214725 11/20/2012 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: $265.14
PITTSBURGH PA 15238 CHECK NUMBER: 214725
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 810615 265 . 14 OTHER EXPENSES
INVOICE
LahChem Invoice ID :810615
Sales Order ID :816436
performance through chemistry Invoice Date : 10/24/2012
200 William Pitt Way,Pittsburgh,PA 15238 Ship Date 10/24/2012 1:32:00 PM
Ph:412-826-5230 1 Fax:412-826-5234 Customer PO ID : TARA
Page Number : 1 of 1
AR Terms: Due Date: Amount Due:
Net 30 Days 11/23/2012 $265.14
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: 10/24/2012 11:06:10 AM FOB: Pittsburgh,PA
Packing Slip: 411909 Currency Type: USG
Ship Method: FedEx Ground Service
Line Nbr Item ID/Item Name Unit of Shipped Unit Price Sales Tax Extra Extended
Cost Item ID Measure Qtp Charges Price
1 LC226002/SILVER NITRATE,0.0141N(0.0141 M) EA 7.0000 $34.6000 $0.0000 $242.20
B/O Qty: 0.0000,
Lot Number Expiration Date Lot Trans Ot)
B289-05 04/15/2014 7
Line Item Total: $242.20
Subtotal: $242.20
Sales Tax: $0.00
Trackine Numbers:
Shipping Charges: $22.94
015396465293968,015396465293975 Total: $265.14
Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA
VOUCHER # 126081 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
810615 01-7182-05 $265.14
Voucher Total $265.14
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
358238
LABCHEM INC Purchase Order No.
200 WILLIAM PITT WAY Terms
PITTSBURGH, PA 15238 Due Date 11/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/8/2012 810615 $265.14
I 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