174965 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 4
ONE CIVIC SQUARE JONES CHEMICALS, INC
4 CARMEL, INDIANA 46032 PO BOX 412641 CHECK AMOUNT: $941.49
KANSAS CITY MO 64141
CHECK NUMBER: 174965
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08731 435145 659.52 CHLORINE
601 5023990 W08731 436772 281.97 CHLORINE
_,1
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
JonesChemfcalsInc. JCI JONES CHEMICALS, INC.. 0710912009 436772
BEECH GROVE BRANCH LOCATION Date Shipped Order160L
600 BETHEL AVENUE
07/09/2009 307627
BEECH GROVE, IN 46107
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787-8384
email: cs @jcichem.com
s CARMEL UTILITIES �'1� S ID 9: 10
O ATTN: ACCTS PAYABLE v H WATER TREATMENT PLANT #3
L 3450 W. 131ST STREET V I
D p 4425 E. 126TH STREET
Westfield, IN 46074- CARMEL IN 46032-
7 USA T USA
O O
Customer PO FOB Remark Freight Terms
ROB Destination Delivered
Release# Terms Due Date Ship Via Sales ID
2% 10/Net 30 0810812009 JCI SOUTH
Units ckage Product Name Total Quantity Unit Price Amount
6.00 150 lb CYLINDER CHLORINE 900.000011b 0.3133 /lb 281.97
1001 -006
CHLORINE
General R marks: EMAIL INVOICE T0: k oveall @carmel.in.gov
RET'D 11 MT CL2 150#
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 281.97
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT
Kansas City, MO 64141- USA
Page 1 of 1
*JCI Welcomes payments by Visa, Amex, and EFT'
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
j rwsChemicahlnc. JCI JONES CHEMICALS, INC.. 06/29/2009 435145
BEECH GROVE BRANCH LOCATION Date Shi
peed OrderlBOL
600 BETHEL AVENUE
BEECH GROVE, IN 46107 06/29/2009 306771
Customer Number Phone: (317) 787 -8382
20142250 Fax. (317) 787-8384
email: cs @jcichem.com
s CARMEL UTILITIES S ID #:2
0 ATTN: ACCTS PAYABLE H WATER TREATMENT PLANT #5
L 3450 W. 131 ST STREET �1 I
D P
54$4 E. 126TH STREET
Westfield IN 46074- CARMEL IN 46032
T USA T USA
O 0
Customer PO FOB Remark Freight Terms Sales ID
Rob Destinalion Delivered SOUTH
Release Ship Via Terms Due Date Discount Due Date
JCI 2% 101Net30 0712912009 719>2009
Units I Package Product Name Total Quantity Unit Price Amount
1.00 2,000 lb CONTAINER CHLORINE 1.0000(Ton 485.0000 Ron 485.00
1001 -004
CHLORINE (e)
4.00 150 lb CYLINDER CHLORINE 600.0000nb 0.3133 fib 187.98
1001 -006
CHLORINE
General emarks: EMAIL INVOK E TO: kloveall @carmel.in.gov
NO EMPTIES RE 'D
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 672.95
TOTAL if paid by 71912009: 659.52
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641
THIS AMOUNT
Kansas City, MO 64141- USA
Page IofI
*JCI Welcomes payments by Visa, Amex, and EFT*
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.
G
Payee
350726
JONES CHEMICALS, INC Purchase Order No.
PO BOX 412641 Terms
KANSAS CITY, MO 64141 Due Date 7/13/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 436772 $281.97
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 092273 WARRANT ALLOWED
150726 �,�Ej? IN SUM OF
JONES CHEMICALS, INC
FO BOX 412641 �t
KANSAS CITY, MO 641410,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P
3 436772 01- 6180 -03 $281.97
4 351 4--i N ,0 0'3 (o
I Voucher Total I f n 'i
Cost distribution ledger classification if
claim paid under vehicle highway fund