206464 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366009 Page 1 of 1
ONE CIVIC SQUARE TELEDYNE ISCO
s CHECK AMOUNT: $89.39
CARMEL, INDIANA 46032 Po eox 121175
DALLAS TX 75312 -1175 CHECK NUMBER: 206464
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 982037 89.39 OTHER EXPENSES
,iff,21 TELEDYNE ISCO INVOICE Please P.O Y 12117
ATeledyne Technologies Company Remit to'
Dallas, TX 75312 -1175
Phone: (800) 228 -4373 Q(�
Intl: (402) 464 -0231 O Page 1
Federal I.D. No. 954888283 Invoice Date 1/24/12
Duns No. 07- 832 -7063
BILLTO: SHIPTO:
INVOICE NO. 982037
CITY OF CARMEL CITY OF CARMEL
JORDAN KLEINSMITH JORDAN KLEINSMITH
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
United States United States
Order:No Purchase`OrdeuNumber Packing. st
ustome.. o
006219988 VERBALJORDANKLEINSMITH 200469 966101
Carder Payment Terms
Destination Country
GROUND Net 30 Days
Tracking Number Fr e ht Terms Shipping Location
FOB FACT /PREPAID ADD 11
LirieNo Part Numberl:Descnption Qty Umt Price`: fxtended:Amoun
Seller's Offer, and any order issued by Buyer to
Seller for the goods and /or services specified
herein, is strictly limited to Seller's Terms
and Conditions of Sale, which can be found at
www.isco.com.
100 684700020 1 EA 82.30 82.30
4700 CABLE WITH FLY LEADS
SHIPPING AND HANDLING FEES 7.09
Indiana Sales Tax /.26
q 1
li
To ensure proper credit, please refer to the invoice number. o
Please refer to www.isco.com for: 1)terrns and conditions, 2)shipping and freight rate table, and .65 USD
3) Anit- boycott statement. To report fraud or ethics issues, call the Teledyne Ethics Line 1- 877 666 -6968.
These commodities, technology or software were exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to U.S. law prohibited.
United States law prohibits disposition of these commodities to any end user for any end use related to the design, development, production, stockpilling or use of chemical, biological or
muclear weapons or missiles, without the prior approval of the United States Govem!ent.
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
366009
TELEDYNE ISCO Purchase Order No.
PO BOX 121175 Terms
DALLAS, TX 75312 -1175 Due Date 2/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2012 982037 $89.39
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 116770 WARRANT ALLOWED
366009 IN SUM OF
TELEDYNE ISCO
PO BOX 121175
DALLAS, TX 75312 -1175
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
982037 01- 7202 -06 $89.39
Voucher Total $89.39
Cost distribution ledger classification if
claim paid under vehicle highway fund