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Home My WebLink About155156 01/08/2008 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1 ue ONE CIVIC SQUARE FISHER SCIENTIFIC CARMEL, INDIANA 46032 ACCT #440371-001 CHECK AMOUNT: $158.49 13551 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 155156 CHECK DATE: 1/8/2008 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 4756763 158.49 4756763 I =a I REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00- 432 -1519 F i she r ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE SCienfifl� 6069GO IL 60133 3 PLEASE REFER TO THIS INVOICE NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 4756763 510939 12/12/2007 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE 7PLICATE B73463233 440371 -001 CHI SHIPPING POINT 12/12/2007 1 SOLD TO: SHIP TO: INVOICE TYPE: NOR FON CON ACCOUNTS PAYABLE n -CARMEL UTILITIES CITY OF CARMEL PARn STE 110 WASTEWATER TREATMENT PLT nR� 760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 01/11/2008 sHtrMErrr CARMEL IN 46032 -7612 INDIANAPOLIS IN 46280 -2935 TERMS: NET 30 DAYS FROM INVOICE DATE. PAYABLE IN U.S. CURRENCY. Visit the Fisher Web Sitewww_fishersci.com DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT NUMBER SHIPPED CALLER -TARA RUBUSH PHONE -317- 571 -2634 SHIPMENT NBR: 001 FROM: MWD ON 12/12/2007 POTASSIUM IODIDE CERT ACS 10OG P410 100 1 EA 60.30 60.30 FINNTIP 63 2 -10ML BULK 100 /PK 21 377 52 10 PK 19.00 190.00 BUFFER COLRD RED PH 4.00 500ML SB101 500 4 EA 18.92 75.68 BUFFER CLRD YEL PH 7.00 500ML SB107 500 4 EA 18.58 74.32 BUFFER COLRD BLUE PH 10 500ML SB115 500 4 EA 19.02 76.08 AMMONIA PH ADJUSTING ISA 13 641 883 2 EA 79.59 159.18 RUSH SHPMT AUTHORIZATION TARA RUBUSH MERCHANDISE SUBTOTAL 635.56 HAZARDOUS MATERIAL CHARGE 21.50 SHIPPING 47.84 SHIPPING -FUEL SURCHARGE 3.45 TOTAL INVOICE AMOUNT 708.35 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. THERE IS A $21.50 HAZARDOUS MATERIAL HANDLING CHARGE. PLEASE USE REMIT TO ADDRESS ABOVE AND INCLUDE DEPT. NBR. SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE. THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION AND SIGNED FOR BY THE TRANSPORTATION COMPANY. CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF GOODS TO CARRIER. DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT. WITHOUT THIS .DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED. SELLER CERTIFIES THAT ALL GOODS (OR SERVICES) COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12 OF THE FAIR LABOR STANDARDS ACTS OF 1938, AS AMENDED, AND OF THE REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION. THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE. SOME PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. SEE REVERSE SIDE FOR DISCOUNT OR PRICE REDUCTION DISCLOSURE REQUIREMENTS. ,.V }i; O lah "l lo ,iY w toot p No f— Jif Y. 'a rAAKA 1 W! _S A 1 To Hn 0 pc'.,t d,, ti H An pile aii, I i "t. n1.a.Ci 5 e 2 3 a AV) V gg RUN Q, M Ab A L 1 ANY NEW gg -W, q Kin h" ha m in ty 1W (Aunt Ap p„ .t jy 1 4 k €c }[i €1 .,...11 4l4nt my din T ku An non w bi j a n Nh An WI CO 1 K LO MO In WIMITO', I NQ tol W m ow q,$ I ....iY ot qVC10K. t 011 Sc rm t nll ii ,3[ y 5 (I A h w yy ,s, 3E, z w}l j, W t�l��. d 3 1. t .E I p F;3a.`cd Onnigh 10 9i Ff =6, .s io e ,st, t 1 lc .ho on c ,,,i in nNand lllini, off), iN tl', °tt',, i_'C.., s? ;F, '.«.,a 0 tt; „q WA 11 i,.i`Y�di u w iiE 91 "sL 1, i�"t alkt,'� A nll. m. Hx .,_r.:c, i t s rew hi1? "cal, i� �,l}i.. e .,a«' i F`:q l �t�: t nal, 4 i M 7;._F T nun w! on s_. it Aw d.'i;2 TOK"AAAAK 33 K Mn Pam „w(r, map hw yo wnsd .ii nriradti lld.f a€; itsi .a mg rt.ssms ..w w L:k G Pw Ow nn N wd X37, &w '.3 jH btic dab—row{ k 1v upankowthiq ad whar jAn w a__ 1*0 10 0000? tit, AMA Q i �0.2.11"t7i W, ,7:, w A cEtk b3c E We _t ,.,.3(9 n t. I REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00- 432 -1519 Fis her ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE Scientife� 6069G0 IL 60133 3 PLEASE REFER TO THIS INVOICE NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 7 510135/CR 01/03/2007 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE I PAGE DUPLICATE D70039887 440371 -001 CHI SHIPPING POINT 01/03/2007 1 SOLD TO: SHIP TO: INVOICE TYPE: NOR FON CON ACCOUNTS PAYABLE nESISA -CARMEL UTILITIES CITY OF CARMEL PARTIAL STE 110 WASTEWATER TREATMENT PLT SHIPMENT 760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 02/02/2007 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 JANICE RICKER -CLAIM PHONE -630- 259 -12OX COLIFORM WATER BATH SMALL 120V 15 459 12 1 EA 1,520.22 1,520.22 PARTIAL DAMAGE RETRN TO STOCK TOTAL INVOICE AMOUNT 1,520.22 PLEASE USE REMIT TO ADDRESS ABOVE AND I CLUDE DEPT. NBR. CREDIT CREDIT CREDIT CREDIT 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 BETW EEN THE PARTIES. SEE REVERSE SIDE FOR DISCOUNT OR PRICE REDUCTION DISCLOSURE REQUIREMENTS. VOUCHER 076996 WARRANT ALLOWED F `97251_Q(�? IN SUM OF FISHER SCIENTIFIC 440371 DEPT 440371 h t? 13551 COLLECTIONS CTR DR CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 4756763 01- 7202 -05 $158.49 I Voucher Total $158.49 ".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, G price per unit, etc. Payee 97251 FISHER SCIENTIFIC 440371 Purchase Order No. DEPT 440371 Terms 13551 COLLECTIONS CTR DR Due Date 12/29/2007 CHICAGO, IL 60693 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/200 4756763 $158.49 i i 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 1J Date Officer