HomeMy WebLinkAbout215650 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $282.71
CHICAGO IL 60693 CHECK NUMBER: 215650
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8063952 282 . 71 OTHER EXPENSES
INVOICE NO 8063952 DATE: 1 12/10/2012
s fDfiDf�ffiffDDfiffDAiiDffDiiiDf�illffiDlDiiAllffifAiiff�fDiAfDDf PURCHASE jf120712
o ORDER
L CARMEL UTILITIES NUMBER
D CARMEL UTILITIES3450 W 131ST ST Net 30 Days From Invoice Date
CARMEL,IN 46074-8267 TERMS
T United States
o FREIGHT Prepay And Bill Customer
g Sort Seg: 179
CARRIER RPS-RPS""FedEx--Ground
H CARMEL UTILITIES ACCOUNT 052653
I FOREMAN,JAIMIE REF. NO. 312427986-1 Remit to:
P 4915 E 106TH ST
CARMEL,IN 46033 Hach Company
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 PRICE EXT. PRICE
2 AMMONIA SALICYLATE PP PK/100 2653299 4 63.69 254.76
'TRACKING NUMBERS:050316379831622
ORDER CONTACT: SUBTOTAL 254.76
JAIMIE FOREMAN FREIGHT CHARGES 27.95
317-571-2639 TAX 0.00
Notes: INVOICE TOTAL 282.71
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
Test Systems Other brands
$rOtl'1 Hach
VOUCHER # 123060 WARRANT # ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR ;
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
8063952 01-6200-03 $282.71
Voucher Total $282.71
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 12/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/14/201: 8063952 $282.71
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