173400 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00350726 Page 1 of 1
ONE CIVIC SQUARE JONES CHEMICALS, INC CHECK AMOUNT: $1,048.94
.rte CARMEL; INDIANA 46032 PO Box 412641
KANSAS CITY MO 64141 CHECK NUMBER: 173400
CHECK DATE: 6/10/2009
DEPARTM ACCO PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
601 5023990 W08731 431298 672.98 CHLORINE
601 5023990 W08731 431309 375.96 CHLORINE
i
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
Jones ClmicalsInc JCI JONES CHEMICALS, INC.. 05/22/2009 431298
BEECH GROVE BRANCH LOCATION Date Shipped OrderIBOL
600 BETHEL AVENUE
05/22/2009 302993
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 4S11
P H WATER TREATMENT PLANT #5
L 3450 W. 131ST STREET I
D 5484 E. 126TH STREET
Westfield, IN 46074- CARMEL IN 46032
T USA T USA
O 0
Customer PO FOB Remark Freight Terms
Rob Destination Delivered
Release Terms Due Date Ship Via Sales ID
2% 10 /Net 30 0612112009 JCI SOUTH
Units ackage Product Name Total Quantity Unit Price Amount
1.00 2,000 lb CONTAINER CHLORINE 1.0000/Ton 485.000Of1'on 485.00
1001 -004
CHLORINE (e)
4.00 150 lb CYLINDER CHLORINE 600.000OIIb 0.313311b 187.98
1001.006
CHLORINE
General R marks: EMAIL INVOICE TO: I oveall @carmel.in.gov
RET'D 2 MT CL2 TONS
RET'D 8 MT CL2 150#
NO DEPOSIT
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 672.98
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT
Kansas City, M064141- USA
Page 1 of 1
"JCI Welcomes payments by Visa, Amex, and EFT*
www.jcichemicals.com INVOICE
Inv Date Invoice
ORIGINAL
JonesChemi�InG JCI JONES CHEMICALS, INC.. 05122/2009 431309
BEECH GROVE BRANCH LOCATION Date Shipped Order /BOL
600 BETHEL AVENUE
05/22/2009 303529
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
O P 5484 E. 126TH STREET
Westfield, IN 46074 iv 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
2% 10 /Net 30 06/21/2009 JCI SOUTH
Units ackage Product Name Total Quantity Unit Price Amount
8.00 150 lb CYLINDER CHLORINE 1,200.000011b 0.31331lb 375.96
1001 -006
CHLORINE
General R marks: EMAIL INVOICE TO: oveall @carmel.in.gov
NO EMPTIES
FSC EXEMPT
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total: 375.96
Remit To: JCI Jones Chemicals, Inc. PLEASE PAY
P.O. Box 412641 THIS AMOUNT
Kansas City, M064141- 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 5/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2009 431298 $672.98
p �1
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 0919 V`- ARRANT ALLOWED
,350726 IN SUM OF
JONES CHEMICALS, INC
PO BOX 412641
KANSAS CITY, MO 64141 A�R A V
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
431298 01- 6180 -03 $672.98
�F�l 3fil� �t�t8aC3 3�59c�
Voucher Total INS Iq
Cost distribution ledger classification if
claim paid under vehicle highway fund