165846 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC
CHECK AMOUNT: $144.56
CARMEL, INDIANA 46032 200 WILLIAM PITT WAY
PITTSBURGH PA 15238 CHECK NUMBER: 165846
CHECK DATE: 11112/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 697969 144.56 OTHER EXPENSES
ti.
INVOICE
LT LabChem Inc Invoice ID :697969
200 William Pitt Way Sales Order Ill 700781
Pittsburgh, PA 15238 Invoice Date 10/27/2008
Phone: (412) 826 -5230 Ship Date 10/27/2008 10:22:51 AM
Fax: (412) 826 -5234 Customer PO ID TARA
Page Number 1 of I
AR Terms: Net 30 Days Du Dat 11/26/2008
Bill To 1 265 snip To
CARMEL WWTP CARMEL WWTP
ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY
760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935
SUITE 110 USA
CARMEL, IN 46032
USA
Order Date: 10/24/2008 FOB: Pittsburgh, PA
Packing Slip: 298098 Currency Type USD
Ship Method: FedEx Ground Service
Bill of Lading:
Line Nbr/ Item ID Item Name Unit of Shipped Unit Price Disc Sales Tax Extra Extended
PO Line Cast Item ID Measure Qty VAT Charges Price.
1 LC148451 GLUCOSE- EA 3.00 $26.2000 0.60% $0.0000 $78.60
GLUTAMIC ACID
1
Lot Number Lot Trans Qty
8261 -06 3
Line Item Total: $78.60
2 LC226002 SILVER NITRATE, EA 3.00 $19.2000 0.00% $0.0000 $57.60
0.0141N (0.0141M)
2
Lot Number Lot "Trans ON
8147 -08 3
Line Item Total: $57.60
Total: $136.20
Sales Tax: $0.00
VAT Tax: $0.00
Shipping Charges: $836
Due Amount: $144.56
Form #34.00 10/26/2005 PM See "www.labchem.net" for C of A and MSDS Information All Products Made In USA
VOUCHER 086608 WARRANT ALLOWED
358238 IN SUM OF
LABCHEM INC
2 WILLIAM PITT WAY
PITTSBURGH, PA 15238
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
697969 01- 7202 -05 $144.56
Voucher Total $144.56
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
358238
LABCHEM INC Purchase Order No.
200 WILLIAM PITT WAY Terms
PITTSBURGH, PA 15238 Due Date 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 697969 $144.56
7
hereby certify that the attached invoice(s), or bill(s) is (are) true and E2
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer