HomeMy WebLinkAbout210791 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $319.00
CHICAGO IL 60673-1232
CHECK NUMBER: 210791
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 756084 319 . 00 OTHER EXPENSES
INVOICE Page: 1 of 1
ORIGINAL COPY Remittance Address
CORRFSPONDENCETo
PO BOX 152170 REORDERS CALL #1-800-527-9921
CHEMSEARCHI?E
IRVING TX 75015 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO, H. 60673-1232
WWW.CHEMSEARCHI,E.CONI
Sold To Ship To
To Pay by EFT or
CITY OF CARMEL CITY OF CARMEL Direct Debit,Entail
UTILITIES CARMEL UTILITIES
760 3RD AVE SW STE 110 3450 W 131ST ST cac.credit @nch.com
CARMEL IN 46032 WESTFIELD IN 46074
or call
1-800-527-9919 X0541
Customer No. Billing Date Terms Due Date I Ship Date Sales Order
366193 12-JUN-12 10 NET 22-JUN-12 I 12-JUN-12 771430
Invoice No. Purchase Order No. Sales Rep.No. Sales Rep.Name
756084 USI-EI-001 DUNSCOMB.Mr.JAMES L
Product Qty Ordered Description jPackagingj` Qty Billed ` Unit Price Amount
10028873 2 WHIP-IT WIPES.CS/72.US MM CS 2.00 149.50 299.00
Merchandise State'rax Local Tax, Y Shipping Split Inv.No. I Currency! Total Amount
299.00 0.00 0.00 20.00 1 USD 319.00
IN Tax ID#0003512371-001-3 Federal-ID#75-0457200
C1IFMSEARCI"I FE.DI VSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS.OR ADJUSTMENTS OF ANY KIND MUST BE MADE-
WITHIN 15 DAYS AFTFR RECEIPT 61---GOODS.,MERCIIANDISE NOT ACCEPTED FOR CREDIT WIT_IIOUT OUR PRIOR WRn-rEN CONSENT.
DISTRIBUTION SERVICES INCLUDE SHIPPING&HANDLING CHARGES-WITH PAYMENTF.O.B.DESTINATION.
-------------------------------------_------ ----MATT, ----------------------., . -----
Please
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
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673-1232 Due Date 7/9/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2012 756084 $319.00
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
7/�-�//Z- C - /
Date Officer
VOUCHER # 121408 WARRANT # ALLOWED
352978 IN SUM OF $
CHEMSEARCH
23261 NETWORK PLACE
CHICAGO, IL 60673-1232
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
756084 01-6200-06 $319.00
Voucher Total $319.00
Cost distribution ledger classification if
claim paid under vehicle highway fund