173763 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $258.95
CHICAGO IL 60673 -1232 CHECK NUMBER: 173763
CHECK DATE: 6/24/2009
DEPARTM ACCOUNT PO NUMB INVOICE NUMB AMOUNT DESCRIPTION
601 5023990 W08789 626683 258.95 MAXI LUBE
ORIGINAL �R01w anC=_I S
INVOICE
CHEMSEARCH. REORDERS CALL: 1- 800 -527 -9921 CHEMSEARCI -I
CORRESPONOENCETO: 23261 NETWORK PLACE
P.O. BOX 152170 FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
IRVING, 75015 www.CI -I EMSEARCH.coni
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
(EFT)
CITY OF CARMEL WATER DEPT
CITY OF CARMEL WATER DEPT 3450 W 131ST ST payments are encouraged
WESTFIELD IN
3450 W 131ST ST 46074 To enroll please call
WESTFIELD IN 46074 W
1- 800 -527- 9919 -x0831
Cust. Acct. No. Invoice.No. Invoice Date Terms Sales Rep Order No. Ship Date Customer P.O. No.
60224843 1 626683 06 -03 -09 NET 10 DAYS 6386 0181 06 -02 -09 GREG HOLLANDER
Product Packaging_ Description Unit Price Oty Billed Amount
1991 1 X35LB MAXI-LUBE FG #1 (35 7.00 35LBS 245.00
W
Merchandise State Tax Local Tax *Shipping Inv. Total Amount
245.00 1 13.95 258.95
IN Tax 003512371 -001 -3 Federal Id #75- 0457200
CREM.SEARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS, MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. "DISTRIBUTION SERVICES INCLUDE SHIPPING a HANDLING CHARGES F.O.B. DELVD.
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
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673 -1232 Due Date 6/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2009 626683 $258.95
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
Date Officer
VOUCHER 092108 WARRANT ALLOWED
352978 IN SUM OF
CHEMSEARCH
2'261 NETWORK PLACE
CHICAGO, IL 60673 -1232
1,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
�jPO INV ACCT AMOUNT Audit Trail Code
1
626683 01- 6200 -06 $258.95
1I
Voucher Total $258.95
Cost distribution ledger classification if
claim paid under vehicle highway fund