176767 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $8,362.55
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 176767
CHECK DATE: 9/2/2009
UE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DE SCRIPTIO N
206 4462838 6324729 240.96 STORM WATER PHASE II
•_601 5023990 6353650 8,099.15 OTHER EXPENSES
206 4462838 6359157 22.44 STORM WATER PHASE II
INVOICE NUMBER 6359157
DATE: 08/10/2009
Page: 1
Be Right'
TOTAL: $22.44
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online
Phone: (800) 227 -4224 Order at WWW.HACH.COM
63591572 400397337 00000002244 081009
DETACH HERE Original
INVOICE NO 6359157 DATE: 08/1072009
s iii1111�11��1111�11111��1111l�III PURCHASE 19828
O CARMEL ENGINEERING DEPT ORDER
L NUMBER
D 1 Civic Sq Net 30 Days From Invoice Date
Carmel, IN 46032 -2584 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
g Sort Seg: 565 Tray: 3
CARRIER RPS- RPS *FedEx- Ground
H CARMEL ENGINEERING DEPT ACCOUNT 40039733
1 1 CIVIC SQUARE REF. NO. 308791530 -1 Remit to:
P CARMEL, IN 46032 Hach Company
United States 2207 Collections Center Dr
T Chicago, IL 60693
O 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
2 SODIUM CHLORIDE, 491 MG /L 100ML 1440042 1 12.49 12.49
*TRACKING NUMBERS: 050316381302134
ORDER CONTACT: SUBTOTAL 12.49
SARA MCMULLEN FREIGHT CHARGES 9.95
3175712314 TAX 0.00
Notes: INVOICE TOTAL 22.44
NN
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,u
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental w Oth er B ra nds
Test Systems MA:RSi i
ei
800- 548 -4381 800. 949 -3766 801)-368 -2723 800- 677 -0067 800-4, -02M
Fax :574 264 -4aS Fax: 970- 461 -3921 Fax: 301- 874 -8459 Fax: 505 -994 -35'74 Fax: 9(0- 46'1 -3919
INVOICE NUMBER 6324729
DATE: 07/16/2009
Page: 1
Be Righf'�
o o 0 1 o TOTAL: $240.96
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online
Phone: (800) 227 -4224 Order at WWW.HACH.COM
63247290 400397337 00000024096 071609
DETACH HERE Original
INVOICE NO 6324729 1 DATE: 07/1672009
S II�III�IL�II���IIILIIIL�IIIIll�ll�l PURCHASE SARA MCMULLEN 071509
Q ORDER
L CARMEL WWTP NUMBER
D 1 Civic Sq Net 30 Days From Invoice Date
Carmel, IN 46032 -2584 TERMS
T United States
Q FREIGHT Prepay And Bill Customer
3 Sort Seg: 700 Tray: 3
CARRIER RPS RPS* *Fed Ex- Ground
H CARMEL WWTP ACCOUNT 40039733
MCMULLEN SARA REF. NQ. 308757756 -1 Remit to:
P 1 CIVIC SQUARE Hach Company
CARMEL, IN 46032 2207 Collections Center Dr
United States Chicago, IL 60693
Phone: (800) 227 -4224
These commodities are sold, packaged, marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
2 THERMOMETER, POCKET -30 TO 120F 2676100 1 19.25 19.25
*TRACKING NUMBERS: 050316381012064
3 SODIUM CHLORIDE, 491 MG /L 100ML 1440042 1 12.49 12.49
*TRACKING NUMBERS: 050316381012064
4 CHLORIDE STD SOLN 1000MG /L 500ML 18349 1 22.79 22.79
*TRACKING NUMBERS: 050316381012064
5 TEST STRIP, AMMONIA SET W/ BTL /25 2755325 4 17.39 69.56
*TRACKING NUMBERS: 050316381012064
6 TEST STRIP, TOTAL HARDNESS BTL /50 2745250 4 9.19 36.76
*TRACKING NUMBERS: 050316381012064
7 TEST STRIP, CHLORINE BTL /50 2745050 4 13.29 53.16
*TRACKING NUMBERS: 050316381012064
0 For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental CII�tI$
Test Systems WLNRSIi
mei �1_CT £y M f
BOG -548 -4381 8)0- 949 -M 800.3658 -2723 80U- fi77 -0C)6( 800 -454 -0263
Fax: 574. 264 -4b33 Fax: 970 -461 -3921 Fax: 301-8/4-84,59 Fax: b0 Fax: 9 70-461-3919
INVOICE NUMBER 6324729
DATE: 07/16/2009
Page: 2
0 Be Right
ORDER CONTACT: SUBTOTAL 214.01
SARA MCMULLEN FREIGHT CHARGES 26.95
3175712314 TAX 0.00
Notes: INVOICE TOTAL 240.96
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42 0704420
Environmental a l
Test Systems
AIA.RSH
i, I —Kr IrL.y ":T f rom Hach
804.548 -4381 804- 949 -3766 8007 -368 -2723 800 677 -OW7 800.464 -02W
Fax: 574- 264 -4xM Fax M- 461 -3921 Fax: 341.874 -8459 Fax: 6W -994-35;4 Fax: 9/0- 481 -3919
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
.An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Hach
Purchase Order No.
2207 Collections Center Drive
Terms
Chicago, IL 60693
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/16/09 6324729 Illicit Discharge Testing Supplies $240.96
08/10/09 6359157 Illicit Discharge Testing Supplies $22.44
Total
1 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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hach IN SUM OF
2207 Collections Center Drive
Chicago, IL 60693
$263.40
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 6324729 206- 4462838 $240.96 bill(s) is (are) true and correct and that the
n/a 6359157 206- 4462838 or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ntrr%r= vnynidr
INVOICE NO 6353650 DATE: 1 08/0572009
I!.. I.! �rtlll��llllltlllll��l�ltl�ll�trrlll PURCHASE W08860
s ORDER
CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Westfield, IN 46074 -8267 TERMS
T United States
o FREIGHT Prepay And Bill Customer
3 Sort Seg: 574 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
I LOVELL ROB REF. NO. 308777015 -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
2 KTO: CHLORINE ANLZR FREE CL17 W /RGTS 5440001 3 2,666.40 7,999.20
ORDER CONTACT: SUBTOTAL 7,999.20
ROB LOVELL FREIGHT CHARGES 99.95
3175712669 TAX 0.00
Notes: INVOICE TOTAL 8,099.15
'PLANT 5
For order discrepancies or product exchanges please call 1 800 227 4224 to obtain Return Authorization.
FEDERAL TAX ID 42 0704420
Environmental Cr P�II�S
Test Systems MMEVEMM
AIA-RSIFT 0P,6
from Hach
BM648 -4381 800-949-3(66 800 368.2723 800 677-0067 800 454 -0263
Fax: 574. 264 453.'3 Far 970- 461 3921 Fax: 301 -874 -8459 Fax: bUb- 994 -3514 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, pp
cJ
price per unit, etc.
Payee#
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 8/26/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2009 6353650 $8,099.15
I hereby certify that the attached invoice(s), or bill(s) is (are) true and J}
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
M/
Date Offi r
k
VOUCHER 092856 WARRANT ALLOWED
i
11`8000 IN SUM OF
HACH CHEMICAL CO. CORI
2207 Collections Center Dr.
Chicago, IL 60693
�R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6353650 02- 2308 -00 $7,999.20
Depreciation
6353650 2- 2308 -00 $99.95
Depreciation
r
Voucher Total $8,099.15
Cost distribution ledger classification if
claim paid under vehicle highway fund