168330 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 7 of 1
ONE CIVIC SQUARE AGRO CHEM CHECK AMOUNT: $7,643.02
4 CARMEL INDIANA 46032 2045 S WABASH STREET
s�'ao WABASH IN 46992 CHECK NUMBER: 168330
CHECK DATE: 214/2009
DEPARTMENT :ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
22.01 R4467099 18755 IN00418171 6,505.00 WATER 'TANK
;2201 4463500 IN00418175 1,138.02 GROUNDS MAINT EQUIPME
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AGRO CHEM, INC. invoice Date Invoice
AGROCMEM 2045 S WABASH STREET 1/16/2009 IN00418171
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
18755 5 1/16/2009 OURTRUCK NET30
Ordered Shipped BIO Item Code Description Price Each Amount
1 1 0 525DEICE DEICE SPRAY UNIT 6,505.00 6,505.00
1 1 0 DEICEBOOM l DEICE BOOM 80 0.00 0.00
1 l 0 63017/272 DCS 400 LIQUID DEICE CONSOLE 0.00 0.00
1 1 0 1150159955 DCS CABLE 0.00 0.00
1 1 0 1150159971 CABLE 0.00 0.00
1 0 630171793 60P FL,OWMETER 0.00 0.00
1 1 0 1150171060 CABLE 0.00 0.00
1 1 0 630172125 P CONTROL VALVE 0.00 0.00
Total $6
Phone Fax Web Site
260 -563 -0672 260- 563 -8124 www.agrochem.com
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 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))
01/16/09 IN00418171 $6,505.00
1 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 NO. WARRANT NO.
Agro Chem ALLOWED 20
IN SUM OF
cl�h sv'.
$6,505.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
18755 IN00418171 2201-670,99 $6,505.00 1 hereby certify that the attached invoice(s), or
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
Thur p J ry 29, 2009
Street Commissi r
A
;t i toner
Titie
Cost distribution ledger classification if
claim paid motor vehicle highway fund
AGRO CHEM, INC. I n vo i c e Date Invoice
�►G13o 2045 S WABASH STREET 1/16/2009 IN00418175
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 W.ESTFIELD,IN 46074
STATEMENTS SENT BI MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms
JEFF STEWART 5 1/16/2009 UPS NET30
Ordered Shipped B/O Item Code Description Price Each Amount
5 5 0 TKSS 15 FLOODJET TIP ST STL 11.00 55.00
1 1 0 DEICEBOOM BOOM FOR DEICE 96 425.00 425.00
1 1 0 TF125 l -1/4' POLY FIT`T'ING 12.00 12.00
3 3 0 RB125100 1 -1/4 X I POLY REDUCER 2.25 6.75
1 1 0 HB10090 1' MALE'I'I-IREAD X I' HOSE SHANK 90 1.75 1.75
DEGREE
1 0 344BEC24C BALL VALVE ASSY 252.45 252.45
5 5 0 TKSS 15 FLOODJET TI P ST STL 11.00 55.00
6 6 0 19843NYR SHUT -OFF CAP SUB ASSI�IvIBI_Y 2.00 12.00
2 2 0 1 00 FEMALE COUPLER 1' HOSE BARB 11.00 22.00
2 2 0 100E MALE ADAPTER I' I IOSE BARB 5.00 10.00
1 1 0 TEE 125 1 -1/4' POLY TEE 6.00 6.00
4 4 0 I-IB100 I' MALL' "THREAD X 1' T TOSE SHANK 1.25 5.00
1 1 0 WV100FP I VALVE 18.75 1875
5 5 0 25608INYIZ QJ CAP /TX =TK BLACK EPDM GSKT 1.00 5.00
1 1 0 QJ175601NYB QUICK SPL. EYL. CHECK VALVE 4.00 4.00
1 1 0 H13125 1 -1/4' MALE THREAD X 1 -1/4' 1 -IOSE 1.50 1.50
SH ANK
20 20 0 L811 1' ID EPDM DISCHARGE HOSE 2.30 46.00
20 20 0 L8111 <4 1 1/4' ID EPDM DISCHARGE HOSE 2 4.00 80.00
1 1 0 28541 PINT #121 RECTORSEAL BLACK 32.00 32.00
6 6 0 TKSS30 FLOODJET TIP ST S"I "I_ 11.97 71.82
6 6 0 25608INYR QJ CAP /1'X -TK BLACK EPDM GSKT 1.00 6.00
5 5 0 19843NYR SHUT-OFF CAP SU13 ASSEMBLY 2.00 10.00
Total $1,138.02
Phone Fax Web Site
260- 563 -0672 260 -563 -8124 wwtiv.agrochem.com
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 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))
01/16/09 I N00418175 $1,138.02
1 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 NO. WAR N
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$1,138.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# l Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 IN00418175 2201 -635.0 $1,138.02 1 hereby certify that the attached invoice(s), or
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
a
Thursday, i ary 29, 2009
Street Commis i er
a ree orT' -,sicner
Cost distribution ledger classification if
claim paid motor vehicle highway fund