164703 10/16/2008 VENDOR: 097251 Pa e 1 of 1
CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE FISHER SCIENTIFIC CHECK AMOUNT: $261.04
`I1 CARMEL, INDIANA 46032 ACCT 440371 -001
13551 COLLECTIONS CENTER DRIVE
o CHECK NUMBER: 164703
CHICAGO IL 60693
CHECK DATE: 10/16/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1290542 261.04 7202.5
1
s 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
Scientific 60693 PLEASE IL 60133 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE
TARA 10/01/2008 1290542
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
B82755993 440371 -001 CHI SHIPPING POINT 10/01/2008 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE
'nRs[sn
CARMEL UTILITIES CITY OF CARMEL
PARTL&L
STE 110 WASTEWATER TREATMENT PLT
S19PNINT
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 10/31/2008 SHIPME
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
FOR YOUR PROTECTION, OUR COMPANY DOEE NOT ACCEPT CREDIT CARD NUMBERS VIA OR EMAIL
SHIPMENT NBR: 001 FROM: MWD ON 10/01/2008
TBG SILICON 3/8X5/8 50 1 1CS 14 176 332L 1 CS 239.88 239.88
RUSH SHPMT AUTHORIZATION TARA RUBUSH
MERCHANDISE SUBTOTAL 239.88
SHIPPING 14.56
SHIPPING -FUEL SURCHARGE 6.60
TOTAL INVOICE AMOUNT 261.04
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
PY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12
JF 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 MAYBE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. SEE REVERSE SIDE
FOR DISCOUNT OR PRICE REDUCTION DISCLOSURE REQUIREMENTS.
S7 7
71
7 v:7
7z
qp
77
VOUCHER 086427 WARRANT ALLOWED
9751 IN SUM OF
FISHER SCIENTIFIC 440371
DEPT 440371
v-Y3551 COLLECTIONS CTR DR
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1290542 01- 7202 -05 $261.04
Voucher Total $261.04
.ost distribution ledger classification if
,;m 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 10/7/2008
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/2008 1290542 $261.04
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 t
A /z
Date Officer