HomeMy WebLinkAbout200874 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
Q ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $3,26195
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 200874
CHECK DATE: 8130/2011
DEPARTMENT ACCOUNT PO NUM BER INVOICE N UMBER AMOUN DESCRIPTION
604 5023990 7369195 3,263.95 OTHER EXPENSES
A. DETACH HERE Original
INV NO 7369195 DATE: 1 08/09/2011
S 4 6 0 7 4 8 2 6 7 3 PURCHASE W09571
O ORDER
CARMEL UTILITIES NUMBER
D L, ST TERMS y
3450 W 131 ST S Net 30 Days From Invoice Date
3450 W
T CARMEL, IN 46074 -8267
O United States FREIGHT Prepay And Bill Customer
g Sort Seg: 160
CARRIER RPS- RPS**FedEx- Ground
H CARMEL UTILITIES ACCOUNT 052653
1 FOREMAN, JAIMIE REF. NO. 311700363-1 JRemit to:
P 5484 E 126TH ST Hach Company
WATER TREATMENT PLANT 2207 Collections Center Dr
T CARMEL, IN 46033 -9289 Chicago, 1L 60693
O United States Phone: (800) 227 -4224
These commodities are sold, packaged, marked, and labeled for destinations in the United States Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE
2 KTO:CHLORINE ANLZR TOTAL CL17 W /RGTS 5440002 1 3,194.00 3,194.00
ORDER CONTACT: SUBTOTAL 3,194.00
JAIMIE FOREMAN FREIGHT CHARGES 69.95
317 -733 -2855 TAX 0.00
Notes: INVOICE TOTAL 3,263.95
For order discrepancies or product exchanges please call 800 227 -4224 or 970 -669 -3050 to obtain Return Authorization. E
FEDERAL TAX 10 42- 0704420
Hach Hydromet Hatch Flow Products Services Environmental Test, Systems (ETS) Other Hach Brands
800- 94973766° 8007368 -2723 800 548:4381 800 -454 -0263
IF ax:'970- 461 -3921 Fax; 301- 874 -8459 Fax: 574 26'4 -4533
Fax: 970 461 =3919
VOUCHER 112273 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693 WATER.
OPERAMONS j
Carmel Water Utility
I
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7369195 02- 2308 -00 $3,194.00
Depreciation
7369195 02- 2308 -00 $69.95
Depreciation
i
Voucher Total $3,263.95
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 8/24/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2011 7369195 $3,263.95
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
Date Officer