168558 02/04/2009 "a CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
ONE CIVIC SQUARE JONES CHEMICALS, INC
CHECK AMOUNT: $1,122.95
CARMEL, INDIANA 46032 PO BOX 412641
'y off co KANSAS CITY MO 64141 CHECK NUMBER: 168558
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMB A MOUNT DESCRIPTION
601 5023990 W08584 418364 804.98 CHLORINE
;601 5023990 '.W08584 418365. 317.97 CHLORINE
r
s. lo
www.jcichemicals.com INVOICE
Inv Date Invoice
***ORIGINAL***
j nes Chemicalslnc. JCI JONES CHEMICALS, INC.. 01/07/2009 418365
BEECH GROVE BRANCH LOCATION Date Shipped OrderIBOL
600 BETHEL AVENUE
01/07/2009 293364
BEECH GROVE, IN 46107
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787-8384
email: cs @jcichem.com
1 S CARMEL UTILITIES' S ID 10
O ATTN: ACCTS PAYABLE H WATER TREATMENT PLANT #3
L 3450 W. 131ST STREET I
4425 E. 126TH STREET
O Westfield, IN 46074- V P
CARMEL, IN 46032
T USA W T USA
O O
Customer PO FOB Remark Freight Terms
Rob Destination Delivered
Raleacn.S ro.rt �n..o.n.m
CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
ONE CIVIC SQUARE JONES CHEMICALS, INC
INDIANA 46032 PO BOX 412641 CHECK AMOUNT: $1,122.95
CARMEL
KANSAS CITY MO 64141
CHECK NUMBER: 168558
CHECK DATE: 2/4/2009
DEPARTMENT AC COUNT PO N INVOICE NUMB A MOUNT DESCRIPTION
601 5023990 W08584 418364 804.98 CHLORINE
601 5023990 W08584 418365 317.97 CHLORINE
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 317.97
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT mi
Kansas City, M064141- USA
Page 1 of 1
*JCI Welcomes payments by Visa, Amex, and EFT*
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
]onesChemicaLslnc. JCI JONES CHEMICALS, INC.. 01/07/2009 418364
BEECH GROVE BRANCH LOCATION Date Shipped Order /BOL
600 BETHEL AVENUE
01/07/2009 293363
BEECH GROVE, IN 46107
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787-8384
email: cs @jcichem.com
S CARMEL UTILITIES S ID 2
O ATTN: ACCTS PAYABLE H
L I WATER TREATMENT PLANT #5
3450 W. 131 ST STREET
5484 E. 126TH STREET
D Westfield IN 46074- P CARMEL IN 46032
T USA T USA
O O
Customer PO FOB Remark Freight Terms
Rob Destination Delivered
Release Terms Due Date Ship Via Sales ID
N 30 02/06/2009 JCI SOUTH
Units ackage Product Name Total Quantity Unit Price Amount
1.00 2,000 lb CONTAINER CHLORINE 2,000.000011b 0.2700 /lb 540.00
1001.004
CHLORINE (e)
5.00 150 lb CYLINDER CHLORINE 750.000011b 0.3533111b 264.98
1001.006
CHLORINE
General R marks: EMAIL INVOICE TO: I loveall@carmel.in.gov
RET'D 1 MT TON CI-2
RET'D 3 MT 150# CL2
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 804.98
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT Mill
Kansas City, MO 64141- USA
Page 1 of 1
*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.
Payee D
350726
JONES CHEMICALS, INC Purchase Order No.
PO BOX 412641 Terms
KANSAS CITY, MO 64141 Due Date 1/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2009 418364 $804.98
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 C#er
VOUCHER 084283 WARRANT ALLOWED
350726 IN SUM OF
JONES CHEMICALS, INC
PO BOX 412641
KANSAS CITY, MO 64141 T V
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
418364 01- 6180 -03 $804.98
1 S %S U -6 3 3 p, c t 7
Voucher Total'
Cost distribution ledger classification if
claim paid under vehicle highway fund