168853 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM CHECK AMOUNT: $218.96
CARMEL, INDIANA 46032 2045 S WABASH STREET
WABASH IN 46992 CHECK NUMBER: 168853
CHECK DATE: 2/17/2009
DtP ARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 IN00418960 99.41 REPAIR PARTS
:.2201 4237000 IN00419188 119.55 REPAIR PARTS.....
o�
AGRO CHEM, INC. Invoice Date Invoice
AFRO nn 2045 S WABASH STREET
2/3/2009 IN00418960
WABASH, IN 46992
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
3400 WEST 131 STREET 3400 WEST 131 STREET
WESTFIELD,IN 46074 WESTFIELD,IN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms
BRAD 5 2/3/2009 UPS NEi'30
Ordered Shipped BIO Item Code Description Price Each Amount
1 1 0 12000 REPAIR KIT FOR BJ PUMP SEAL /GSK'I' 89.81 89.81
1 1 0 19843NYR SHUT-Off CAP SUB ASSEMBLY 2.12 2.12
UPS SHIPPING 7.48 7.48
Total $99.41
Phone Fax Web Site
260 563 -0672 260- 563 -8124 www.agrochem.eam
AGRO CHEM, INC. Invoice Date Invoice
AFRO crtenn 2045 S WABASH STREET
2/5/2009 IN00419188
WABASH, IN 46992
Bill To Ship To
CITY OF CAR.MEL INDIANA CITY OF CARMEL INDIANA
3400 WEST 131 STREET 3400 WEST 131 STREET
WESTFIELD,IN 46074 WESTFIELD,IN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms
JEFF /BRAD 5 2/5/2009 UPS NET30
Ordered Shipped BIO Item Code Description Price Each Amount
10 10 0 8400406NYB HOSE SHANK CONN 3 /8NYL 0.98 9.80
21 21 0 4916110 ORIFICE PLATE ST STL 2.75 57.75
30 30 0 L813 <8 3/8' 1D EPDM DISCHARGE HOSE IBR 0.90 27.00
10 10 0 25608INYR QJ CAP /TX BLACK EPDM GSKT 1.10 11.00
10 10 0 6J 3 -3/4' HOSE CLAMP 1/2' BAND 1.40 14.00
Total $119.55
Phone Fax Web Site
260 563 -0672 260- 563 -8124 www.agrochem.com
Prescribed by State Board of Accounts City corm No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be property itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/03/09 IN00418960 $99.41
02/05/09 in00419188 $119.55
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
20
Clerk Treasurer
VOUCHER N O. WARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$218.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member:
2201 IN00418960 42- 370.00 $99.41 1 hereby certify that the attached invoice(s), or
2201 in00419188 42- 370.00 $119.55
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
I Sri ay, t�/uary 13, 2009
1
Street Commi s�ner
ti.reet Comrfl `�'ortar
Cost distribution ledger classification if
claim paid motor vehicle highway fund