HomeMy WebLinkAbout204878 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC CHECK AMOUNT: $194.34
CARMEL, INDIANA 46032 200 WILLIAM PITT WAY
PITTSBURGH PA 15238 CHECK NUMBER: 204878
OM
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 780783 194.34 MATERIALS SUPPLIES
INVOICE
LT LabChem Inc Invoice ID :780783
200 William Pitt Way Sales Order ID 784619
Pittsburgh, PA 15238 Invoice Date 12/2/2011
Phone: (412) 826 -5230 Ship Date 12/2/2011 11:28:00 AM
Fax: (412) 826 -5234 Customer PO ID TARA
Page Number :I of I
AR Terms: Due Date: Amount Due:
Net 30 Days 1/1/2012 $194.34
Bill To: 1265 Ship To
CARMEL WWTP CARME WWTP
ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY
760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935
SUITE 110 USA
CARMEL, IN 46032
USA
Order Date:. 1 1/28/201 1 3:17:15 PM FOB: Pittsburgh, PA
Packing Slip: 381679 Currency Type: USD
Ship Method: Fed Ex Ground Service
Line Nbr Item II) Item Name Unit of Shipped Unit Price Sales Tax Extra Extended
Cust Item ID Measure Qty Charges Price
1 I-CI48451 GLUCOSE GLUTAMIC ACID EA 4.0000 530.0000 $0.0000 $120.00
B/O Qt,. 0.0000
Lot Number Expiration Date Lot Trans Otv
A229 -16 09/06/2013 4
Line Item Total: 5120.00
2 LC226002 SILVER NITRATE, 0.0 14 1 N (0.0141 M) EA 2.0000 $31.2000 $0.0000 S62.40
13/0 Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
D f Q 1i A333 -08 05/30/2013 2
1 Line Item Total: $62.40
Subtotal: $182.40
Sales "Fax: $0.00
Tracking Numbers: Shipping Charges: S1 1.94
015396465147933 Total: $194.34
Fonn #34.0 nau ,n.n r c o anon All Products Made In USA
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
358238
LABCHEM INC Purchase Order No.
200 WILLIAM PITT WAY Terms
PITTSBURGH, PA 15238 Due Date 12/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/201' 780783 $194.34
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
J
Date Officer
VOUCHER 116409 WARRANT ALLOWED
358238 IN SUM OF
LABCHEM INC
200 WILLIAM PITT WAY
PITTSBURGH, PA 15238
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
780783 01- 7202 -05 $194.34
Voucher Total $194.34
Cost distribution ledger classification if
claim paid under vehicle highway fund