177683 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $4,426.10
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 177683
CHECK DATE: 9/29/2009
DEPART ACCOU P O NUM INVOI NUMBER AM DES
601 5023990 6398098 3,253.72 OTHER EXPENSES
601 5023990 6398277 631.30 OTHER EXPENSES
601 .5023990 639922 541.08 OTHER EXPENSES
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INVOICE NO 6399922 DATE: 1 09/09/2009
I.. I�IIrtILIrr�II�III���I�IIII��I�ILIL���Jll PURCHASE J Fore 09042009134527
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CARMEL UTIL3TIES ORDER NUMBER
D 3450WJ31stSt Net 30 Days From Invoice Date
Westfield, IN 46074 -8267 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
S Sort Seg: 678 Tray: 2
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 1 052653
1 3450 W 131ST ST REF. NO. 308830319 -2 Remit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
0 Chicago, /L 60683
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 as REAGENT SET, CHLORINE TOTAL CL17 2557000 12 45.09 541.08
'TRACKING NUMBERS: 050316381637281
ORDER CONTACT: SUBTOTAL 541.08
JAIMIE FOREMAN
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 541.08
'Jaimie Foreman
For order discrepancies or product exchanges please call 1 800 227 4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental Ih
rest Systems AIA
Nlc_B I R NLY a from 11acW
800 -548- 4381 800- 949 -3766 800 -368 -2723 8()0-677 -0067 800- 454 -0263
Fax: 574. 264 -4633 Fax: 970-461-3921 Fax: 301 -874 -8459 Fax: 1 )W- 994 -3574 Fax: 970-461-3919
INVOICE NO 6398098 DATE: 1 09/08/2009
II� PURCHASE J Fore 09042009134527
o ORDER
CARMEL UTILITIES NUMBER
D 3450 W. 131 st St Net 30 Days From Invoice Date
Westfield, IN 46074 -8267 TERMS
T United States W�
0 FREIGHT Prepay And Bill Customer
S Sort Seg: 560 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES I ACCOUNT 1 052653
1 3450W 131 ST ST REF. NO. 308830319 -1 Remitto:
P WESTFIELD, IN 46074 -8267
United States -Hach Company
T 2207 Collections Center Dr
v Chicago, IL 60693
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 FLUORIDE STD, 0.5MG /L 473ML 2743811 3 18.45 55.35
*TRACKING NUMBERS: 050316381626216
2 FLUORIDE STD, 5.OMG /L 473ML 2797111 3 19.49 58.47
*TRACKING NUMBERS: 050316381626216
3 RGT 1, TISAB SOLN 473ML 2812811 9 26.75 240.75
*TRACKING NUMBERS: 050316381626216
4 DPD FREE CHLORINE RGT, PK/1000 2105528 6 163.00 978.00
*TRACKING NUMBERS: 050316381626216
5 DPD TOTAL CHLORINE RGT, PK/1000 2105628 6 163.00 978.00
*TRACKING NUMBERS: 050316381626216
6 FERROVER, IRON REAGENT PK/100 2105769 20 17.89 357.80
*TRACKING NUMBERS: 050316381626216
7 as REAGENT SET, CHLORINE FREE CL17 2556900 12 42.95 515.40
*TRACKING NUMBERS: 050316381626223
For order discrepancies or product exchanges please call 1 800 227 4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental Br
lest Systems NL R.SH
B(Yi- 548 -4381 800- 949 -3780 800 -388 -2723 801677 -0067 SW- 454.0263
Fax: 5/4 -264 -4533 Fax: 970 -461 -3921 Fax: 301- 874 -8459 Fax: t)tti- 994 -3574 Fax: 9/0-461 -3919
INVOICE NUMBER 6398098
DATE: 09/08 /2009
Page: 2
Be RigW
ORDER CONTACT: SUBTOTAL 3,183.77
JAIMIE FOREMAN FREIGHT CHARGES 69.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 3,253.72
*Jaimie Foreman
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental a er B randS
Test Systems MARSH
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B00- 548 4381 800- 949.3786 800 -368 -2723 B00- 677 -0067 600- 454-0263
Fax: 574-264-4b33 Fax: M- 461 -3921 Fax: 301-8M-8469 Fax 606- 994 -3514 Fax: 970 -461 -3919
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INVOICE NO 6398277 DATE: 1 09/0872009
IIr�lllll��l���l�l��ll��l�rII�IIIllllltlll PURCHASE Jaimie dist
5 ORDER
CARMEL UTILITIES NUMBER
D 3450 \A-' I st St
N 46074 -8267 TERMS
Westfield, Net 30 Days From Invoice Date
eld, I
T United States
e 1 1 FREIGHT Prepay And Bill Customer
S Sort Seg: 563 Tray: 3
CARRIER RPS RPS **Fed Ex- Ground
H CARMEL UTILITIES ACCOUNT 052653
1 3450 W 131 ST ST REF. NO. 308830359 -1 Remit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
O Chicago, IL 60693
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 DPD FREE CHLORINE RGT, PK/1000 2105528 1 163.00 163.00
*TRACKING NUMBERS: 050316381627855
2 DPD TOTAL CHLORINE RGT, PK/1000 2105628 1 163.00 163.00
*TRACKING NUMBERS: 050316381627855
3 FERROVER, IRON REAGENT PK/100 2105769 15 17.89 268.35
*TRACKING NUMBERS: 050316381627855
4 WATER POWERED CLOCK MPR1080 1 0.00 0.00
*TRACKING NUMBERS: 050316381627855
ORDER CONTACT: SUBTOTAL 594.35
JAIMIE FOREMAN FREIGHT CHARGES 36.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 631.30
Gnraman
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 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009 639922 $541.08
I hereby certify that the attached invoice(s), or bill(s) is (are) true and N
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 093011 WARRANT ALLOWED
V
118000 IN SUM OF
HACH CHEMICAL CO. CORP 'CEO
2207 Collections Center Dr. oc% 0)
Chicago, IL 60693
R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
Qr�3 639922 01- 6200 -03 $541.08
31
t 8 ":x17 b 1 !c ��L`�o 131 3�'
Voucher Total X4210• ID $p8
Cost distribution ledger classification if
claim paid under vehicle highway fund