168412 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH
i` o CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $2,352.00
CHICAGO IL 60673 -1232 CHECK NUMBER: 168412
A
CHECK DATE: 2/4/2009
DEPARTMENT= ACCOUNT P NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 114963 249.95 OTHER EXPENSES
651 5023990 579931 2,601.95 OTHER EXPENSES
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sus,
ORIGINAL
LAI INVOICE
CHEMSEARCH. REORDERS CALL: 1- 800 527 -9921 CHEMSEARCH
CORRESPONDENCE TO: 23261 NETWORK PLACE
P.O. Box H2170 FAX 1- 972 -438 -0634 CEIICAGO, IL 60673 -1232
IRV LNG, TEXAS 750] s www.CHEMSEARCH.com
SOLD TO: SHIPPED TO:
PAULARNONE
Electronic Funds Transfer
(EFT)
CITY OF CARMEL UTILITY
CITY OF CARMEL UTILITY 901 N RANGELINE RD payments are encouraged
CARMEL IN
760 3RD AVE SW STE 110 46032
To enroll please call
CARMEL IN 46032
1- 800 -527- 9919 -x0831
Cnst. Acct. No, Invoice No. I Invoice Date Terms Sales Rep Order No. Ship Date Customer P.O. No.
00218959 579931 01- 09 -09- NET 10 DAYS 633E 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 4CONT 872.00
3E80 1 EACH LTB08 1 E N/C
Merchandise State Tax Local Tax "Shipping I Inv. Total Amount
2,588.00 1 13.95 1 2,601,95
IN Tax 003512371 -001 -3 Federal Id #75- 0457200
CHEMSEARCH DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADOUSTMENTS 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 d. HANDLING CHARGES F.O.B. DELVD.
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P.O. sDx 15z17o M !-:IIIhII
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IRVINE, TEXAS 75D15
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CUST. ACCT. N0, SALES REP ORDER N0.
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60210277 638B 0817?;;_
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SHIPPING SATE CUSTOMER P.O. ND.
04/01/08
SOLD TO: SHfPPEO TO:
rARMF -I i IT!`+C
CARPAEL UTILITIES
760 3RD AVE S`111! STE 110 3450 W 131ST ST u
CARNAE1- IN 460 WESTFIELD IN 46074 P
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I
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QUANTITY PACKAGING DESCRIPTfON UNIT PRICE AMOUNT
35 LBS I X35LB MAXI -LUBE EG (35 245.00
CREDIT HAS BEEN
A PLIED TO INVOICE NO 487 54
MERCHANDISE I STATE TAX LOCAL TAX TOTAL
[48 7C 245.00 i a 45 1 AMOUNT 249 .95
4A 32 32
DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES DELVO.
CREDIT MEMO
NO REMITTANCE REQUIRED
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 �l
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673 -1232 Due Date 1/26/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/26/2009 579931 $2,352.00
�t
�E
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 is
VOUCHER 087176 WARRANT ALLOWED
00:52978 IN SUM OF
CHEMSEARCH
2326' Network Place
Chicago, IL 60673 -1232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
579931 01- 7200 -02
Voucher Total $2,352.00
Cost distribution ledger classification if
claim paid under vehicle highway fund