164234 09/30/2008 ��y4P CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
ONE CIVIC SQUARE FISHER SCIENTIFIC
L•- CHECK AMOUNT: $1,162.61
CARMEL, INDIANA 46032 ACCT 440371 001
13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 164234
CHICAGO IL 60693
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 0760495 1,162.61 OTHER EXPENSES
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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
Scie�ttif ®C' 606GO IL 60133 93 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 0760495
�S11389 09/10/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE DUPLICATE
B82541798 440371 -001 CHI SHIPPING POINT 09/10/2008 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE MS ISA
CARMEL UTILITIES CITY OF CARMEL PAR
STE 110 WASTEWATER TREATMENT PLT SHIPMENT
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 10/10/2008
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 09/10/2008
AMMONIA PH ADJUSTING ISA 13 641 883 3 EA 79.59 238.77
FINNTIP 63 2 -10ML BULK 100 /PK 21 377 52 10 PK 17.00 170.00
STANDARD 1M PPM N 475ML 13 641 924C 2 EA 61.75 123.50
GLASS FIBER FILTER 47MM 10OPK AP4004700 10 PK 37.80 378.00
POLYSEED CAPSULES 50 /PK 13 297 200 2 PK 87.70 175.40
RUSH SHPMT AUTHORIZATION TARA RUBUSH
MERCHANDISE SUBTOTAL 1,085.67
HAZARDOUS MATERIAL CHARGE 22.00
SHIPPING 47.79
SHIPPING -FUEL SURCHARGE 7.15
TOTAL INVOICE AMOUNT 1,162.61
FOR YOUR REFERENCE, AN ASTERISK HAS 4EEN PLACED BY THOSE 2 EMS FOR WHICH MS S(S) WILL BE P OVIDED
UNDER SEPARATE COVER. CONTACT YOUR C STOMER SERVICE REPRESENTATIVE IF ADDIT ONAL 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.
TF,R"MS AND CONDITION'S (MV SALF
ORDERS: The arms and con6low of =a cc In invuicc cnind-me dw "myoa Nowwri FAkr %wil'in mO Buyn Mm,
YAMM on Bayn punhase knkuir odor downrenis which W"Min If YMS uL COndillill! nO "It, HIP ad&Pg IY M %M61MI in
f�lshi'r upon iiic.' tha', vlwr'v Wrov Pral Cinriduhn, of Side M11 Y the Q:
4n H" and comhMrs. Ir fisher am! Buyer have MmArin Movd Bna lbyrd writat, crale <Jynn� icru cov,,'ryl�
O P A smir pRHho-lis, Ow notom And comdrins (I swh Q mal wilus) CQUAIW I AND
413NDITIONS ARE B1 NEW BUYER �n s sm oxyray sis"vio rMAIEDIATEM M
WRITING.
WARRANTITIMITACTIM III, UJABILITY: 11) Tin Cnin rhc,'
fioi f1i" poslycis,v r ,,:i ri,, in Fisher Mmuty4ye, apt is oi i'?shi h o nci"hwly N. KUL!
(9 Wronly CoiMnMhT Ore prxQ;xA,. FISHER D110
WHETHER EXPIRESSFD� ED OR STATUTORY INCLIAMNU ?WE 1% ARR %n 1 it 1W Sh NVIAMATV
A, X i
D i, FOR A PAR110 LAR PURPOSE.In noewnt shall 14ficrin
honwever arking. BUYER'S S(MA AND EMAISIVE REMEDY AGAINAF FISHI�,�R V0114 ANA CA,USJ M AC)"ICIN
AM INN OLT OFTHE SALE OR USE OF ANY PRODUCT IMMURED HEREIN, SHALL B*,
THU MODUCT OR RJ I. THE PMA LA` E PRICE PAID FORTHE 1"RODIJ, 1,
LINIMMON OF A(MONS: Any came s acin.m for brec, wa-irmy now be hinny5i 1 (Ima it w AL MO ow I j
yen hum dw daru to came of aw1m ancmaL Ail discapawy in pricing or odirx clxnqn M 1w dernned sake by
oarein.s C'ustornor m0fin Ms 0"Min N3 ilhin (51 dy> Own Me daico! k skee on v, hi, in2fi rfispuri A,
REDUCTPON DISCLOSkJRE: 1- hAs hmn inWri'ad of,mrl jaran 10 P"Torly dAckne am! Niz,1whady
Mko oil Morons or radmAiun-, priee a:oi u,. wk h finxIms cKwil "n dus immas w coms MAR j sw thaico ionic by M
Bj wr nn&r N'1 h a Me xhadd. oi federid ui aA< o hoAth cows pxngrauis requkiny wixT A c of noponry; Social Smord AM
Sn 112813 Q01 (AL 42 IM! Searni't 7b kb) ("I MY f1gerMi nake Mon ;npiest 0 t ins i in the cvcnL Myst
rn1waq addloroal Miammkon than Fisher in oiler to ineut Ins iryci` i 't' €ki�lik )c di"'C101,01V CH!t�iaioris
RE! URNSOVirikm simbMath a wram be Noaiwd pr0w Mymirrrhg on, pr"Aun io 14qwn It Wwo- now, Ain! to a 1
won" ling Char go CICOPI as (Mhvl ise spechled in Ishc"N SaWN 1414y, "n Lot 0 11sher's Cunnu Oak!,
IMMS: I-Avssajorwise njwcoicd, tenins arc ner.4) Mon M:tV AnAwc, F 0. B. vlitphT [sly. 1R-Qh,:wvpaid and Mat AU
rOClo,inge ,a•ithon! lrol.ice. el"riccd, And cilinfith"A errors nrc 'ehiii"'ka IOCQI
TA% ju pr.e; shood an oulm t-o an, add-Innn, rleuc m" V) swul 4,003. sm—y"! M-ni, Q I W now .%P\
vVivr Imes njimin, 10 ImMumm ,sere kxA dnon hawk, a I V m%M QW1 P p6A hj LK V" .4.
CLAIMS: Alry cloWn cmwo chrmage xx kas M n MY he Mand ornalh Ow cadin h) To krny�,
DIVIAVERY: SIAliping Maes arc slToninixte 10hur shall o(q w Whie }ti :my nl:'a m. hies w daimige aw,xl in Mdr in K!mii
dw io My in Vik"re to niakc (Iciivery %vhmy1sn dclol� or KIM is diivn35 Y :nchix% nj mood by Mv. MM ao M (40, MO-
ur (Mer labor lranspor!,.fion firdlan4 imbility or My tit ob(aiy lng;rCc:k>;sz1I ir 1products lfron. L;
hortages, accidont, an of any sivil (w indkim awNVQ% vvo% hov%Rno an or "v 21"amontal ayth"11 (w bi
Bavts r' or by beyondl IlAwl's rmsom1h; winvuh in mwk K
lime
t'Li "or it is he posyenrial by di QnpM j time as may Q rNrcrnah(ij n ocenywy to s"ohmsse Aw 10 daby,
MISCEMANEMY Ibis agiew"win YhAl he governed bl—Amimcd undar aid narnpuKT in awomlawc tit rho U%" MO, Malki
-rflcnri� In rho event °h<,. any p roniMo n comAncd huoin dall he do eni-hied io h e nPaninv okin I rofor pro, Mom NMI!
yl
Mo.& in Ill Mcc ",old (.ffect otild" QW Meted PRMiALM 5hM1 1 e cilstmed 4 w w to cn0v nobw P) the lism inn"n exinni parrrisinhic
VOUCHER 086310 WARRANT ALLOWED
97251 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
0760495 01- 7202 -05 $1,107.67
0760495 01- 7202 -05 $54.94
4,
Voucher Total $1,162.61
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 9/23/2008
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/23/2008 0760495 $1,162.61
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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
912-
Date Officer