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209561 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1 is ONE CIVIC SQUARE HACH COMPANY CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $6,077.85 CHICAGO IL 60693 CHECK NUMBER: 209561 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4462838 7757675 143.29 STORM WATER PHASE II 211 4462838 7759718 71.43 STORM WATER PHASE II 651 5023990 7761254 5,820.00 OTHER EXPENSES 211 4462838 7777352 43.13 STORM WATER PHASE II INVOICE NUMBER 7777352 DATE: 05/31/2012 Page: 1 Be Right DETACH T e e e TOTAL: $43.13 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online Phone: (800) 227 -4224 Order at IfI1'W HACH.COM 77773521 400397337 00000004313 053112 DETACH HERE Original INVOICE NO 7777352 DATE: 05/317012 AD�1iADDDDADADiii�iiDfAFiiAiDADAfffDDDDAiiiif�AlfiAiAiDADifffD PURCHASE Fern05302012 s ORDER O CARMEL ENGINEERING DEPT L NUMBER D FERNANDEZ, RACHEL Net 30 Days From Invoice Date 1 CIVIC SQ TERMS T CARMEL, IN 46032 -7569 O United States FREIGHT Prepay And Bill Customer S Sort Seg: 146 CARRIER RPS- RPS "FedEx Ground H CARMEL ENGINEERING DEPT ACCOUNT 40039733 I FERNANDEZ, RACHEL REF. NO. 312138756 -1 Remit to: P 1 CIVIC SQ Hach Company CARMEL, IN 46032 -7569 2207 Collections Center Dr T United States Chicago, IL 60693 O 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 PRICE EXT. PRICE 2 SODIUM CHLORIDE, 491 MG /L 100ML 1440042 1 14.89 14.89 `TRACKING NUMBERS: 050316377681427 3 TEST STRIP, CHLORINE BTL /50 2745050 1 15.29 15.29 'TRACKING NUMBERS: 050316377681427 ORDER CONTACT: SUBTOTAL 30.18 RACHEL FERNANDEZ FREIGHT CHARGES 12.95 317- 571 -2459 TAX 0.00 Notes: INVOICE TOTAL 43.13 For order discrepancies or product exchanges please call 800 227 -4224 or 970 669 -3050 to obtain Return Authorization. E FEDERAL TAX ID 42- 0704420 Environmental Other brands TestSystems 1� A from Hach Hya,oRat rtorvmonuasascrnrns w...a.�...,..r,..w 800. 548 -4381 B00- 949. 3766 800 -366- 2723 800- 677 0067 800.454 -0263 Fax: 574 -262 -2495 Fax: 970-461-3921 Fax: 301-874-8459 Fax: 505-994-3574 Fax: 970 -461 -3919 INVOICE NUMBER 7759718 DATE: 05/18/2012 Page: 1 Be WgW DETACH T O P P O RTI ON AND RETURN WITHPAYMENTT TOTAL: $71.34 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online Phone: (800) 227 -4224 Order at IVIV HACH.COA7 77597185 400397337 00000007134 051812 DETACH HERE Original INVOICE NO 7759718 DATE: 05/18/2012 S fDDiiDffifDlfDDffAfAfiDiADfliiifi�DDfDfDfiDAIfFDfiiDIII�i1iAf�D PURCHASE Fernan05162012 O CARMEL ENGINEERING DEPT ORDER L NUMBER D FERNANDEZ, RACHEL Net 30 Days From Invoice Date 1 CIVIC sQ TERMS T CARMEL, IN 46032 7569 O United States FREIGHT Prepay And Bill Customer S Sort Seg: 138 CARRIER RPS- RPS *FedEx- Ground H CARMEL ENGINEERING DEPT ACCOUNT 1 40039733 1 FERNANDEZ, RACHEL REF. NO. 131212058 1 -1 Remit to: P 1 CIVIC SID Hach Company CARMEL, IN 46032 -7569 2207 Collections Center Dr T United States Chicago, IL 60693 O 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 PRICE EXT. PRICE 2 TEST STRIP, CHLORINE BTL /50 2745050 1 15.29 15.29 'TRACKING NUMBERS: 050316377546436 3 TEST STRIP, AMMONIA SET W/ BTL /25 2755325 2 20.05 40.10 'TRACKING NUMBERS: 050316377546436 ORDER CONTACT: SUBTOTAL 55.39 RACHEL FERNANDEZ FREIGHT CHARGES 15.95 317- 571 -2459 TAX 0.00 Notes: INVOICE TOTAL 71.34 For order discrepancies or product exchanges please call 800 227 -4224 or 970 669 -3050 to obtain Return Authorization. E FEDERAL TAX ID 42- 0704420 Environmental Other brands �s Test Systems HyEtanot Flow Produdsd SOMWs from Hach 8()0.548.4381 SM- 949 3768 800. 368 -2723 80Q -677. 0067 800-454-0263 Fax 574- 262 -2495 Fax:970. 461-0921 Fax 301- 874 -8459 Fax 505. 994 -3574 Fax: 970. 481 -3919 INVOICE NUMBER 7757675 DATE: 05/17/2012 Page: 1 Be Right TOTAL: $143.29 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online Phone: (800) 227 -4224 Order er 11'11/W HACH.COA1 77576759 400397337 00000014329 051712 DETACH HERE Original INVOICE NO 7757675 DATE: 05/17/2012 S 1f�1DA1fDDf�fFliAfADDfif�fADAfDffADDifAllDffDAAADiADiiAfDDADfF PURCHASE 05162012 o ORDER L CARMEL ENGINEERING DEPT NUMBER D FERNANDEZ, RACHEL Net 30 Days From Invoice Date 1 CIVIC SQ TERMS T CARMEL, IN 46032 -7569 O United States FREIGHT Prepay And Bill Customer g Sort Seg: 197 CARRIER RPS RPS *FedEx Ground H CARMEL ENGINEERING DEPT ACCOUNT 140039733 1 FERNANDEZ, RACHEL REF. NO. 312118750 -1 Remit to: P 1 CIVIC SQ Hach Company CARMEL, IN 46032 -7569 2207 Collections Center Dr T United States Chicago, IL 60693 O Phone: (800) 227 -4224 These commodities are sold, packaged, marked, and labeled for destinations in the United Slates. Exportation of these commodities may require special licensing, packaging, marking or labeling. LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 2 SODIUM CHLORIDE, 491 MG /L 100ML 1440042 1 14.89 14.89 "TRACKING NUMBERS: 050316377533429 3 CHLORIDE STD SOLN 1000MG /L 500ML 18349 1 26.45 26.45 'TRACKING NUMBERS: 050316377533429 4 KTO: PH BUFFER SOLUTION KIT 4L 2507200 1 86.00 86.00 ORDER CONTACT: SUBTOTAL 127.34 RACHEL FERNANDEZ FREIGHT CHARGES 15.95 317- 571 -2459 TAX 0.00 Notes: INVOICE TOTAL 143.29 For order discrepancies or product exchanges please call 800 227 -4224 or 970 669 -3050 to obtain Return Authorization. E FEDERAL TAX ID 42- 0704420 Environmental Other brands %2L Test Systems from Hach HyEromot rrav Pronuas a somoos ­o�m.,,, 800. 54&4381 800. 9493766 804.3B8 -2723 8D0 -677. 0067 800- 454 -0263 F®c574- 262 -2495 Fax: 970. 4613921 FEW. 301-874-8459 Fax 505. 9943574 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Hach Company Purchase Order No. 2207 Collections Center Drive Terms Chicago, IL 60693 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 5/31/2012 7777352 IDDE Stormwater testing supplies 43.13 5/18/2012 7759718 IDDE Stormwater testing supplies 71.43 5/17/2012 7757675 IDDE Stormwater testing supplies 143.29 r' r Total 257.85 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 VOUCHER NO WARRANT NO. Hach Company ALLOWED 20 2207 Collections Center Drive IN SUM OF Chicago, IL 60693 257.85 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 7777352 211- 4462838 43.13 bill(s) is (are) true and correct and that the materials or services itemized thereon for 0 7759718 211- 4462838 71.43 which charge is made were ordered and 0 7757675 211-4462838 143.29 received except 6/4/2012 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund INVOICE NUMBER 7761254 DATE: 05/19/2012 Page: 1 Be Right'" TOTAL: $5,820.00 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Haveyou ordered online Phone: (800) 227 -4224 Order at WWW.HACH.CONI 77612547 008330458 00000582000 051912 SoRSeg: 621 Tray: 9 DETACH HERE Original INVOICE NO 7761254 DATE: 05/19/2012 S I111iII11�I�1�1�' I" �O° O�IIIIII '�I��II "I'0111'll�'11010 PURCHASE DDS 102611 -01 ORDER CITY OF CARMEL NUMBER D Wastewater Treatment Plant Net 30 Days From Invoice Date 760 3rd Ave SW TERMS T Carmel, IN 46032 -2072 0 United States FREIGHT S CARRIER H CITY OF CARMEL ACCOUNT 833045 1 760 3RD AVE SW HACH248387 Remit to: P WASTEWATER TREATMENT PLANT Hach Company CARMEL, IN 46032 -2072 2207 Collections Center Dr T United States Chicago, IL 60693 0 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 or order discrepancies or product exchanges please call 800 227 -4224 or 970 669 -3050 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Environmental a Other IbrandS jestsvitems from Hach ----J Hydromet Fl" Produds,S Servirns SCO- 548 -4381 870 -949 -3766 800 -368 -2723 800 -677 -0067 800.454 -0263 Fax: 57 4-262-2495 RD(: 970-461-3921 Fax: 301 -874 -8459 Fax: 1)05-994-3574 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 118000 HACH CHEMICAL CO. CORP Purchase Order No. 2207 COLLECTIONS CENTER DR. Terms CHICAGO, IL 60693 Due Date 5/25/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/25/2012 7761254 $5,820.00 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 VOUCHER 125034 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 7761254 01- 7360 -02 $5,820.00 Voucher Total $5,820.00 Cost distribution ledger classification if claim paid under vehicle highway fund