176253 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $230.22
CHICAGO IL 60693
CHECK NUMBER: 176253
CHECK DATE: 8/1912009
DEPART ACC PO NUMBER INV NUMBE AMOUNT DESCRIPTION
206 4462838 6336581 159.00 STORM WATER PHASE II
651 5023990 6345779 50.93 OTHER EXPENSES
206 4462838 634677 20.29 STORM WATER PHASE II
DETACH HERE Original
INVOICE NO 6345779 DATE: 1 07/30/2009
PURCHASE VRBL -TARA R
o ORDER
L CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Westfield, IN 46074 -8267 TERMS
T United States
FREIGHT Prepay And Bill Customer
S Sort Seg: 620 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
RUBUSH TARA REF. NO. 308778806 -1 emit to:
P 9609 HAZEL DELL PKWY Hach Company
WASTEWATER TRMT PLT 2207 Collections Center Dr
T INDIANAPOLIS, IN 46280 -2935 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 rr NESSLER RGT EX ALK, 100TESTS MDB 2119432 2 18.99 37.98
'TRACKING NUMBERS: 050316381201970
ORDER CONTACT: SUBTOTAL 37.98
TARA RUBUSH FREIGHT CHARGES 12.95
317- 571 -2634 TAX 0.00
Notes: INVOICE TOTAL 50.93
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental o other IrandS
Test Systems MARSH AICBIKKN
L
Hyd'o'mt w N h from Hach
800 -548 -4381 800.949 -3768 800 -368 -2723 B00 -677 -0067 800.4541 -0263
Fax: 574-264-4x33 Fax: 970-461-3921 Fax: 301-874-843 Fax: 50 Fax: 9 10-461-3919
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 8/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2009 6345779 $50.93
(C
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 Officer
VOUCHER 096186 WARRANT ALLOWED
118000
IN SUM OF
HACH CHEMICAL CO. CORP
2207 COLLECTIONS CENTER DR.
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6345779 01- 7202 -05 $50.93
Voucher Total $50.93
Cost distribution ledger classification if
claim paid under vehicle highway fund
Ut I AGH HtKt Uriginai
INVOICE NO 6339581 DATE: 1 07/2772009
A loll ll 111 11!!11111!!111! 1I11I 1I1I1I1 111 111111!!!111111 11111 111 PURCHASE SARA MCMULLEN 071509
S ORDER
0 CARMEL WWTP
L NUMBER
D 1 Civic Sq Net 30 Days From Invoice Date
Carmel, IN 46032 -2584 TERMS
T United States
0 FREIGHT Prepaid By Shipper
3 Sort Seg: 621 Tray: 3
CARRIER FXO- CAO *FedEx- Standard -Cargo Air
H CARMEL WWTP ACCOUNT 140039733
I MCMULLEN, SARA I REF. NO. 308757756 -3 Remit to:
P 1 CIVIC SQUARE Hach Company
CARMEL, IN 46032 2207 Collections Center Dr
T United States
Q Chicago, IL 60 €33
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 pH /TDS /SALINITY /COND /TEMP METER 2519800 1 159.00 159.00
"TRACKING NUMBERS: 932292642960
ORDER CONTACT: SUBTOTAL 159.00
SARA MCMULLEN
3175712314 TAX 0.00
Notes: INVOICE TOTAL r 9 159 00
Original
INVOICE NO 6326777 DATE: 1 07/17/2009
s 4 6 0 3 2 2 5 8 4 0 1 5] PURCHASE SARA MCMULLEN 071509
0 CARMEL WWTP ORDER
L NUMBER
1 Civic Sq Net 30 Days From Invoice Date
Carmel, IN 46032 -2584 TERMS
T United States
o FREIGHT Prepay And Bill Customer
S Sort Seg: 661 Tray: 3
CARRIER RPS- RPS *FedEx- Ground
H CARMEL WWTP ACCOUNT 40039733
I MCMULLEN, SARA REF. NO. 308757756 2 Remit to:
P 1 CIVIC SQUARE
CARMEL, IN 46032 2207 Company
2207 Collections Center Dr
T United States Chicago, IL 60693
O Phone: (800) 227 -4224
These commodilies 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 PRICE EXT. PRICE
1 KTO: PH BUFFER SOLUTION KIT 500mL 2947600 1 20.29 20.29
ORDER CONTACT: SUBTOTAL 20.29
SARA MCMULLEN
3175712314 TAX 0.00
Notes: INVOICE TOTAL 20.29
Prescribed by State Board of Accounts City Farm 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 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))
07/17/09 6326777 Illicit Discharge Testing Supplies $20.29
07/27/09 6339581 Illicit Discharge Testing Supplies $159.00
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
$179.29
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 634677 206- 4462838 $20.29 bill(s) is (are) true and correct and that the
n/a 6336581 206- 4462838 or services itemized thereon for
which charge is made were ordered and
received except
2 0 Cq
Signature
C10"A L z via
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund