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175708 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1 ONE CIVIC SQUARE HACH COMPANY CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $2,507.50 CHICAGO IL 60693 CHECK NUMBER: 175708 CHECK DATE: 8/612009 DEPARTMENT A CCOUN T PO NU IN NUMBER AM OUNT DE 601 5023990 6326775 1,237.95 OTHER EXPENSES 601 5023990 6328945 801.55 OTHER EXPENSES 601 5023990 6331133 468.00 OTHER EXPENSES �r J- vc r rwn r I"r`L_ v11H1na1 INVOICE NO 6326775 1 DATE: 1 07/17/2009 ILJTIIIIIInII�II�IIIIIIILIIIL��llll PURCHASE J Fore 07172009073123 s 0 CARMEL UTILITIES ORDER L NUMBER D 3450 W 131st St Net 30 Days From Invoice Date Westfield, IN 46074 -8267 g t TERMS T United States D FREIGHT Prepay And Bill Customer S Sort Seg: 662 Tray: 3 CARRIER RPS- RPS *FedEx- Ground H CARMEL UTILITIES JACCOUNT 052653 1 3450 W 131 ST ST I REF. NO. 1308 761250 -1 Remit to: ,P WESTFIELD, IN 46074 -8267 Hach Company T United States 2207 Collections Center Dr Chicago, IL 60633 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 KIT, CL17 PRE -ASSY MAINT, POST 3/00 5444301 6 142.00 852.00 `TRACKING NUMBERS: 050316381041552 3 DPD FREE CHLORINE RGT, PK/1000 2105528 1 163.00 163.00 *TRACKING NUMBERS: 050316381041552 4 DPD TOTAL CHLORINE RGT, PK/1000 2105628 1 163.00 163.00 *TRACKING NUMBERS: 050316381041552 ORDER CONTACT: SUBTOTAL 1,178.00 JAIMIE FOREMAN FREIGHT CHARGES 59.95 317- 571 -2639 TAX 0.00 Notes: INVOICE TOTAL 1,237.95 For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Environmental Bran Test Sy stems L�AIZSH w� et 1t1c13C �C12NLY rx «:.r 800- 548 -4381 800 -949 -3786 800 -368 -2/23 800- 677 0087 800 -454 -0263 Fax: 574. 264 -4x33 Fax: 970. 461 -3921 Fax: 301-8M-8459 Fax: SCli- 994 364 Fax: 970 -461 -3919 nr_mc urigrnall INVOICE NO 6328945 DATE: 1 07/20/2009 PURCHASE J Fore 07172009073123 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 0 FREIGHT Prepay And Bill Customer 3 Sort Seg: 710 Tray: 3 CARRIER RPS- RPS *FedEx Ground H CARMEL UTILITIES J ACCOUNT 1052653 I 3450 W 131 ST ST REF. NO. 308761250 -2 emit to: P WESTFIELD, IN 46074 -8267 Hach Company T United States 2207 Collections Center Dr Q 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 FERROVER, IRON REAGENT PK/100 2105769 40 17.89 715.60 'TRACKING NUMBERS: 050316381060256 2 ASCORBIC ACID PWD PLWS PK/100 1457799 5 17.19 85.95 'TRACKING NUMBERS: 050316381060256 ORDER CONTACT: SUBTOTAL 801.55 JAIMIE FOREMAN 317 -571 -2639 TAX 0.00 Notes: INVOICE TOTAL 801.55 For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Environmental �"a�itt�$ Test Systems a MARSH met ri1cEICf21VEX r from Hach 806 -Ci48 -4381 806- 949 -3766 806 -368 -2723 800 -6T7 -0067 800 -4,54 -0283 Fax: 574 -215A-41533 Fax: M- 461 -3921 Fax: 301. 874 -84:19 Fax: 6C5 -994 -3574 Fax: 910-461-3919 INVOICE NO 6331133 DATE: 1 07/2172009 s I�I��I, il�ll�lrrlllllllllllllllr�rrlli PURCHASE J Fore 07172009073123 0 CARMEL UTILITIES ORDER L NUMBER D 3450 W 131st St Net 30 Days From Invoice Date Westfield, IN 46074 -8267 TERMS T United States C b FREIGHT Prepay And Bill Customer 3 Sort Seg: 738 Tray: 3 CARRIER RPS RPS* *Fed Ex- Ground H CARMEL UTILITIES ACCOUNT 1052653 I 3450 W 131 ST ST I REF, NO. 1308761250 -3 Remit to: WESTFIELD, IN 46074 -8267 Hach Company T United States 2207 Collections Center Dr 0 Chicago, IL 60693 t. 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 KIT, MAINTENANCE CA610 FLUORIDE 5742100 4 117.00 468.00 *TRACKING NUMBERS: 050316381078923 ORDER CONTACT: SUBTOTAL 468.00 JAIMIE FOREMAN 317- 571 -2639 TAX 0.00 Notes: INVOICE TOTAL 468.00 For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Environmental C� [I"1111S Test Systems MAa2Si� b1 i31k2NLY it H a ch 800-b48.4381 800 -949 -3766 800 -368 -2723 800 -677 -0087 3130 -454 -0263 Fax: 514- 264 -4633 Fax:: gI0 -461 -3921 Fax: 301-874-8459 Fax: b 994 -3:74 Fax: 970- 461 -3919 Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUGHER 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 7/29/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/29/2009 6326775 $1,237.94 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 713111 Cam- I ry-._ i t.d Date Officer VOUCHER 092530 WARRANT ALLOWED 118000 IN SUM OF HACH CHEMICAL CO. CORP 2207 Collections Center Dr. f; Chicago, IL 60693 01�� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 4s 6326775 01- 6200 -03 $911:x- 6326775 01- 6200 -06 $326.00 �e3ag�,gs �c•t,2cc�•o3 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund