168010 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $7,500.00
CHICAGO IL 60693
CHECK NUMBER: 168010
CHECK DATE: 1/2112009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5969177 7,500.00 CONT SVS —OTHER
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INVOICE NO 5969177 DATE: 1 10/29/2008
s
PURCHASE 030106 -3 ADD
O ORDER
L CITY O� CARMEL NUMBER
D WASTEWATER TREATMENT PLANT Net 30 Days From Invoice Date
760 3RD AVE SW TERMS
T CARMEL, IN 46032 -2072
O United States FREIGHT
S Sort Seg: 628 Tray: 3 CARRIER
H CITY OF CARMEL ACCOUNT 833045
1 760 3RD AVE SW REF, NQ. 308416584 -1 emit to:
P WASTEWATER TREATMENT PLANT Hach Company
CARMEL, IN 46032 -2072 2207 Collections Center Dr
T United States Chicago, IL 60693
O Phone: (6KI 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 DDS BASIC MONTHLY CHARGE DDS BASIC 5 500.00 2,500.00
*DDS BILLING FOR THE MONTH OF AUGUST 2008
2 DDS BASIC MONTHLY CHARGE DDS BASIC 5 500.00 2,500.00
*DDS BILLING FOR THE MONTH OF SEPTEMBER 2008
3 DDS BASIC MONTHLY CHARGE DDS BASIC 5 500.00 2,500.00
*DDS BILLING FOR THE MONTH OF OCTOBER 2008
ORDER CONTACT: SUBTOTAL 7,500.00
JOHN DUFFY
317- 571 -26347 TAX 0.00
Notes: INVOICE TOTAL 7,500.00
*THIS INVOICE IS FOR DATA DELIVERY SERVICE (DDS)FOR THE MONTHS OF AUGUST, SEPTEMBER AND OCTOBER 2008
THAT ARE INSTALLED IN THE CITY OF CARMEL
CONTACT JOHN DUFFY 317 571 -2443 AND /OR ED WOLFE 317 571 -2634
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 Soard of Accounts. City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER 4
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,
t
price per unit, etc.
Payee
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 COLLECTIONS CENTER DR. Terms
CHICAGO, IL 60693 Due Date 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/200! 5969177 $7,500.00
lereby certify that the attached invoice(s), or bill(s) is (are) true and
>rrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
1GUCHER 087125 WARRANT ALLOWED
_r I
18000 IN SUM OF
--IACH CHEMICAL CO. CORP
?207, CENTER DR.
-HICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
5969177 01- 7360 -02 $7,500.00
Voucher Total $7,500.00 I
i n ledger classification if
i.er vehicle highway fund