210018 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,750.22
CHICAGO IL 60693
CHECK NUMBER: 210018
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7712659 1,606.93 OTHER EXPENSES
211 4462838 7757675 143.29 STORM WATER PHASE II
INVOICE NUMBER 7757675
AW a
DATE: 05/17/2012
Page: 1
Be Right'"
DETACH TOP PORTION AND RETURN WITWPAYMENT TO: TOTAL: $143.29
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online
Phone: (800) 227 -4224 Order at WWW HACKCOM
77576759 400397337 00000014329 051712
DETACH HERE Original
INVOICE NO 7757675 DATE: 05/17/2012
1F�iDAifDDf�ffiiAfRDDfif�fADAfDfFADDifAiiDffDA�DiADi1AfDDADfF PURCHASE 05162012
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: 197
CARRIER RPS- RPS**FedEx- Ground
H CARMEL ENGINEERING DEPT ACCOUNT 140039733
I FERNANDEZ, RACHEL REF. NO. 1312118750 -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: 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
Test Systems Other brands
�m from Hach
Hydromot flop Products& SoMces •i.xn oene.yo,r.n
800. 548-4381 800 -949 3766 800.368- 2723 800- 677.0067 B00- 454 -0263
Fac 574 262 -2495 Rix: 970. 4613921 Fa)e 301- 874 -8459 Fax 505. 994 -3574 FEW, 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
5/17/2012 7757675 IDDE Stormwater testing supplies 143.29
Total 143.29
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 Compan p y ALLOWED 20
2207 Collections Center Drive IN SUM OF
Chicago, IL 60693
143.29
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 7757675 211 4462838 143.29 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
6 18/2012
ignature
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE NO 7712659 DATE: 1 04/17/2012
S iDiff�fDAiDif�DffiAfiRDiDIDfDfDDifilDDf�ifiTfDfDDDDAifIDffDfl� PURCHASE JC41612
O CARMEL UTILITIES ORDER f I
W
D LOVEALL, KERRI Net 30 Days From Invoice Date
CARMEL UTILITIES3450 W 131ST ST TERMS
T CARMEL, IN 46074 -8267
O United States FREIGHT Prepay And Bill Customer
g Sort Seg: 131
CARRIER RPS- RPS *FedEx Ground
H CARMEL UTILITIES ACCOUNT 052653
I FOREMAN, JAIMIE REF. NO. 312069484 -1 Remit to:
P 5484 E 126TH ST Hach Company
WATER TREATMENT PLANT 2207 Collections Center Dr
T CARMEL, IN 46033 -9289 Chicago, IL 60693
O United States 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 FERROVER, IRON REAGENT PK/100 2105769 20 20.59 411.80
*TRACKING NUMBERS: 650316377175322
3 CALVER 2 POWDER PILLOWS PK/100 94799 1 16.69 16.69
*TRACKING NUMBERS: 050316377175322
4 as REAGENT SET, CHLORINE TOTAL CL17 2557000 15 51.55 773.25
*TRACKING NUMBERS: 050316377175315
5 WATER, DEIONIZED 4L (DEMINERALIZED) 27256 1 23.39 23.39
*TRACKING NUMBERS: 050316377175322
6 FLUORIDE STD, 0.5MG /L 473ML 2743811 3 21.25 63.75
*TRACKING NUMBERS: 050316377175322
7 FLUORIDE STD, 5.OMG /L 473ML 2797111 3 22.39 67.17
*TRACKING NUMBERS: 050316377175322
8 RGT 1, TISAB SOLN 473ML 2812811 3 30.75 92.25
*TRACKING NUMBERS: 050316377175322
9 HARDNESS 3 TEST SOLN 10001VIL 42653 2 34.15 68.30
*TRACKING NUMBERS: 050316377175322
10 PHENOLPHTHALEIN PP PK/100 94299 1 15.19 15.19
*TRACKING NUMBERS: 050316377175322
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 o tither brands Test Systems .s w from Hach
Hytltu rbw Ptodud4&S.rv,X,, atrap»a pem•u.wv.i
800. 5.18 -4381 SW- 949 -3766 600- 363 -2723 803.677 -0067 800.451 -0263
Fax: 574 -262 -2495 Fax: 970.461 -3921 Fax: 3()1- 874 -8159 Fa)c 1 50 -994.3174 RIX: 970- 461.3919
INVOICE NUMBER 7712659
DATE: 04/17/2012
Page: 2
Be Right'"
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE
11 BROMCRESOL GR -METH RED PP PK/100 94399 1 15.19 15.19
`TRACKING NUMBERS: 050316377175322
ORDER CONTACT: SUBTOTAL 1,546.98
JAIMIE FOREMAN FREIGHT CHARGES 59.95
317- 571 -2639 TAX 0.00
Notes: INVOICE TOTAL 1,606.93
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 q =5 otll @r brands Test Systems R from Hach
80(,548-4381 SW-94G 37W 800- '3W -27 ^3 F^' E77 -0067 8W- 484.02 9-
Fax: 574 -262 -2495 Fax: 970 -451 -3921 Fax. 311. 874 -8459 Fax: 506.994 -3,574 Frw, 970.481-3919
VOUCHER 121160 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
7712659 01- 6200 -03 $1,606.93
Voucher Total $1,606.93
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
118000
HACH CHEMICAL CO. CORP Purchase Order No.
2207 Collections Center Dr. Terms
Chicago, IL 60693 Due Date 6/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/2012 7712659 $1,606.93
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