176740 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1
�f ONE CIVIC SQUARE FISHER SCIENTIFIC CHECK AMOUNT: $842.87
CARMEL, INDIANA 46032 ACCT 440371 -001
oN ,�o 13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 176740
CHICAGO IL 60693
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUN PO NUMBER IN VOICE NU MBER AMOUNT DESCRIPT
651 5023990 7644888 842.87 OTHER EXPENSES
REMIT TO: INQUIRE AT: (800) 766 -7000 D- U- N -S -00- 432 -1519
(D ACCT# 440371 -001 4500 TURNBERRY DRIVE FEIN 23- 2942737
Fisher Scientific 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE
Pert of Thermo Fisher Scientific CHICAGO IL 60133 PLEASE REFER TO THIS INVOICE
60693
NUMBER ON YOUR REMITTANCE
CUSTOMER PURCHASE ORDER NUMBER RELEASE NUMBER INV. DATE 7644888
S11822 08/18/2009
ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE
A92296706 440371 -001 CHI SHIPPING POINT 08/17/2009 1
SOLD TO: SHIP TO: INVOICE TYPE:
NOR FON CON
ACCOUNTS PAYABLE TARA RUBUSH
CARMEL UTILITIES CITY OF CARMEL 17 °S IS A
STE 110 WASTEWATER TREATMENT PLT PAR'nAL
760 3RD SW AVE 9609 HAZEL DELL PKWY DUE: 09/17/2009 SHIPM to r
CARMEL IN 46032 -7612 INDIANAPOLIS IN 46280 -2935 TERMS: NET 30 DAYS FROM INVOICE DATE.
PAYABLE IN U.S. CURRENCY.
Visit: www.fishersci.com
DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT
NUMBER SHIPPED
CALLER -TARA RUBUSH
PHONE 317 -571 -2634
SHIPMENT NBR: 001 FROM: MWD ON 08/18/2009
BOTTLE MILK DILUTION 48 /CS 03 422 13 1 CS 227.84 227.84
TBG SILICON 3/8X5/8 50 1 /CS 14 176 332L 2 CS 295.49 590.98
MERCHANDISE SUBTOTAL 818.82
SHIPPING 21.30
SHIPPING -FUEL SURCHARGE 2.75
TOTAL INVOICE AMOUNT 842.87
FOR YOUR PROTECTION, OUR COMPANY DOEE< NOT ACCEPT CREDIT CAZD NUMBERS VIA FAK OR EMAIL
TELL US ABOUT YOUR RECENT CUSTOMER SE VICE EXPERIENCE BY CO PLETING A SHORT 3URVEY. THIS S OULD TAKE NO LONGER
THAN THREE MINUTES. ENTER THE LINK IN 70 YOUR INTO YOUR BROW 3ER AND ENTER THE PASSCODE SHOWN
http://survey.mec.allia.com/fishersci PASSCODE: USA PGH -CS1
PLEASE USE REMIT TO ADDRESS ABOVE AND I CLUDE DEPT. NBR.
SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS
PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE. THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION
AND SIGNED FOR BY THE TRANSPORTATION COMPANY. CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF
GOODS TO CARRIER. DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF
CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT. WITHOUT THIS
DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED. SELLER CERTIFIES THAT ALL GOODS (OR SERVICES) COVERED
BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12
OF THE FAIR LABOR STANDARDS ACTS OF 1938, AS AMENDED, AND OF THE REGULATIONS AND ORDERS OF THE
UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION.
THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE. SOME
PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. SEE REVERSE SIDE
FOR DISCOUNT OR PRICE REDUCTION DISCLOSURE REQUIREMENTS.
TERN;IS AND CONDITIONS OF SALE
ORDJ The lurar, and corldiNnis of We orl i4v im (An constitute die contract heinwan fisher Sciendfic mr.1 Buyer. Wxs
MGM tin BuyM purchase ("ki: (w ohn documents wKch cotuain Wrm"w ciWitions inodif) irlg, addill�: to. or inconsistent otijill
there lCralsor condhion� areac,�cptahle R) I-Asher only uImn the condition Wr 11hel'N Milt and Conditkniq 4 We AW he rho mW
Rains and aWkwo. It Fisher and Buyer hmw herNMAc enwrod into a forms) "t iucri contract containing Specific icrton� crfii�r
Hw �&W such pindo; in me wato and cardhim, a such Knod written cormac i t shall govern. 11- TIAXIS ANO
(I)NDITIONSARE NM AMEPTABLE TO '1 1E Bt,YER, BUYER N1UST SCD NOTIFY FISHE-R IMMEDIATELY INN
WRITI NQ
%'WARRANTYMMITATION OYLIABILUM 10 the cxwnt pernmWe, hisher "A] invike available to W buyer the manufawturers'
%XTAnlic it'] it;, protfilc.,, ti illlfout lo No or repres-,mrati\ (c kit' I`isheF has the midlorn It) hind
hwr any to ov art .oay c(mccmwV dw prothmn FISHER MUTAIMS ALL WARRANTHA
WHICI HER EXPR•SMAL IMPLUM OR STATUTORY. MIXIMM TM %k-'ARRANTIE,,
AND FITIN]""SS YOR A, PARTICULAR PURPME. In im event shall Fkhu be hahk Rw Widental orconnquential damages
hownx-eer makV HUYER'S SOM AND EXCLLISIVE III NILDY A(,AINST FISHER 1�'OR ANY AUSF OF AC
ARISING OUT OF THE' SALT OR IJSE OF ANY PRODUCT DESCIIJUBED HEREIN SHALL BE R1
THE INODUCT OR REFUND OF THE PURCHASE PRIC1. PAID 1 PROD UM'.
LIMITATION OF MITIONMAny cattle W actiami for breach A ariiiiny mint he MirigN by Cunqncr, ii' a AL "Ohin ow (1)
low h"n dw dwe die c"w of aivion accrued. My discrotnpawo in pricing tw (Aher cliza shall be demon! wa by (Ankmlo
unless Cla)ams notifics FiAer dwoof- ill 4vrhn),I', to ilhin ninety (9'0) days Wit dw date Wnvoicc iin vt hiJr �,ncfi di>putcd
nallsaction is reflected.
I)IS(:(.)I-!N'I'/I'iZICIKIZEI)U(7T!()NI)ISCI.OSI,'IZE: Buyer has been hummed o5md agircoh to paTorly (lisp kse and aNwophatioly
reflect any disc:{ unk kir!ed uo ions in price asuicraed ti hil products clescribed on this invoice in costs claimed orchar made by Ilic
Blilcl nodc.l NAMMAL or QIK;lal or state; licalth CIIAV pl*0�rarns rcc,okirly; such dhImure tor reptox6rog; SQW Sixurby A0,
ScyiQ 112813 (h) (.3) IAji, 42 Section 1320a 7b jb) (A), Buyer shidl make written request to lishicir in the event Buono
addifitinal Wkwmalion Rom fisher K order hi meet IlLly-cC reporting or disclosure obligat4nis
RETURNS: Written auihori/aulioil stunt he ol%xinad prior to mizurriing any procluct w 151 WoNich me sn1tal R) a 1 4 1
rosocking, c1m, except as othervise speciHed in Fusher's Saks Men so Nmh in Wher's cuum cmak,
TL; MS: Un"so, othery se spcchhed. icrins are rictM from date of invoice, F. 0. B. shipping point_ freight prepaid and added All
°mot to Ohtiul nolicc, Stonolgaphoc, and "t I'll! 'ulCr errors are sul)ject it) correction.
TAXPA: Me prizes wal ate subject w an) addhams nacewsag to coo ei I Wool. Stwo,inJ Municipal or oiioa'l oll use ti:
any KIM taxes nqAm the lmidmn4 or �c; t Am, dcasibcd havil, nH of hAT shall hi: paid 10 thiv Muy�
CLAIMS: my claim, con"i (.far aTe mdmq in nown Andp be plawd ,hr wgh thic carl by We Buyer.
DELIVERY: Stopping darres ;.rro: 1who and on hi a hwhic :on mit chtim. hns wwd;on',ge In "k flip` or in pall,
due iii delay in or failure it) make ticlivery whenudi delay or failrit i. directly or hidirectly caused by mire_ Wid_ act of We
or othei labor WHiculty, uansporaaticln problolls, illabili(y or delay in obtain!n� I i"u'll
g nect�.�fsar� hdnil ural,�Tiak ,Ir j:)l fi I L
olateria]s �horiagc-.,, ()I' �.uly Civil or military authority, t:o ar, hxiihw an ofarly gmommemal awhwq or the
11H`:cL tor b the OCCUITC lice of .:n onto bcj ond Fisher's rea5,onabk connW. In such cvcnq dw daw of Julacry or lhnc
Anoxanp1mitm WH he powpowd hy sudi WripT a time m imy he wasonahl, num"my to am"exat, Rw tree dday.
MISM 10%1401, S: This agnament shall he govaned by. coistrued under and ihrt�rprered in accordanco with the Vm-s ill' the `,trite,
(I Ann 11 m, K 10 10 1W ron, prim him Wavined Mein QM be TAxinfricd M In uwnforc"hle, Jl othor provisions s,hcdl
lilc-"iil""At"d plon t'ano �,KM Ik "'r mmed A) as in crtholawah1c to the yravimurn extent pel
h! L lion kn
VOUCHER 096301 WARRANT ALLOWED
97251 IN SUM OF
FISHER SCIENTIFIC 440371
DEPT 440371
13551 COLLECTIONS CTR DR
CHICAGO, IL 60693
Carmel Wastewater Utility
S ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7644888 01- 7202 -05 $818.82
7644888 01- 7202 -05 $24.05
d
Voucher Total $842.87
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
97251
FISHER SCIENTIFIC 440371 Purchase Order No.
DEPT 440371 Terms
13551 COLLECTIONS CTR DR Due Date 8/25/2009
CHICAGO, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2009 7644888 $842.87
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�- 1 11- 10 -1.6
Date Officer