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Home My WebLink About212282 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1 0 ONE CIVIC SQUARE LABCHEM INC CARMEL, INDIANA 46032 200 WILLIAM PITT WAY CHECK AMOUNT: $262.97 'fir• PITTSBURGH PA 15238 CHECK NUMBER: 212282 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 803880 262 . 97 MATERIALS & SUPPLIES INVOICE 01'-)a 0 a 'OS E ^ h Che a—LT��, Invoice ID :803880 ((�O�O�lff, j( Sales Order ID :809271 performance through chemistry Invoice Date :8/16/2012 200 William Pitt Way,Pittsburgh,PA 15238 Ship Date :8/16/2012 8:13:00 AM Ph:412-826-5230 1 Fax:412-826-5234 Customer PO ID :S13204 Page Number :Page I of 2 AR Terms: Due Date: Amount Due: Net 30 Days 9/15/2012 $262.97 Bill To: 1265 Ship To CARMEL WWTP CARMEL WWTP ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY 760 3RD AVE SOUTHWEST INDIANAPOLIS, IN 46280-2935 SUITE 110 USA CARMEL,IN 46032 USA Order Date: 8/15/2012 12:26:35 PM FOB: Pittsburgh,PA Packing Slip: 405073 Currency Type: USD Ship Method: FedEx Ground Service Line Nbr Item ID/Item Name Unit of Shipped Unit Price Sales Tax Extra Extended Cost Item ID Measure Qh Charges Price l LC148451/GLUCOSE-GLUTAMIC ACID EA 4.0000 $31.5000 $0.0000 $126.00 B/O Qty: 0.0000 Lot Number Expiration Date Lot Trans Otv B 171-05 07/02/2014 4 Line Item Total: $126.00 2 LC226002/SILVER NITRATE,0.0 14 1 N(0.0141 M) EA 2.0000 $34.6000 $0.0000 $69.20 B/O Qty: 0.0000 Lot Number Expiration Date Lot Trans Otv B093-26 10/05/2013 2 Line Item Total: $69.20 3 LC 188501 /POTASSIUM CHROMATE INDICATOR EA 1.0000 $16.2000 $0.0000 $16.20 B/O Qty: 0.0000 Lot Number Expiration Date Lot Trans Otv B151-04 06/0V2014 1 Line Item Total: $16.20 4 LC179401/AMMONIA(as NITROGEN)STANDARD, EA 1.0000 $25.5000 $0.0000 $25.50 1000ppm(as N) B/O Qty: 0.0000 Lot Number Expiration Date Lot Trans Otv B136-05 05/16/2014 1 Line Item Total: 525.50 Farm#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA INVOICE Es hCh em Invoice ID :803880 Sales Order ID :809271 performance through chemistry Invoice Date :8/16/2012 200 William Pitt Way,Pittsburgh,PA 15238 Ship Date :8/16/2012 8:13:00 AM Ph:412-826-5230 1 Fax:412-826-5234 Customer PO ID :S13204 Page Number :Page 2 of 2 AR Terms: Due Date: Amount Due: Net 30 Days 9/15/2012 $262.97 Bill To: 1265 Ship To CARMEL WWTP CARMEL WWTP ATTN: ACCOUNTS PAYABL 9609 HAZEL DELL PKWY 760 3RD AVE SOUTHWEST INDIANAPOLIS,IN 46280-2935 SUITE 110 USA CARMEL,IN 46032 USA Order Date: 8/15/2012 12:26:35 PM FOB: Pittsburgh,PA Packing Slip: 405073 Currency Type: USD Ship Method: Fed Ex Ground Service Line Nbr Item ID/Item Name Unit of Shipped Unit Price Sales Tax Extra Extended Cust Item ID Measure Qh Charges Price Subtotal: $236.90 Sales Tax: $0.00 Tracking Numbers: Shipping Charges: $26.07 01 5396465258561,015396465258554,015396465258578 Total: $262.97 Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA 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 358238 LABCHEM INC Purchase Order No. 200 WILLIAM PITT WAY Terms PITTSBURGH, PA 15238 Due Date 8/21/2012 Invoice Invoice Description Date Number (or,note attached invoice(s) or bill(s)) Amount 8/21/2012 803880 $262.97 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 # 125508 WARRANT # ALLOWED 358238 IN SUM OF $ LABCHEM INC 200 WILLIAM PITT WAY PITTSBURGH, PA 15238 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 803880 01-7202-05 $262.97 Voucher Total $262.97 Cost distribution ledger classification if claim paid under vehicle highway fund