180772 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $252.45
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 180772
CHECK DATE: 12130/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239099 683864 252.45 OTHER MISCELLANOUS
F ORIGINAL
rd Ge. a �"Jm
DEC 0 7 gg9 INVOICE
CHEMSEARCH I C1- IEMSEARCH
REO ERS CALL: -$00- 527 -9921
CORRESPONOENCE'rb 2322 1 NETWORK PLACE
P.O. sox 152170 FAX 4 1- 972 43$ -0634 CH1C IL 60673 -1232
iRVINC, TEXAS 75015 www.CHEMSEARCH.com
SOLD TO: SHIPPED TO:
OPERATIONS MANAGER
Electronic Funds Transfer
CARMEL CLAY (EFT)
CARMEL CLAY PARKS RECREATION OPS MGR
PARKS RECREATION 1235 CENTRAL PARK DR E payments are encouraged
CARMEL IN
1235 CENTRAL PARK DR E 46032
To enroll please call
CARMEL IN 46032
1- 500 -52 7 -9919 -x0831
Cust. Acct. No. Invoice No. Invoice Date Terms Sales Rep Order No. Ship Date Customer P.A. No.
B0 23164 4 83864 X11 -24 -09 NET 10 DAYS 638B 0591 11 -23 -09 22938
Product Packaging Description Unit Price Oty'Billed Amount
5988 1 DOZ RESCUE DRAIN 238.50 1DOZ 238.50
Pumhae
p,O.# PorF
G.L 0
Budget
Line Descr
Purchaser Date
Approval Date 7_
Merchandise State Tax Local Tax :1 Inv. T
otal Amount
238.50 7 ;Z ZJ 4 1 13.95 1
IN Tax 003512371 -001 -3 Federal Id #75- 0457200
CHENSEARCB DIVISION OF NCR CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY RIND
MOST RE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. -DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES P.O.B. DELVO.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Chemsearch Terms
23261 Network Place
Chicago, IL 60673 -1232
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/24/09 683864 Cleaning supplies 22938 F 252.45
Total 252.45
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.
Chemsearch Allowed 20
23261 Network Place
Chicago, IL 60673 -1232
In Sum of$
252.45
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 683864 4239099 252.45 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
23 -Dec 2009
&/M=
Signature
252.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund