173346 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $536.70
CHICAGO IL 60693 CHECK NUMBER: 173346
CHECK DATE: 6/1012009
DEPART ACCOU PO N UMBER INVOICE NUMBER AMOUNT D ESCRIPTION
601 5023990 W08763 6232826 536.70 IRON REAGENT
INVOICE NO 6232826 DATE: 1 05/17/2009
s Itlt�l�llrtll���l���ltl��ll��l���l�itll��l��Plrl�l�llt����tlll PURCHASE Jaimie Lab 5
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
�v CARRIER RPS- RPS* *FedEx- Ground
S Sort Seg: 569 Tray: 3
H CARMEL UTILITIES ACCOUNT 052653
1 3450 W 131 ST ST REF. NO. 1308672747-2 emit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
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 30 17.89 536.70
'TRACKING NUMBERS: 050316380256346
ORDER CONTACT: SUBTOTAL 536.70
JAIMIE FOREMAN
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 536.70
For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental GL F1 LACHAT
L,.., Environmental Radiometer
Test Systems MARSH
s a eeRkrcmeervnamen,&Wk McBCRN
/f1 INSTRU ENTS ®analytical F-Y
ee..c c.,. B� c� A �s
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 VOUCHED"
CITY OF GARMEL
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. II
Payee
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 5/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2009 6232826 $536.70
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 091941 WARRANT ALLOWED
14`118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693 Y�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6232826 01- 6200 -03 $536.70
t
Voucher Total $536.70
Cost distribution ledger classification if
claim paid under vehicle highway fund