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172341 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1 ONE CIVIC SQUARE HACH COMPANY CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $165.41 CHICAGO IL 60693 CHECK NUMBER: 172341 CHECK DATE: 5/13/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 6196075 37.19 CHEMICALS 601 5023990 6201432. 128.22 CHEMICALS INVOICE NO 6201432 DATE: 1 04/22/2009 LI��I�IIrJI��I��JrI��II��I��I�I�II��I��IJrLll��r��lll PURCHASE VERBAL JERRY 4/21/09 S ORDER 0 CARMEL UTILITIES L 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 S Sort Seg: 530 Tray: 2 CARRIER RPS- RPS *FedEx Ground H CARMEL UTILITIES ACCOUNT 1052653 d 3450 W 131 ST ST REF. N 308642535 -1 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 2 REAGENT SET, NITROGEN AMMONIA 2668000 1 81.79 81.79 *TRACKING NUMBERS: 050316379995584 3 SODIUM THIOSULFATE SOLN, 0.1 N 32332 1 10.39 10.39 *TRACKING NUMBERS: 050316379995584 4 WATER, DEIONIZED 4L (DEMINERALIZED) 27256 1 20.09 20.09 *TRACKING NUMBERS: 050316379995584 ORDER CONTACT: SUBTOTAL 112.27 BUYER COMPANY FREIGHT CHARGES 15.95 3177332855 TAX 0.00 Notes: INVOICE TOTAL 128.22 For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 G]L LACHAT n Environmental m Radiometer 1VIARSH Test Systems Environmental rN5MUME— ®analytical Mc.BIRNI:Y a M a.m A Ld C 9�vL BravA PE Right Me EitWrCnmenf AT Nbrfll it. a Hach C vaPS'N B,are1 ANrfi G,mpa,y arznA AHerh CanpxnY HaaaM 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 INVOICE NO 6196075 DATE: 1 04/17/2009 I. I.: IrII�tli��rl��Ll��lir�it��l�lrll��l��l�l�l�ll��tt�tlll PURCHASE J Fore 04152009082513 s` CARMEL UTILITIES ORDER 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 g Sort Seg: 559 Tray: 3 CARRIER RPS RPS` *Fed Ex- Ground H CARMEL UTILITIES ACCOUNT 052653 I 3450 W 131 ST ST I REF. NO. 308634602 -2 r emit to: P WESTFIELD, IN 46074 -8267 Hach Company United States 2207 Collections Center Dr :T Chicago, 1L 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 BUFFER SOLN, BLUE PH10.01 4L 2283656 1 37.19 37.19 'TRACKING NUMBERS: 050316379959777 ORDER CONTACT: SUBTOTAL 37.19 JAIMIE FOREMAN 317- 571 -2639 TAX 0.00 Notes: INVOICE TOTAL 37.19 For order discrepancies or product exchanges please call 1- 800 227 -4224 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Environmental G Test Systems Incunatio GL F1 �CH� d•' Radiometer 1 Environmental �NSrnu MENrs MA.1£2:SH ae,.ec„oP.,re�e &RIghtmeE-w�wrmeotlsnermu. analytical MCBLRNEY AMY PIYN —11 Garnr°ny —11. 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 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 5/4/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/4/2009 6201432 $128.22 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 s /a ice^ Date Officer VOUCHER 091728 WARRANT ALLOWED 118000 IN SUM OF HA, CH CHEMICAL CO. CORP 2207 Collections Center Dr. Chicago, IL 60693 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 6201432 01- 6180 -03 $128.22 ie l 6e ?5 bt �i�p.03 '37 1 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund