216661 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $2,491.50
CHICAGO IL 60673-1232 CHECK NUMBER: 216661
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 942504 138 . 87 OTHER EXPENSES
651 5023990 967146 1, 896 . 44 OTHER EXPENSES
601 5023990 968780 90 . 46 OTHER EXPENSES
1110 4232100 25614 971263 365 . 73 LUBRICANT
_ INVOICE Page 1 of 1
ORIGINAL COPY J Y Remltfance Address�'T`
CORRESPONDENCE TO
CHEMSEARCHFE
PO BOX 152170 REORDERS CALL # 1-800-527-9921
IRVING TX 75015 23261 NETWORK PLACE
FAX # 1-972-438-0634 CHICAGO,IL 60673-1232
WWW.CHEMSEARCHFE.COM
Sold T; is Sh1p:To . `, W
r ,:I Y
Attn: ACCOUNTS PAYABLE Attn: JASON OGLE e are going green!
To pay electronically or
CITY OF CARMEL CITY OF CARMEL
POLICE POLICE receive invoices via
3400 W 131ST
3 CIVIC SQUARE
CARMEL IN 46032 email or fax-
CARMEL IN 46032
simply contact us at
cac.credit @nch.com
1 Customer;No. Billing Date Terms. L"Due Date, Ship Date ?y- Sales Order:",
317917 11-JAN-13 10 NET 21-JAN-13 11-JAN-13 1014126
p Invoice Nu._. . ?Purchhse Order;Ao !;; ._A , Sales Rept No ,s, Sales<Re ,Name'
971263 USFEF001 DUNSCOMB,Mr.JAMES L
i"; .Protluct., ;Qt ;Ordered „, „ ? Descnpton Eackaging; -, Q ;;Billed.,, ;IUmt":Price_„ . Amount,„
10033250 2 FULLBACK AEROSOL,DZ,US NC DZ 2.00 170.50 341.00
1 Merchandise
Zl State Tax''r Local Tax '? **Shipping Spht Inv,No Currency G Total Amount .11
341.00 0.00 0.00 24.73 USD 365.73
IN Tax ID#0003512371-001-3 Federal ID#75-0457200
CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST BE MADE
-- --, WITHIN 15 DAYR__$ECE1P-T Or4i-
0 INDIANA RETAIL TAX EXEMPT PAGE
CiA, o Ca-
anal CERTIFICATE NO.003120155 002 0 lL. V Jl Jl PURCHASE ORDER NUMBER
/J FEDERAL EXCISE TAX EXEMPT
35-60000972 201.4
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1124W3
CI$amSearch Carmel Polico Department
VENDOR TOIP 3 Civic Square
M61 Network Place Camel, IN 4632
Chicau®, IL W934232 (3471 5741
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-321.00
4 Each lubricant $365.73 $365.73
Sub Total: $365.73
.............
-4
Send Invoice To:
Carmel Police Department
Attu: Temsa Anders-o t
3 Civic Square
Carmel, IN 46M2m PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $M.73
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO SU NT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .a&oglfg^
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2:5 614 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#(TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
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
20
-------................ - - -.......--......--...............................-.....----------
- — -
Signature
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/11/13 971263 garage supplies $365.73
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.
ALLOWED 20
ChemSearch
IN SUM OF $
23261 Network Place
Chicago, IL 60673-1232
$365.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25614 I 971263 I 42-321.00 I $365.73 1 hereby certify that the attached invoice(s), or
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
Friday, January 25, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INVOICE Page: 1 of 1
ORIGINAL COPY Remittance Address
CORRESPONDENCE TO
PO BOY 152170 REORDERS CALL #1-800-527-9921 CHEMSEARCHFE
IRVINO Tx 75015 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO,IL 60673-1232
WWW.CHEMSEARCHFE.COA4
Sold To Ship To
Attn: JOE FAUCETT Attn: PAUL ARNONE We are going green!
To pay electronically or
CITY OF CARMEL CITY OF CARMEL
UTILITY DEPT UTILITY DEPT receive invoices via
760 3RD AVE SW STE 110 901 N RANGELINE RD
CARMEL IN 46032 CARMEL IN 46032 emailorfax-
simply contact us at
cac.credit @nch.com
Customer No. Billing Date Terms Due Date Ship Date Sales Order
229475 08-JAN-13 10 NET 18-JAN-13 08-JAN-13 1008157
Invoice No. Purchase Order No.. Sales Rep:No. Sales Rep.Name
967146 513.142 USFEF001 DUNSCOMB,Mr.JAMES L
PFodiict-- t_-Ordered _'r_ _ ..._. _- Descri rtion— - --- _ _ -.
Q Y 1 Packaging ., Qtt�Billed `Unit Price Amount
10172090 4 CITRUS FLOW,2 X 25 GL.US FE GL 20.00 60.50 1.210.00
10172114 2 E-100,6 X 9 LB,US FE CS 2.00 306.50 613.00
Merchandise State Tai: Local Tax xY Shipping Split Inv.No. Currency Total Amount
1,823.00 0.00 0.00 73.44 1 USD 1,896.44
IN Tax 1D#0003512371-001-3 Federal Ill#75-0457200
CHEMSEARC'l�,�j„DIVSION OF NCFI CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR r\DJUS'rMENTS OF ANY KIND MUST BE MADE
...� �o
— ---- wn ,nc nru , .,nvcp rna rvr-n T!-n:n: n:,:z PPi;a III
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
00352978
CHEMSEARCH Purchase Order No.
23261 Network Place Terms
Chicago, IL 60673-1232 Due Date 1/23/2013
Invoice Invoice Description
Date - Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 967146 $1,896.44
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
/L j�/3 yl--
Date Officer
VOUCHER # 126541 WARRANT # ALLOWED
00352978 IN SUM OF $
CHEMSEARCH
23261 Network Place
Chicago, IL 60673-1232
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
967146 01-7200-02 $1,896.44
Voucher Total $1,896.44
Cost distribution ledger classification if
claim paid under vehicle highway fund
INVOICE Page: 1 of 1
ORIGINAL COPY. Remittance Address..
CORRESPONDENCE TO
PO BOX 152170 REORDERS CALL #1-800-527-9921 CHEMSEARCHFE
IRVING TX 75015 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO,IL 60673-1232
W W W.CHEMSEARCHFE.COM
Sold To Ship To.
Attn: ACCOUNTS PAYABLE We are going green!
CITY OF CARMEL To pay electronically or
CITY OF CARMEL UTILITIES / OPERATIONS
UTILITIES FOREMAN receive invoices via
3450 W 131ST ST 4915 E 106TH ST
WESTFIELD IN 46074 CARMEL IN 46033 emailorfax-
simply contact us at
cac.credit @nch.com
Customer No. Billing Date Terms, Due Date" Ship Date Sales Order
441468 15-JAN-13 10 NET 25-JAN-13 10-JAN-13 979275
Invoice No. Purchase Order No. Salesa:ep.No. Sales Rep.Narne
968780 USFEF001 DUNSCOMB.Mr.JAMES L
Product Qty Ordered "'Description - `= Packaging _Qty Billed Unit Price- Amount
10172981 1 SYSTEM CLEAN DUST MOP TREATMENT AEROSOL DZ 1.00 72.35 72.35
Merchandise State Tax, Local Tax- * *hipping Split Inv.No. Currency ',I Total.Amount
72.35 0.00 0.00 18.11 USD 90.46
IN Tax ID#0003512371-001-3 Federal ID#75-0457200
CHEMSEARCI-1 FE.DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST BE MADE
WITSj 1N11i'Sl-:.YC A-,.FR ii F('FIi>'r nFi(1(iii: 1.AFR('14 Aiv-il1�F N()T iii('Fi%TFiI FOR RF'i�iT 1;Jil-fi(liTi�liR PRi(1R lURiTrFN"!'(IiJCFUT t
INVOICE _ Page: 1 of 1
ORIGINAL COPY Remittance Address
CORRESPONDENCETO
PO BOX 152170 REORDERS CALL #1-800-527-9921 CHEMSEARCHFE
►RVINC Tx 7501-5 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO,IL 60673-1232
WWW.CHEMSEARCHFE.COM
Sold To -. Ship To
Attn: ACCOUNTS PAYABLE We are going green!
CITY OF CARMEL To pay electronically or
CITY OF CARMEL UTILITIES / OPERATIONS
UTILITIES FOREMAN receive invoices via
3450 W 131ST ST 4915 E 106TH ST
WESTFIELD IN 46074 CARMEL IN 46033 emailorfax-
simply contact us at
cac.credit @nch.com
Customer No. Billing Date Terms: _ Due Date Ship Date 1 Sales Order
441468 15-JAN-13 10 NET 25-JAN-13 1 1-DEC-12 979309
Invoice No. Purchase Order No. ,Sales Rep.No.. � Sales Rep.Name �: }
942504 MC120612A USFEF001 DUNSCOMB.Mr.JAMES L
Product jtyOrdered` bescription T'ackagin gT Qty Billed Unit Price Amount_'; j
10029400 1 WHIP-IT WIPES,30 COUNT,US MM CS 1.00 126.00 126.00
1Vlerchandist State Tax Local Tas. * $hipping Split Inv.No.; Current$ Total Amount
126.00 0.00 1 0.00 12.87 USD 138.87
IN Tax 1D#0003512371-001-3 Federal ID#75-0457200
CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS I.OR ERRORS.OR ADJUSTMENTS OF ANY KIND MUST BE MADE
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
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673-1232 Due Date 1/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 942504 $138.87
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 # 123359 WARRANT # ALLOWED
352978 IN SUM OF $
CHEMSEARCH
23261 NETWORK PLACE
CHICAGO, IL 60673-1232
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
942504 01-6200-03 $138.87
Voucher Total a J
Cost distribution ledger classification if
claim paid under vehicle highway fund