173851 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
i4 �Ja CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $450.90
CHICAGO IL 60693 CHECK NUMBER: 173851
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO N UMBER I NVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08790 6234661 450.90 REAGENT KIT
t�`
INVOICE NO 6234661 DATE: 1 05/15/2009
PURCHASE Jaimie Lab 5
L CARMEL UTILITIES ORDER
3450 W 131ST ST NUMBER Net 30 Days From Invoice Date
WESTFIELD, IN 46074 -8267 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
3 Sort Seg: 638 Tray: 3
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
1 3450 W 131ST ST REF. NO. 308672747-3 emit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T
United States a 2207 Collections Center Dr
W
0 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 as REAGENT SET, CHLORINE TOTAL CL17 2557000 10 45.09 450.90
'TRACKING NUMBERS: 050316380268974
ORDER CONTACT: SUBTOTAL 450.90
JAIMIE.FOREMAN
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 450.90
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental GL F1 Environmental 7I L.ACHAT' Radiometer
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Test Systems Irate AIA.RSH
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800 548 -4381 800 454 -0263 800 949 -3766 800 454 -0263 800-454 -0263 800 368 -2723
Fax: 574-264-4533 Fax: 970-461-3919 Fax: 970-461-3921 Fax: 970-461-3919 Fax: 970-461-3919 Fax: 301-874-8459
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL f
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 6/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2009 6234661 $450.90
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 Officer
VOUCHER 092112 UV:tz\RRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORjV'*►r
2207 Collections Center Dr.
Chicago, IL 60693 0 *e
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6234661 01- 6180 -03 $450.90
Voucher Total $450.90
Cost distribution ledger classification if
claim paid under vehicle highway fund