157884 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $202.95
CHICAGO IL 60673 -1232
CHECK NUMBER: 157884
CHECK DATE: 4/1/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
651 5023990 480298 202.95 OTHER EXPENSES
,M
ORIGINAL emit A ce �.ddress:
INVOICE
CH H. REORDERS CALL: 1- 800 -527 -9921 CIIEMSEARCH
CO111ZPSPONDENC1` TO: 23261 NETWORK PLACE
P.O. BOX 152170 FAX 1- 972 438 -0634 CHICAGO. IL 60673 -1232
1RVING.TEXAS 75015 www.CHEMSEARCI -Isom
SOLD TO: SHIPPED TO:
PAULARNONE
Electronic Funds Transfer
(EFT)
CITY OF CARMEL UTILITY
CITY OF CARMEL UTILITY 901 N RANGELINE RD payments are encouraged
CARMEL IN
760 3RD AVE SW STE 110 46032
CARMEL IN 46032 To enroll please call
1- 800 -52 7- 9919 -X0831
Cust. Acct. No. Invoice No. Invoice Date Terms. °Sales R:ep Order No. Ship Date Customer P.O. No.
80218959 480298 03 -13 -08 NET 10 DAYS I 6388 0898@ 03- 12-08
Product Packaging Description Unit Price Qty Billed Amount
5498 1 DOZ FULLBACK AEROSOL 198.00 1 DOZ 198.00
Ylerchandise State Tax Local Tax *Shippint Inv. Total Amount
198.00 1 4.95 1 202.95
IN Tax 003512371 -001 -3 Federal Id #75- 0457200
CHEMSEARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. •DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES F.O.B. DELVD.
VOUCHER 085116 WARRANT ALLOWED
0035978
IN SUM OF
CHEMSEARCH
23261 Network Place
Chicago, IL 60673 -1232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
480298 01- 7200 -02 $202.95
Voucher Total $202.95
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
00352978
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673 -1232 Due Date 3/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/21/2008 480298 $202.95
A
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 f.
Date Officer