170938 04/16/2009 a CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
ONE CIVIC SQUARE JONES CHEMICALS, INC CHECK AMOUNT: $485.00
CARMEL, INDIANA 46032 PO BOX 412641
o KANSAS CITY MO 64141 CHECK NUMBER: 170938
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUN PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
601 5023990 424076 485.00 OTHER EXPENSES
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL 03 /09 /2009 424076
Jones ChemicakInc.
JCI JONES CHEMICALS, INC..
BEECH GROVE BRANCH LOCATION Date Shipped Order /BOL
600 BETHEL AVENUE
03/09/2009 297406
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 WATER TREATMENT PLANT #5
L 3450 W. 131ST STREET I 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
Reiease Terms Due Date Ship Via Sales ID
N 30 04/08/2009 JCI SOUTH
Units ckage Product Name Total Quantity Unit Price Amount
too 2,000 lb CONTAINER CHLORINE 1.00001Ton 485.00001Ton 485.00
1001.004
CHLORINE (e)
General R marks: EMAIL INVOICE TO: k oveall @carmel.in.gov
RET'D 1 MT TON CL2
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 485.00
en11t i�: JCI Jones GPletnicalsInc. PLEASE PAY
P Box 412641 THIS AMOUNT wj
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
rJ
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
350726
JONES CHEMICALS, INC Purchase Order No.
PO BOX 412641 Terms
KANSAS CITY, MO 64141 Due Date 3/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/30/2009 424076 $485.00
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
i
Date Officer
VOUCHER 091493 WARRANT ALLOWED
35 ,726 $AT IN SUM OF
JONES CHEMICALS, INC
PO BOX 412641
KANSAS CITY, MO 64141
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
424076 01- 6180 -03 $485.0
Voucher Total $485.00
Cost distribution ledger classification if
claim paid under vehicle highway fund