207891 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
0 ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $12,007.95
CHICAGO IL 60693
CHECK NUMBER: 207891
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 7668684 6,187.95 OTHER EXPENSES
651 5023990 7670156 5,820.00 OTHER EXPENSES
INVOICE NO 7668684 DATE: 1 03/16/2012
PURCHASE W09670
o ORDER
L CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Carmel, IN 46074 -8267 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
s
CARRIER RPS RPS* *Fed Ex- Ground
H CARMEL UTILITIES 1ACCOUNT 052653
1 3450 W 131 ST ST B EF U O 312023085-1 Remit to:
P CARMEL, IN 46074 -8267 Hach Company
T United States 2207 Collections Center Dr
0 Chicago, IL 60693
Phone: (800) 227 -4224
These commodities are sold, packaged, marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
2 KTO: CA610 FLUORIDE ANALYZER 5740001 1 6,088.00 6,088.00
W /REAGENTS
ORDER CONTACT: SUBTOTAL 6,088.00
JERRY CLOUD FREIGHT CHARGES 99.95
3175712669 TAX 0.00
Notes: INVOICE TOTAL 6,187.95
For order discrepancies or product exchanges please call 800 227 -4224 or 970 669 -3050 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental s e A
Other brands
d
Test Systems $1'o a
r rnd
Mytfromet Flori PruAUClti,i Srvi<r..ti ni +.,..ex,>.n..nr is.,.r.+
800. 548 -4381 800- 949 3766 800- 368 -2123 800- 677 -0067 800 -454 -0263
Fax: 514-264-4533 Fax: 9, 461 -3921 Fax: 301-8M-8459 F x: 505 -994 -3574 Fax: 970- 461 -3919
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
i
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 4/3/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/3/2012 7668684 $6,187.95
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
G�rn—
Date Officer
VOUCHER 114125 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
ma- 3��to•6�
7668684 02- 2308 -00 $6,088.00
Depreciation
7668684 02- 2308 -00 $99.95
Depreciation
1
Voucher Total $6,187.95
Cost distribution ledger classification if
claim paid under vehicle highway fund
0 U ooy. UV i 1 idy. d Ut I AUH MtKt uriginali
INVOICE NO 7670156 DATE: 1 03/19/2012
s i' 1' IIII�''' I' I��' �IIII11111�11 'I'�III��I��II "�i�l�ll�l� "III PURCHASE DDS 102611 -01
D ORDER
L CITY OF CARMEL NUMBER
D Wastewater Treatment Plant Net 30 Days From Invoice Date
760 3rd Ave SW TERMS
T Carmel, IN 46032 -2072
p United States FREIGHT
S CARRIER
H CITY OF CARMEL ACCOUNT 833045
I 760 3RD AVE SW I j jgE tjQ l H6CH248387 lRemit
P WASTEWATER TREATMENT PLANT Hach Company
CARMEL, IN 46032 -2072 2207 Collections Center Dr
T United States Chicago, IL 6069.E
C Phone: (800) 227 -4224
These commodities are sold, packaged, marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
1 DDS SERVICE LEVEL 2 MID TERM Monthly DDS- SL2 -MT 1 5,820.00 5,820.00
Charge:
ORDER CONTACT: SUBTOTAL 5,820.00
TAX 0.00
Notes: INVOICE TOTAL 5,820.00
For order discrepancies or product exchanges please call 800 227 -4224 or 970 669 -3050 to obtain Return Authorization.
FEDERAL TAX ID 42- 0704420
Environmental
Test Systems Other brandS
from Hach
tiydn�met Flora Frod�gl,; P.rtviix:s n rrr.:r..+n -.M«t
8C0 -548 -4381 800- 949 3766 800- 366 -2723 800 -6 -0067 800- 454 -0263
Fax: 574-264-4533 Fax: 970.461 -3921 Fax: 301-874-Mg Fax: 50,5-994-35r4 Fax: 970- 461 -3919
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 COLLECTIONS CENTER DR. Terms
CHICAGO, IL 60693 Due Date 4/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2012 7670156 $5,820.00
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
//v c--o" r
Date Officer
VOUCHER 117052 WARRANT ALLOWED
118000 IN SUM OF
HACH CHEMICAL CO. CORP
2207 COLLECTIONS CENTER DR.
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7670156 01- 7360 -02 $5,820.00
Voucher Total $5,820.00
Cost distribution ledger classification if
claim paid under vehicle highway fund