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169853 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1 ONE CIVIC SQUARE CHEMSEARCH CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $249.95 CHICAGO IL 60673.1232 CHECK NUMBER: 169853 CHECK DATE: 311812009 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 579931 249.95 OTHER EXPENSES I y,, ORIGINAL INVOICE CHEMSEARCH, REORDERS CALL: 1 -800 -527 -9921 CHEMSEARCH 23261 NETWORK PLACE CORRESPONDENCE TO: P.O. BOX 152170 FAX 1- 972- 438 -0634 CHICAGO. IL 60673 -1232 IRVING, TEXAS 75015 Wwy,C SOLD TO: SHIPPED TO: PAUL ARNONE Electronic Funds Transfer p� (EFT) CITY OF CARMEL UTILITY are encoura ed 901 N RANGELINE RD payments CITY OF CARMEL UTILITY CARMEL IN 760 3RD AVE SW STE 11. 46032 To enroll please call CARMEL IN 46032 1- 800 527 9919 -x0831 Cust. Acct: No Invoice No. I Invoice Date Terms Sales Rep Order No. I Ship Date Customer P.O. No. B0218959 1 579931 1 01 -09 -09 NET 10 DAYS 638B 0703@ 01 -08 -09 Product Packaging Description Unit Price Qty Billed Amount 4278 6 CASE ND-66 (6X9# CASE) 286.00 6CS 1716.00 4925 4 CONT ROOT FREE II, C/M (25 218.00 4 CONT 872.00 1 EA N/C 3E80 1 EACH LTB08 k9 )�L V 7) Total Amount Merchandise State Tax Local Tax Shipping Inv. 2,588.00 13.95 2,601.95 IN Tax 003512371 -001 -3 Federal Id #75- 0457200 CREMSEARCH 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 BE INCLUDE SHIPPING HANDLING CHARGES F.O.B. bELVD. MAIL WITH PAYMENT TO ENSURE PROPER CREDIT PLEASE DETACH AND RETURN STUB WITH PAYMENT MAKE CHECKS PAYABLE ONLY TO CHEMSEARCH B0218959 579931 2,601.95 SOI,D TO: MAKE CHECKS PAYABLE TO: CHEMSEARCH 23261 NETWORK PLACE CITY OF CARMEL UTILITY CHICAGO, IL 60673 -1232 760 3RD AVE SW STE 110 CARMEL IN 46032 Address Changes or Comments A1P EmaN Ad&ess 023269 23 -32 3100218959 579931 0800062607,95 3 Qec s e MAIL WITH PAYMENT TO ENSURE PROPER CREDIT PLEASE DETACH AND RETURN STUB WITH PAYMENT MAKE CHECKS PAYABLE ONLY TO CHEMSEARCH CHEMSEARCH. usf. Acef No. n aic Nn, n11 11 MI nn Pa�ic7' B0218959 579931 2,801.95 I SOLI) TO: MAKE CHECKS PAYABLE TO: CIIEAISEARCH CITY OF CARMEL UTILITY 23261 NETWORK PLACE 760 3RD AVE SW STE 110 CHICAGO, IL 60673 -1232 CARMEL IN 46032 Address Changes or Comments A/P Emai l Add-e ss: 023269 2312 17,00218959 579931 000000260195 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 'I of I ONE CIVIC SQUARE CHEMSEARCH CARMEL, INDIANA 46432 23261 NETWORK PLACE CHECK AMOUNT: $2,352.00 CHICAGO IL 60673 -1232 CHECK NUMBER: 168412 CHECK DATE: 2/4/2009 DSPARTMENT ACCOUNT PO NUMBER INVOICE. NUMBER f AMOUNT DESCRIPTION t 65 50239.90 114.963' 249.95 OTHER. EXPENSES 651 5'0239,90 579931 2,601.95 OTHER EXPENSES r,. c g p t5 s s .ba' L 4. w t� 1 r t 1 i3 W s ��s rz. sir ^rt �rrr 57 «r� r r a 4. a-p r y r "i Y` y l ,,.4 _r kd s r a xl r i 5� F P '?y p n; r!r?� `�'�'�f?, .x ice'• P r -r� S ,a r��, a �<j �t�r°�3'r <..`T. #T �?.F7 ir# .1 s E 3 .ng+ Fa=�,�•�f':. y,Yi "S fy i..r"'r +..a. ks'.l �'X 'r"' iIE. Y'rx.. ..r t r `i' 'k 4 .9''�'� k::e s ''h- kn" J'.;' -i .d'�... s.; "A'�:.•�TS�',� r.�."' �4"�: _'u"�✓ ..nkr,"� ,��.P 7��,.'t t s +,n?.� w. s„ 7x `r �Y:��` r .a, r�' x IF"" 2� (•b� n�r���y s y S fI �4j� f �tee� �!j�!IIEl�I=i� :IlY k#� L u iil iE P.O. BOX 1 2170 ='=3 �!II_•.I ii "i i k s =:r {;:.ili R `Ili:!= �ii; t_ IRVING, TEXAS 75015 I- j m k I h^ rM ,...y »;.ill "9' g:� ,:::I ,al�__ a: j q i:Nil— i i`rci l;pl` yl -ti C a, �ii��;llli:., �Ir!inli I'I NIB I���"?iiii:!ii::�= Mo CUST. ACCT. NO. SALES REP ORDER NO. Vii" 60210277 E 638B 0817 ;la:nl:. rm' �iyl� Mod :.:.IL �e SHIPPING DATE CUSTOMER P.O. N0. 04/01/08 SOLD TO:. SHIPPED TO. rAPMFI_ I,1TII ITIFC caaiin L UTIL ITIES n 760 3rD AVE SW STE 1 10 3450 W 13 S U CARNIEL IN 46032 P Vi'ESTFIELJ IN 48074 L I c A T E QUANTITY PACKAGING DESCRIPTfON UNIT PRICE AMOUNT 35 LBS 1 X35LB MAXI -LUKE FG (35#) 245,40 CREDIT HAS BEEN A PLIED TO INVOICE NO 48'7 54 MEReHANDISE STATE TAX I LOCAL TAX TOTAL 487054 245.00 4.95 AMOUNT 249.95 4A 32 32 **DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES 3ELUD. i CREDIT MEMO O REMITTANCE REQUIRED la 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 00352978 CHEMSEARCH Purchase Order No. 23261 Network Place Terms Chicago, IL 60673 -1232 Due Date 3/12/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/12/2009 579931 ADD $249.95 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 095263 WARRANT ALLOWED 00352978 IN SUM OF CHEMSEARCH 23261 Network Place Chicago, IL 60673 -1232 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code i 579931 ADDP 01- 7200 -02 $249.95 Voucher Total $249.95 0 distribution ledger classification if claim paid under vehicle highway fund