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Home My WebLink About210876 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1 ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $756.04 CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 210876 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4462838 7826002 174 . 09 STORM WATER PHASE II 651 5023990 7832031 581 . 95 7832031 Q(W� ' INVOICE NUMBER 7826002 DATE: 06/29/2012 Page: 1 Be Right'" 'e ' 1 l TOTAL: $174.09 11 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online? Phone: (800)227-4224 Order at 11111WHA CH.COM 78260023 400397337 00000017409 062912 DETACH HERE Original INVOICE NO 7826002 DATE: 06/29/2012 DAfiNUfffAiDfADfffDAifilfifADDADfDiffiAfAiDffifDAffiAiDfDDDiW PURCHASE FERN06292012 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: 232 CARRIER RPS-RPS**FedEx--Ground H CARMEL ENGINEERING DEPT 1ACCOUNT 140039733 1 FERNANDEZ, RACHEL REF. NO. 1312187956-1 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 TEST STRIP, CHLORINE BTL/50 2745050 3 15.29 45.87 *TRACKING NUMBERS:050316378066599 3 TEST STRIP,TOTAL HARDNESS BTL/50 2745250 3 10.69 32.07 *TRACKING NUMBERS:050316378066599 4 TEST STRIP,AMMONIA SET W/BTL/25 2755325 4 20.05 80.20 *TRACKING NUMBERS:050316378066599 ORDER CONTACT: SUBTOTAL 158.14 RACHEL FERNANDEZ FREIGHT CHARGES 15.95 317-571-2459 TAX 0.00 Notes: INVOICE TOTAL 174.09 PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS 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 ° Test Systems ® ~�r from Hach `—� Nydramot crow ProAUas d Somms oo-m..n 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 6/29/2012 7826002 test strips for idde test program $ 174.09 Total $ 174.09 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 $ 174.09 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 7826002 211-4462838 174.09 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 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund ® INVOICE NUMBER 7832031 DATE: 07/04/2012 Page: 1 Be Right" I r MI + ITS,Im TOTAL: $581.95 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online ? Phone: (800) 227-4224 Order at WWW.HACH.COM 78320314 008330458 00000058195 0704112 SortSeg: 482 Tray: 7 DETACH HERE Original INVOICE NO 7832031 DATE: 07/04/2012 g I�""�II'I'III'll�'�IIII"II��'111'��II��I�1"'I��II'll�"III PURCHASE S13149 O 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 O United States FREIGHT Prepay And Bill Customer CARRIER RPS-RPS**FedEx--Ground S H CITY OF CARMEL 1ACCOUNT 1833045 1 9609 HAZEL DELL PKWY 312191 24-1 Remit to: P WWTP Hach Company INDIANAPOLIS, IN 46280-2935 2207 Collections Center Dr T United States Chicago,IL 60653 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 PRIC EXT. PRICE 2 POCKET CLRMTR II CHLORINE SYSTEM 5870000 1 399.00 399.00 *TRACKING NUMBERS:050316378099443 3 SPEC COLOR STD, DPD CHLORINE - LR 2635300 1 145.00 145.00 *TRACKING NUMBERS:050316378099443 ORDER CONTACT: SUBTOTAL 544.00 TARA WASHINGTON FREIGHT CHARGES 37.95 3175712634 TAX 0.00 Notes: INVOICE TOTAL 581.95 PURCHASE AND ACCEPTANCE OF PRODUCT(S)SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE, PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS 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 ® Other brands t— Test Systems „ , . from Hach `•✓ Hydrorrlet Fla Produtls&Servims VOUCHER # 125283 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 7832031 01-7202-05 $581.95 Voucher Total $581.95 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 7/10/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/10/2012 7832031 $581.95 i I i 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 f Date Officer