169391 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $258.95
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -4232 CHECK NUMBER: 169391
CHECK DATE: 3/4/2009
DEPARTME ACCOU PO NUMBER IN NUMBER AMOUNT DESCRIPTION
601 T �5023990 587871 2:58.95 OTHER EXPENSES
i
Apo" q ORIGINAL
INVOICE
CHEMSEARCH. REORDERS CALL: 1- 800 -527 -9921 CHEMSEARCH
CORRESPONDENCE TO: 23261 NE TWORK PLACE
P.O. BOX 152170 FAX 1- 972 438 -0634
IRVING. TEXAS 75016 CHICAGO. IL 60673 -1232
www.CHEMSEARCH.com:
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
f�
Vt- CARMEL UTILITIES (EFT)
CARMEL UTILITIES 3450 W 131ST ST payments are encouraged
760 3RD AVE SW STE 110 WESTFIELD IN
46074
CARMEL IN 46032 To enroll please call
1- 800 -527- 991.9 -x0831
Cost. Acct. No. Invoice No. [nvoice :Date Terms Sales Rep Order No. Ship Date I Customer P.O. No.
B0210277 587871 02 -04 -09 NET 10 DAYS 6388 0607@ 02 -03 -09
Product P�ickaging Description Unit Price Qty Billed I Amount
1991 1 X35LB MAXI -LUBE FG #1 (35 7.00 35LES 245.00
Merchandise State Tax Local Tas Inv. Total Amount
245.00 13.95 1 258.95
IN Tax 003512371 -001 -3 Federal Id #75- 0457200
CHEMSEARCH DIVISION OF NCH CORPORATION. JUL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
MOST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. "DISTRIBUTION SERVICES INCLUDE SHIPPING 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 2118/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/1812009 587871 $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
`/OUCHER 091162 WARRANT ALLOWED
352978 IN SUM OF
CHEMSEARCH
23261 NETWORK PLACE
CHICAGO, IL 60673 -1232
75
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
587871 01- 6200 -06 $258.95
Voucher Total $258.95
Cost distribution ledger classification if
claim paid under vehicle highway fund