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214664 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1 ONE CIVIC SQUARE HACH COMPANY CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,150.60 t?� CHICAGO IL 60693 CHECK NUMBER: 214664 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 8005939 749 . 95 OTHER EXPENSES 651 5023990 8015713 400 . 65 OTHER EXPENSES (� INVOICE NUMBER 8015713 DATE: 11/02/2012 Page: 1 Be Right'" TOTAL: $400.65 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online ? Phone: (800) 227-4224 Order at WWW.HACH.COM 80157134 008330458 00000040065 110212 Sort Seg: 432 Tray: 8 DETACH HERE Original INVOICE NO 8015713 DATE: 11/02/2012 s III '1111'II1�11�11"ICI' '�I�'llllllll'�III'I��II�I'�III11'"'III PURCHASE S13371 O CITY OF CARMEL ORDER L 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 s CARRIER RPS-RPS**Fed Ex--Ground H CITY OF CARMEL 1ACCOUNT 833045 1 9609 HAZEL DELL PKWY IREE, NQ, 312377467-1 emit to: P WWTP Hach Company INDIANAPOLIS, IN 46280-2935 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 2 CHLORIDE ADJ BFR PWD PLWS PK/100 2318069 10 26.69 266.90 'TRACKING NUMBERS:050316379468941 3 CHLORIDE STD SOLN 1000MG/L 500ML 18349 4 26.45 105.80 'TRACKING NUMBERS:050316379468941 ORDER CONTACT: SUBTOTAL 372.70 DAVE DYE FREIGHT CHARGES 27.95 3175712634 TAX 0.00 Notes: INVOICE TOTAL 400.65 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 a Other brands ° Test Systems ., r 71Tj from Hach Hyd.".' Flow f NAuds S SwviwS s I.:h�r.N..v 0_d ® INVOICE NUMBER 8005939 DATE: 10/26/2012 Page: 1 Be Right'" r o r o r o e r o TOTAL: $749.95 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online ? Phone: (800) 227-4224 Order at WWW.HACH.COM 80059397 008330458 00000074995 102612 Sort Seg: 561 Tray: 8 DETACH HERE Original INVOICE NO 8005939 DATE: 10/27/2012 g 'II'I°II�O�'I"II�IIII°IIl�IIIIAl 9III111Sl��ll°�'�IIIII'I'ISI1lII PURCHASE S13345 O CITY OF CARMEL ORDER L 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 JACCOUNT 1833045 I WASHINGTON,TARA ISEE, tjO, 1312367282:]j emit to: P 9609 HAZEL DELL PKWY Hach Company WWTP 2207 Collections Center Dr T INDIANAPOLIS, IN 46280-2935 Chicago,IL 60693- 0 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 PRIC EXT. PRICE 2 KTO: INTELLICAL CHLORIDE ANALYSIS PKG ISECL181AP 1 712.00 712.00 ORDER CONTACT: SUBTOTAL 712.00 TARA WASHINGTON FREIGHT CHARGES 37.95 3175712634 TAX 0.00 Notes: INVOICE TOTAL 749.95 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 a Other brands Test Systems _ g rom Hach ,( ^ •' ---�"' Hyd st Flora Products d Setvrms n. :F Ct v,*.v s• I ��rh VOUCHER # 126084 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 8005939 01-7202-05 $749.95 1l0e e 65 e Voucher Total 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 11/8/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/8/2012 8005939 $749.95 hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer