161431 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
ONE CIVIC SQUARE JONES CHEMICALS, INC
CARMEL, INDIANA 46032 PO Box 412641 CHECK AMOUNT: $3,756.50
KANSAS CITY MO 64141 CHECK NUMBER: 161431
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUM A MOUNT DESCRI
601 5023990 W08263 394617 2,992.00 CHLORINE, FLOURIDE
601._ 5023990 394618 164.70-OTHER EXPENSES
601 5023990 W08263 394619 599.80 CHLORINE, FLOURIDE
i
1
L www.jcichemicals.com
INVOICE
Inv Date Invoice
ORIGINAL
JunesChemicalsInc. JCI JONES CHEMICALS, INC.. 06117/2008 394617
BEECH GROVE BRANCH LOCATIO Date Shipped Order /BOL
600 BETHEL AVENUE 06/17/2008 274995
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 f H WATER TREATMENT PLANT #5
L 3450 W. 131ST STREET
D p 5484 E. 126TH STREET
Westfield IN 46074- CARMEL IN 46032
T USA T USA
O O
Customer PO FOB Remark Freight Terms
T Rob Destination Delivered
Release Terms Due Date Ship Via Sales ID
N 30 07117/2008 JCI SOUTH
Units qackage jProduct Name Total Quantity Unit Price Amount
88.00 50 lb BAG SODIUM FLUORIDE, WHITE 88.00001E 0.680011b 2,992.00
6131 -207
SODIUM FLUORIDE, WHITE
General Remarks: RET'D 1 CL2 T
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 2,992.00
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT
Kansas City, MO 64141- USA
Page 1 of 1
i *JCI Welcomes payments by Visa, Amex, and EFT*
www.jcichemicals.com INVOICE
I
I
ORIGINAL Inv Date Invoice
jonesChem IsInc. JCI JONES CHEMICALS, INC.. 06/17/2008 394619
BEECH GROVE BRANCH LOCATIO Date Shipped Qrder180L
600 BETHEL AVENUE
06/17!2008 274998
3EECH GROVE, IN 4610
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787-8384
email: cs @jcichem.com
S CARMEL UTILITIES S ID 1
O ATTN: ACCTS PAYABLE I/�1 H WATER TREATMENT PLANT #4
L 3450 W. 131ST STREET I 10675 N. GRAY ROAD
D
Westfield, IN 46074 P CARMEL IN 46032
T USA T USA
O O
Customer PO FOB Remark Freight Terms
ROB Destination Delivered
Release Terms Due Date Ship Via Sales ID
N 30 0711712008 JCI SOUTH
Units ackage Product Name I Total Quantityl Unit Price I Amount
1.00 2,000 lb CONTAINER CHLORINE 1.00001E 0.245011b 490.00
1001 -004
CHLORINE
2.00 150 lb CYLINDER CHLORINE 2.00001E 0.366011b 109.80
1001 -006
CHLORINE
General F emarks: NO EMTIES
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 599.80
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT
Kansas City, -MO- 64141 -USA
Page 1 of 1
*JCI Welcomes payments by Visa, Amex, and EFT*
t
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
Jones Chemicals Inc. JCI JONES CHEMICALS, INC.. 06/17/2008 384618
BEECH GROVE BRANCH LOCATIO Date Shipped OrderlBOL
600 BETHEL AVENUE
06117/2008 274997
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
O 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 T USA
0 O
Customer PO FOB Remark Freight Terms
ROB Destination Delivered
Release Terms Due Date Ship Via Sales ID
N 30 07117/2008 JCI SOUTH
Units jackage Product Name Total Quantity Unit Price Amount
3.00 150 lb CYLINDER CHLORINE 3.00001E 0.366011b 164.70
1001 -006
CHLORINE
General Remarks: RET'D 3 CL2 CYL
NO DEPOSIT
F SC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 164.70
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY MMI
P.O. Box 412641 THIS AMOUNT
Kansas City, MO USA
Page 1 of 1
*JCI Welcomes payments by Visa, Amex, and EFT*
VOUCHER 082192 WARRANT ALLOWED
350726"
IN SUM OF.$
JONES CHEMICALS, INC „+Q'
PO BOX 412641 d)
KANSAS CITY, MO 64141 4
eR
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit. Trail Code
394618 01- 6180 -03 $164.70
39461 519•
,3jgGF7 01 b3 09gP- CD
Voucher Total�7, J0 4.70
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 6/30/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2008 394618 $164.70
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