170415 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,152.33
%mo CHICAGO IL 60693 CHECK NUMBER: 170415
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUN PO NUM IN VOICE NUMBER A MOUNT DESC RIPTION
001 5023990 6149869 1,132.23 OTHER EXPENSES
601 5023990 6151560 20.10 OTHER EXPENSES
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INVOICE NO 6149869 DATE: 1 03/16/2009
S
PURCHASE JF031309
O ORDER
CARMEL UTILITIES NUMBER
3450 W 131ST ST Net 30 Days From Invoice Date
WESTFIELD, IN 46074 -8267 ;i�j TERMS
T United States
o W FREIGHT Prepay And Bill Customer
S Sort Seg: 563 Tray: 3
CARRIER RPS- RPS""FedEx- Ground
H CARMEL UTILITIES JACCOUNT 1052653
3450 W 131ST ST I REF. NO. 308591985 -1 emit to:
P WESTFIELD, IN 46074 -8267
United States Hach Company
T 2207 Collections Center Dr
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
2 as REAGENT SET, CHLORINE TOTAL CL17 2557000 10 45.09 450.90
*TRACKING NUMBERS: 050316379587055
3 RGT 1, TISAB SOLN 473ML 2812811 7 26.75 187.25
*TRACKING NUMBERS: 050316379587055
4 FLUORIDE STD, 0.5MG /L 473ML 2743811 2 18.45 36.90
*TRACKING NUMBERS: 050316379587055
5 FLUORIDE STD, 5.OMG /L 473ML 2797111 2 19.49 38.98
*TRACKING NUMBERS: 050316379587055
6 FERROVER, IRON REAGENT PK/100 2105769 15 17.89 268.35
*TRACKING NUMBERS: 050316379587055
7 DRAIN /INLET BLOCK 4693900 1 89.90 89.90
*TRACKING NUMBERS: 050316379587055
ORDER CONTACT: SUBTOTAL 1,072.28
JAIMIE FOREMAN FREIGHT CHARGES 59.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 1,132.23
*Jaimie Foreman
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
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INVOICE NO 6151560 DATE: 1 03/17/2009
I.I;�I,II„ III„ I,,, I, I„ II „It„Itl,ll„Ir„I,Itl,ll,,,,,,lll PURCHASE JF031309
s ORDER
O CARMEL UTILITIES
L NUMBER
b 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: 638 Tray: 3
CARRIER RPS -RPS* *Fed Ex- Ground
H CARMEL UTILITIES ACCOUNT 052653
3450 W 131ST ST REF. NO. 308591985 -2 emit to:
P WESTFIELD, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
0 Chicago, !L 60593
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 WRENCH, TORX, T20 MSC P/N 75473207 5467000 3 6.70 20.10
'TRACKING NUMBERS: 036916530494682
ORDER CONTACT: SUBTOTAL 20.10
JAIMIE FOREMAN
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 20.10
'Jaimie Foreman
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
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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 3/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/23/2009 6149869 $1,132.23
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
3/ Z 7/ q
Date Officer
VOUCHER 091401 WARRANT ALLOWED
Y v
118000 IN SUM OF
HACH CHEMICAL CO. CORFX
Y
2207 Collections Center Dr.
Chicago, IL 60693 ®�I��
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6149869 01- 6200 -03 $1,072.28
6149869 01- 6200 -03 $59.95
T 71
Voucher Total $1
Cost distribution ledger classification if
claim paid under vehicle highway fund