171860 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $53.14
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 171860
CHECK DATE: 4129/2009
DEPARTMEN ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESC
601 5023990 6192458 53.14 OTHER EXPENSES
INVOICE NO 6192458 DATE: 1 04/15/2009
4_
PURCHASE J Fore 04152009082513
p ORDER
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
g Sort Seg: 572 Tray: 3
CARRIER RPS RPS* *Fed Ex- Ground
H CARMEL UTILITIES I ACCOUNT 1052653
3450 W 131ST ST I REF. NO. 308634602 -1 r emit to:
WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
C 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 BUFFER SOLN, YELLOW PH7.00 4L 2283556 1 37.19 37.19
'TRACKING NUMBERS: 050316379932893
ORDER CONTACT: SUBTOTAL 37.19
JAIMIE FOREMAN FREIGHT CHARGES 15.95
317 -571 -2639 TAX 0.00
Notes: INVOICE TOTAL 53.14
For order discrepancies or product exchanges please call 1.800- 227 -4224 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
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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
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 4/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2009 6192458 $53.14
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 091639 WARRANT ALLOWED
y
118000 IN SUM OF
H l�CH CHEMICAL CO. CORP
2207 Collections Center Dr. ��fc 2
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6192458 01- 6180 -03 $53.14
Voucher Total $53.14
Cost distribution ledger classification if
claim paid under vehicle highway fund