178174 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CHECK AMOUNT: $3,483.30
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 178174
CHECK DATE: 10114/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE N UMBER AMO DESCRIPTION
604 5023990 W08961 6424436 3,379.75 ANALYZER
604 5023990 6428231 103.55 OTHER EXPENSES
INVOICE NO 6424436 DATE: 1 09/25/2009
PURCHASE W08961
o ORDER
CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Westfield, IN 46074 -8267 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
3 Sort Seg: 533 Tray: 3
CARRIER RPS- RPS "FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
l RHODES, KEN REF. NO. 308852960 -1 Remit to:
P 5484 E 126TH ST Hach Company
WATER TREATMENT PLANT 2207 Collections Center Dr
T CARMEL, IN 46033 -9289 Chicago, IL 60693
O United States Phone: (800) 227 -4224
These commodities are sold, packaged, marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
1 Electrodeless, Convertible, Poly 3725E2T 1 578.55 578.55
'TRACKING NUMBERS: 050316381837711
2 INSERTION,316SS,2" PROC.0 MH118M9NZ 1 1,432.60 1,432.60
'TRACKING NUMBERS: 036916530569236
3 SC100, Hach LXV401.52.00002 1 1,238.80 1,238.80
`TRACKING NUMBERS: 050316381837728
4 Electrodeless Conductivity Gateway 6120800 1 59.85 59.85
'TRACKING NUMBERS: 050316381837711
ORDER CONTACT: SUBTOTAL 3,309.80
KEN RHODES FREIGHT CHARGES 69.95
3175712634 TAX 0.00
Notes: INVOICE TOTAL 3,379.75
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42 0704420
Environmental d m oth er r+'���$
Test Systems gg
A IC H from Ha
HydO m.t 4HULA CdMer 0
800. 548 -4381 800 -949 -3766 800.366 -2723 800 677.0067 800 -454 -0263
Fax:574- 264 -4x93 Fax: M-461-3921 Fax: 301.814 -8459 Fax: 5( Fax: 970-461-3919
INVOICE NO 6428231 DATE: 1 09/2972009
Itlr�lllll�rrlrllrll ,tl���l�l�lllrll�l�l���lll PURCHASE 1 VERBAL KEN
0 ORDER
CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Westfield, IN 46074 -8267 TERMS
T United States
C V FREIGHT Prepaid By Shipper
S Sort Seg: 608 Tray: 3
CARRIER FX1- CAO* *FedEx- Priori ty -Cargo Air
H CARMEL UTILITIES ACCOUNT 052653
I RHODES, KEN REF. NQ. 1308859624-1 l Remit to:
P 5484 E 126TH ST Hach Company
WATER TREATMENT PLANT 2207 Collections Center Dr
T CARMEL, IN 46033 -9289 Chicago, IL 60693
O United States Phone: (800) 227 -4224
These commodities are sold, packaged, marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
1 CABLE ASSY, 1.OM PROBE EXTENSION 6122400 1 103.55 103.55
*TRACKING NUMBERS: 932292693239
ORDER CONTACT: SUBTOTAL 103.55
KEN RHODES
3175712634 TAX 0.00
Notes: INVOICE TOTAL 103.55
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental a her Brands
Test Systems MARSH
lAcU RNEY from Bch
800 -548 -4381 800.949 -3766 B06 -368 -2723 800- 677 -00137 800- 454 -0263
Fax: &4-264-4b33 Fax: 970-461-3921 Fax: 301-814-8459 Fax: 505. 994 -3574 Fax: 970 -461 -3919
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 10/6/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2009 6424436 $3,379.75
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 fficer
VOUCHER 093141 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
�P
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6424436 02- 2308 -00 $3,309.80
Depreciation
Q 6424436 02- 2308 -00 $69.95
Depreciation
�Z.�2`�i aZ- Z3a�-� 11�3t55
DrPrtCs -�lDfl
Voucher Total 75
Cost distribution ledger classification if
claim paid under vehicle highway fund