157926 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
ONE CIVIC SQUARE FISHER SCIENTIFIC
CARMEL, INDIANA 46032 ACCT 950782 -001 CHECK AMOUNT: $1,023.26
13551 COLLECTIONS CENTER DRIVE
CHECK NUMBER: 157926
CHICAGO IL 60133
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 511095 6368220 1,023.26 LAB SUPPLIES
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 CHICAGO IL 60133 PLEASE REFER TO THIS INVOICE
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 6368220
S11095 03/07/2008
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE DUPLICATE
B80672042 440371 -001 CHI SHIPPING POINT 03/07/2008 1
SOLD TO: SHIPTO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE
CARMEL UTILITIES CITY OF CARMEL PARTI
I
STE 110 WASTEWATER TREATMENT PLT ax�
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE 04/06/2008 sfnrNm�r
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 -DAVE DYE
PHONE 317 -571 -2634
SHIPMENT NBR: 001 FROM: MWD ON 03/07/2008
FB GLV LTX PF AMBI LG 100 /PK 11 394 5C 3 CS 94.42 283.26
FB NITRILE GLV PF LF L 100 /PK 19 130 1597D 3 CS 119.16 357.48
DRIERITE INDICAT 8 MESH 5LB 07 578 3B 1 EA 48.47 48.47
ORDERED PART 326895
ALCOHOL SWABS 1200 /CS 13 680 63 1 CS 22.27 22.27
ORIG CAT NBR 326895
HYDRION REFILL 1 -12 5 /PK 14 853 22 5 PK 5.38 26.90
POLYSEED CAPSULES 50 /PK 13 297 200 1 PK 87.70 87.70
ORDERED PART 080513
DO PROBE MAINT KIT 13 302 32 1 EA 138.00 138.00
ORIG CAT NBR 080513
MERCHANDISE SUBTOTAL 964.08
SHIPPING 54.78
SHIPPING -FUEL SURCHARGE 4.40
TOTAL INVOICE AMOUNT 1,023.26
FOR YOUR REFERENCE, AN ASTERISK HAS IEEN PLACED BY THOSE I EMS FOR WHICH MS S(S) WILL BE P OVIDED
UNDER SEPARATE COVER. CONTACT YOUR C STOMER SERVICE REPRES NTATIVE IF ADDIT ONAL INFORMATI N NEEDED.
PLEASE USE -REMIT TO ADDRESS ABOVE ;,!D I!CLUDE DEPT. N °R..
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.
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VOUCHER 085100 WARRANT ALLOWED
97251 IN SUM OF
F'rSHER SCIENTIFIC 440371
L;EPT 440371
f 551 COLLECTIONS CTR DR
dCAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7
6368220 01- 7202 -05 $964.08
6368220 01- 7202 -05 $59.18
o�
Voucher Total $1,023.26
y
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
r�
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,
9
price per unit, etc.
Payee
97251
FISHER SCIENTIFIC 440371 Purchase Order No.
DEPT 440371 Terms
13551 COLLECTIONS CTR DR Due Date 3/18/2008
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2008 6368220 $1,023.26
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
31
Date Officer