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Home My WebLink About163265 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1 ONE CIVIC SQUARE JONES CHEMICALS, INC CARMEL, INDIANA 46032 PO BOX 412641 CHECK AMOUNT: $2,404.94 KANSAS CITY MO 64141 CHECK NUMBER: 163265 CHECK DATE: 9/3/2008 DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT D ESCRIPTION 601 5023990 W08364 4002817 370.97 CHLORINE 6.01 5023990 W08364 402818 317.97 CHLORINE 601 5023990 W08364 402822 1,716.00 CHLORINE r: I i Jjloncs www,jcichemicals.com INVOICE Inv Date Invoice ORIGINAL C hemicaE-lnc. JCI JONES CHEMICALS, INC.. 08/12/2008 402822 BEECH GROVE BRANCH LOCATIO Date Shipped Order /BOL 600 BETHEL AVENUE 08!1212008 281423 3EECH GROVE, IN 46101 Customer Number Phone: (317) 787 -8382 20142250 Fax: (317) 787-8384 email: cs @jcichem.com S CARMEL UTILITIES S ID 2 0 ATTN: ACCTS PAYABLE H WATER TREATMENT PLANT #5 L 3450 W. 131 ST STREET I D p 5484 E. 126TH STREET Westfield IN 46074- CARMEL IN 46032 T USA T USA 0 S( O WA 1A �i Customer PO _FOB Remark Freight Terms ROB Destination Delivered Release Terms Due Date Ship Via Sales ID N 30 09111/2008 JCI SOUTH Units jackage Product Name Total Quantity Unit Price Amount 44.00 50 lb BAG SODIUM FLUORIDE, WHITE 44.00001E 0.780011b 1,716.00 6131 -207 SODIUM FLUORIDE, WHITE (e) General Remarks: DELIVERED 44/50# B S NOTHING RETURNEE FSC EXEMPT PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total: 1,716.00 Remit To: JCI Jones Chemicals, Inc. PLEASE PAY P.O. Box 412641 THIS AMOUNT Kansas City, MO 64141- USA Pagel of-1 *JCI Welcomes payments by Visa, Amex, and EFT* www.jcichemicals.com INVOICE Inv Date Invoice ORIGINAL Jones Chemiuils[n<. JCI JONES CHEMICALS, INC.. 08/12/2008 402817 BEECH GROVE BRANCH LOCATIO Date Shipped OrderlBOL 600 BETHEL AVENUE 08!1212008 281239 3EECH GROVE, IN 46101 Customer Number Phone: (317) 787 -8382 20142250 Fax: (317) 787-8384 email: cs @jcichem.com S CARMEL UTILITIES S ID 2 O ATTN: ACCTS PAYABLE H WATER TREATMENT PLANT #5 L 3450 W. 131ST STREET I 5484 E. 126TH STREET D P Westfield, IN 46074- CARMEL IN 46032 T USA I T USA Customer PO FOB Remark Freight Terms ROB Destination Delivered Release Terms Due Date Ship Via Sales ID N30 0911112008 JCI SOUTH Units jackage Product Name Total Quantity Unit Price Amount Loo 150 Ib CYLINDER CHLORINE 7.00001E 0.3533IIb 370.97 1001 -006 CHLORINE General Remarks: RET'D 7 CL2 CYL NO DEPOSIT FSC EXEMPT PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total: 370.97 Remit To: JCI Jones Chemicals, Inc. PLEASE PAY P.O. Box 412641 THIS AMOUNT Kansas City, MO 64141- LISA Page 1 of 1 *JCI Welcomes payments by Visa, Amex, and EFT* QnjognesCheniici)- www.jcichemicals.com INVOICE Inv Date Invoice ORIGINAL Inc. JCI JONES CHEMICALS, INC.. 08/12/2008 402818 BEECH GROVE BRANCH LOCATIO Date Shipped Orde, /BOL 600 BETHEL AVENUE 08112/2008 2 3EECH GROVE, IN 46101 Customer Number Phone. (317) 787 -8382 20142250 Fax: (317) 787-8384 email: cs @jcichem.com S CARMEL UTILITIES S ID 10 0 ATTN: ACCTS PAYABLE H WATER TREATMENT PLANT #3 L 3450 W. 131ST STREET I 4425 E. 126TH STREET D P Westfield IN 46074- CARMEL IN 46032 T USA l.. T USA O O I Customer PO FOB Remark Freight Terms ROB Destination Delivered Release Terms Due Date Ship Via Sales ID N 30 09111/2008 JCI SOUTH Units qackage Product Name Total Quantityl Unit Price I Amount 6.00 150 Ib CYLINDER CHLORINE 6.00001E 0.35331Ib 317.97 1001 -006 CHLORINE General Remarks: RET'D 5 CL2 CYL NO DEPOSIT FSC EXEMPT PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total: 317.97 Remit To: JCI Jones Chemicals, Inc. PLEASE PAY MMI P.O. Box 412641 THIS AMOUNT Kansas City, MO 64141- USA Page 1 of 1 *JCI Welcomes payments by Visa, Amex, and EFT* VOUCHER 082746 WARRANT ALLOWED 350726 IN SUM OF .TONES CHEMICALS, INC �VJ PO BOX 412641 KANSAS CITY, MO 64141 M FR Carmel Dater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 407.818 01- 6180 -03 $317.97 3 -.9 �kaa$aa 6( o s 1 -W Voucher Total 9L1 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 350726 JONES CHEMICALS, INC Purchase Order No, PO BOX 412641 Terms KANSAS CITY, MO 64141 Due Date 8/25/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/25/2008 402818 $317.97 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