammum extem
b, applkahic Ian
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Fisher Scientific Purchase Order No.
ACCT #950782 -001
13551 Collections Center Drive Terms
Chicago, IL 60693 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/11/08 2075733 payment for lab supplies 178.06
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fisher Scientific
ACCT 4950782 -001 IN SUM OF
13551 Collections Cdnter Drive
Chicago. TL 60133
178.06
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 2075733 390 -99 178':06 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
December 18 20 08
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund