173414 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC CHECK AMOUNT: $197.18
CARMEL, INDIANA 46032 200 WILLIAM PITT WAY
.�`roNCa PITTSBURGH PA 15238 CHECK NUMBER: 173414
CHECK DATE: 6(1012009
DE PAR TME NT ACC OUNT P N UMBER INVOICE NUMBER AMOUNT DESC RIPTION
651 5023990 710027 197.18 OTHER EXPENSES
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w
V
INVOICE
LT LabChem Inc Invoice Ill :710027
200 William Pitt Way Sales Order ID 712940
Pittsburgh, PA 15238 Invoice Date 5/2212009
Phone: (412) 826 -5230 ship Date 5/22/2009 2:29:01 PM
Fax: (412) 826 -5234 Customer PO ID TARA
Page Number 1 of 2
AR 'Terms: Net 30 Days Due Date: 6/21/2009
Bill To 1265 Ship To
CARMEL WWTP CARMEL WWTP
ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY
760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935
SUITE 110 USA
CARMEL, IN 46032
USA
Order Date: 5122/2009 FOB: Pittsburgh, PA
Packing Slip: 310156 Currency Type USD
Ship Method: FedEx Grotuid Service
Bill of Lading
Line Nbr/ Item ID Item Name Unit of Shipped Unit Price Disc Sales Tax/ Extra Extended
PO Line Cust Item ID Measure Qty VAT Charges Price
1 LC149451 /GLUCOSE- EA 4.00 $28.9000 0.00% $0.0000 $115.60
GLUTAMIC ACID
I
Lot Number Lot Trans Oty
9036 -01 4
Line Item Total: $115.60
2 LC 188501 POTASSIUM EA 1.00 $14.6000 0.00% $0.0000 $14.60
CHROMATE INDICATOR
2
Lot Number Lot `trans Otv
9054 -07- 1
Line Item Total: $14.60
3 LC226002 SI1_VER NITRATE, EA 1.00 $30.0000 0.00% $0.0000 $30.00
0.0141N (0.0141M)
3
Lot Number Lot Trans Oh'
9041 -21 1
Line Item Total: $30.00
4 LCC179401 /AMMONIA (as EA 1.00 $23.3000 0.00% $0.0000 $23.30
NITROGEN) STANDARD,
1000ppm (as N)
4
Lo Number Lot Trans Oty
9121 -07 1
Line Item Total: $23.30
Form #34.00 10/26/2005 PM See "www. I abehem. net" for C of A and MSDS Information All Products Made In USA
INVOICE
LT LabChem Inc Invoice D) 710027
200 William Pitt Way Sales Order ID 712940
Pittsburgh, PA 15238 Invoice Date 5/22/2009
Phone: (41.2) 826 -5230 Ship Date 5/22/2009 2:29:01 PM
Fax: (412) 826 -5234 Customer PO ID TARA
Page Number :2 of 2
AR Terms: Net 30 Days Due Date: 6/21/2009
Bill To 1265 Ship To
CARMEL W WTP CARMEL W WTP
ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY
760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280 -2935
SUITE 110 USA
CARMEL, IN 46032
USA
Order Date: 922/2009 FOB: Pittsburgh, PA
Packing Slip: 310156 Currency Type USD
Ship Method: FedEx Ground Service
Bill of Lading
Line Nbr/ Item ID Item Name Unit of Shipped Unit Price Disc Sales Tax/ Extra Extended
PO Line Cost Item ID Measure Qty VAT Charges Price
Tracking Numbers: Total: $183.50
015396435153537, 015396435153544 1 Sales Tax: $0.00
VAT 'Fax: $0.00
Shipping Charges: $13.68
Due Amount: $197.18
Form #34.00 10/26/2005 PM See %v%vw.labchem.nct" for CC of A and MSDS Information All Products Made In USA
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CAR
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
358238
LABCHEM INC Purchase Order No.
200 WILLIAM PITT WAY Terms
PITTSBURGH, PA 15238 Due Date 6/2/2009
g
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 710027 $197.18
r�
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095749 WARRANT ALLOWED
358238 IN SUM OF
c,
LABCHEM INC
200 WILLIAM PITT WAY
PITTSBURGH, PA 15238
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
710027 01- 7202 -05 $197.18
Voucher Total $197.18
Cost distribution ledger classification if
claim paid under vehicle highway fund