172397 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
ONE CIVIC SQUARE JONES CHEMICALS, INC CHECK AMOUNT: $766.97
CARMEL, INDIANA 46032 PO BOX 412641
KANSAS CITY MO 64141 CHECK NUMBER: 172397
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUM INV OICE NUMB AMOUNT DESCRIPTION
601 5023990 428744 187.98 OTHER EXPENSES
601 5023990 W08720 428745 578.99 CHLORINE
4
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
j nes Chemicalslnc. JCI JONES CHEMICALS, INC.. 04/30/2009 428744
BEECH GROVE BRANCH LOCATION Date Shipped Order /BOL
600 BETHEL AVENUE
04/30/2009 301350
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
0 ATTN: ACCTS PAYABLE n H
j WATER TREATMENT PLANT #5
L 3450 W. 131 ST 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
Jerry Destination Delivered
Release Terms Due Date Ship Via Sales ID
N 30 05/30/2009 JCI SOUTH
Units ckage Product Name Total Quantity Unit Price Amount
4.00 150 lb CYLINDER CHLORINE 600,00001Ib 0.313311b 187.98
1001.006
CHLORINE
General R marks: EMAIL INVOICE TO: I oveall @carmel.in.gov
RETURNED 5 MT CL2 1
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 187.98
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*
t
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
Jones Chemicalslnc. JCI JONES CHEMICALS, INC.. 04/30/2009 428745
BEECH GROVE BRANCH LOCATION Date Shipped Order /BOL
600 BETHEL AVENUE
04/30/2009 301351
BEECH GROVE, IN 46107
Customer Number Phone: (317) 787 -8382
20142250 Fax: (317) 787-8384
email: cs @jcichem.com
S CARMEL UTILITIES O S ID 1
O ATTN: ACCTS PAYABLE H WATER TREATMENT PLANT #4
L 3450 W. 131ST STREET I 10675 N. GRAY ROAD
D Westfield IN 46074- P CARMEL IN 46032
T USA T USA
O O
Customer PO FOB Remark Freight Terms
Jerry Destination Delivered
Release Terms Due Date Ship Via Sales ID
N 30 05/30/2009 JCI SOUTH
Units F Product Name Total Quantity Unit Price I Amount
1.00 2,000 lb CONTAINER CHLORINE 1.00OOITon 485.0000/Ton 485.00
1001.004
CHLORINE (e)
2.00 150 lb CYLINDER CHLORINE 300.0000 /lb 0.313311b 93.99
1001.006
CHLORINE
General R marks: EMAIL INVOICE TO: k oveall @carmel.in.gov
RET'D 1 MT CL2 TON
RET'D 2 MT 150# CL2
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 578.99
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*
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
350726
JONES CHEMICALS, INC Purchase Order No.
PO BOX 412641 Terms
KANSAS CITY, MO 64141 Due Date 5/4/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2009 428745 $578.99
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I hav e a udited same in accordance with IC 5- 11- 10 -1.6
1- 1 6, 4 7
Date Officer
VOUCHER 091716 WARRANT ALLOWED
350726 IN SUM OF
JONES CHEMICALS, INC 1�
PO BOX 412641 11
KANSAS CITY, MO 64141 �tR PS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
F
-AVb 428745 01- 6180 -03 $578.99
�a$7�t b�• t�i�b •D3 �g�.��
Voucher Total 7CQ�(
Cost distribution ledger classification if 1
claim paid under vehicle highway fund