209514 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $680.00
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232
CHECK NUMBER: 209514
CHECK DATE: 6/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 716177 324.00 OTHER EXPENSES
1110 4232100 26183 738849 356.00 LUBRICANT
INVOICE Page 1 of 1
eMH ORIGINAL COPY_ LL R e m ltfanc ea Address
CORRESPONDENCE TO
CHEMSEARCHFE
PO BOX 152170 REORDERS CALL 1- 800 -527 -9921
IRVING TX 75015 23261 NETWORK PLACE
FAX 1- 972 438 -0634 CHICAGO, IL 60673 -1232
W W W.CHEMSEARCHFE.COM
Attn. ACCOUNTS PAYABLE Attn: JASON OGLE To Pay by EFT or
Direct Debit, Email
CITY OF CARMEL CITY OF CARMEL
POLICE POLICE cae.credit @nch.com
3400 W 131ST
3 CIVIC SQUARE
CARMEL IN 46032 or call
CARMEL IN 46032
1- 800 -527 -9919 X0541
Customer, No Billio "Date, Terms Due'Date, "DI Shy Date ,,.;Sales „Order:;;;, i
g p
u_
317917 24- MAY -12 10 NET 03- JUN -12 24- MAY -12 753888
1nLoice_No c k
w Purchase Oriie'r. :SSa'e_R'e fi YSale5lte rNaine-
738849 USFEF001 DUNSCOMB, Mr. JAMES L
k Product
V Qty Ordered Description r: ;Packagin Q !Btlled Umt Pri ce- Amount
10040241 2 YIELD AEROSOL, DZ, NAC NC DZ 2.00 168.00 336.00
Merchagdlse x;' State Taxz Local Tax Shtppmg Spht Invl No Currency Total Amount 1
u '�Sk
336.00 0.00 1 0.00 20.00 USD 356.00
IN Tax ID 0003512371 -001 -3 Federal 11) 75- 0457200
CHEMSEARCH FE, DIVSION OF NCH CORPORATION. ALL RETURNS CLAIMS FOR ERRORS, OR ADJUSTMENTS OF ANY KIND MUST BE MADE
<WITHIN 15 DAYSrAFT ER`RECEIPT OF GOODS: MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT,
DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES F.O.B. DESTINATION.
i ®f INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
F FEDERAL EXCISE TAX EXEMPT 26183
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
ChomGoamh Camel Police Dopmrtmont
VENDOR
SHIP 3 CIVIC squm
2=i Not work Place TO Cannel, IN 4M
Chicago, IL -1M2 571-2%9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
s
Account 42-321.00
9 Each S hipping ch $20.00 $20.00
2 Each lubricant $168.00 $336.00
Sub otd: $366.00
a �Qa $a5
2
I s
ell
}y 4
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Squam
Carmel, IN 46032° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. Q-3 PAYMENT $356.03
C A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �'a_.
SHIPPING LABELS. �Chief of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ..4.,J
CLERK TREASURER
DOCUMENT CONTROL No.26183 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER N{} WARRANT
NO�____
ALLOWED 20
|N THE SUM OF$ Y
{]N ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
DEPT INVOICE NO, ACCT #/TITLE AMOUNT hereby certify that the attached iovoioe(a).or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge ia made were ordered and
received except
20
Sig
Title
Cos distribution ledger classification if
claim paid mnm/vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
ChemSearch
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
$356.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26183 738849 I 42- 321.00 I $356.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 30, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/24/12 738849 libricant $356.00
1 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
20
Clerk- Treasurer
INVOICE Pa 1 of 1
Remittance Address
ORIGINAL COPY
CORRESPONDENCE TO
PO BOX 152170 REORDERS CALL 1- 800 -527 -9921 CHEMSEARCHFE
IRVINC Tx 75015 23261 NETWORK PLACE
FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
W W W.CHEMSEARCHFE.COM
Sold To Ship To
Attn: PAUL ARNONE TO Pay by EFT Or
CITY OF CARMEL UTILITY Direct Debit, Email
760 3RD AVE SW STE 110 CITY OF CARMEL UTILITY
CARMEL IN 46032 901 N RANGELINE RD eac.credit @Dch.com
CARMEL IN 46032
or call
1- 800 -527 -9919 X0541
Customer No. Billing Date Terms Due Date Ship Date Sales Order
229475 03- MAY -12 10 NET 13- MAY -12 731892
Invoice No: l'nrchase Order No. Sales Re'p. No. Sales Rep. Name
716177 USFEF001 DUNSCOMB, MrAAMES 1•
Product Qty'Ordered Description Packaging Qty Billed Unit Price Amount
12021892 1 ECOFLOW BIOAMP PROGRAM EA 1.00 319.00 319.00
Merchandise State Tax Local Tax *:Shipping Split Inv. No. CurrencN Total Ainounfx- 1
319.00 0.00 0.00 5.00 USD 324.00
IN Tax ID 0003512371 -001 Federal ID 75- 0457200
CHEMSEARCH FE. DIVSION OF NCH CORPORATION. ALL RETURNS CLAIMS FOR ERRORS. OR ADJUSTMENTS OF ANY KIND MIDST RE MADF
'T 1 (Cl)¢ 1=, RCFIANDISENO ,ACCF,PTFD. I t O1 -Nr �I ffil -AT
VOUCHER 125036 WARRANT ALLOWED
00352978 IN SUM OF
CHEMSEARCH
23261 Network Place
Chicago, IL 60673 -1232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
716177 01- 7360 -02 $324.00
Voucher Total $324.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
00352978
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673 -1232 Due Date 5/25/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/25/2012 716177 $324.00
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
Date Officer