217166 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
0 ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $8,895.14
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 217166
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8107310 8, 592 . 69 OTHER EXPENSES
651 5023990 8124251 302 .45 OTHER EXPENSES
® INVOICE NUMBER 8124251
DATE: 01/28/2013
Page: 1
Be Right"
o ® o r a TOTAL: $302.45
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online ?
Phone: (800) 227-4224 Order at WWW.HACH.COM
81242513 003515061 00000030245 012813
SortSeg: 676 Tray: 7 DETACH HERE Original
INVOICE NO 8124251 DATE: 01/28/2013
g I'IIIIIIII'I"IIII"'III'IIII'II"IIIII"IIIII'II'IIIIIIIIIIIIII° PURCHASE . S13455_- ,
O ORDER
L CARMEL WWTP NUMBER
D 9609 Hazel Dell Pkwy Net 30 Days From Invoice Date
Indianapolis, IN 46280-2935 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
CARRIER RPS-RPS""FedEx- -Ground
s
H CARMEL WWTP 1ACCOUNT 1351506
1 DYE,DAVE I REE, NO, 131249417 2-1 emit to:
P 9609 HAZEL DELL PKWY Hach Company
INDIANAPOLIS, IN 46280-2935 2207 Collections Center Dr
T United States Chicago,IL 60693
O 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 STD SOLN 1000MG/L 500ML 18349 10 27.45 274.50
*TRACKING NUMBERS:050316370385728
ORDER CONTACT: SUBTOTAL 274.50
DAVE DYE FREIGHT CHARGES 27.95
3175712634 TAX 0.00
Notes: INVOICE TOTAL 302.45
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/rERMS
For order discrepancies,or product.exchanges please-call 800-227-4224 or 970-669-3050 to obtain Return Authorization.
FEDERAL TAX ID#42-0704420
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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 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 8124251 $302.45
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
VOUCHER # 126609 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
8124251 01-7182-05 $302.45
Voucher Total $302.45
Cost distribution ledger classification if
claim paid under vehicle highway fund
INVOICE NO 8107310 DATE: 1 01/16/2013
S I111�11�I�1"I'II.11�1�1111 I�111I'�11�� PURCHASE JF011013plants
O ORDER
L CARMEL UTILITIES NUMBER
D 3450 W 131st St Net 30 Days From Invoice Date
Carmel, IN 46074-8267 TERMS
T United States
0 FREIGHT Prepay And Bill Customer
( nnt
CARRIER RPS-RPS**FedEx--Ground
S
H CARMEL UTILITIES ACCOUNT 052653
I FOREMAN,JAIMIE 3124 9 1_ emit to:
P 4915 E 106TH ST Hach Company
CARMEL, IN 46033 2207 Collections Center Dr
T United States Chicago,IL 60693
O Phone:,80^11 2274224
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 FERROUS IRON RGT PP 25ML PK/100 103769 5 24.05 120.25
*TRACKING NUMBERS:050316370261749
3 FLUORIDE STD, 0.5MG/L 473ML 2743811 7 21.25 148.75
*TRACKING NUMBERS:050316370261732
4 FLUORIDE STD, 5.OMG/L 473ML 2797111 7 22.39 156.73
*TRACKING NUMBERS:050316370261749
5 RGT 1, TISAB SOLN 473ML 2812811 15 30.75 461.25
*TRACKING NUMBERS:050316370261749
6 NON-ARSENIC SPADNS REAGENT, 3.78L 2947517 1 79.35 79.35
*TRACKING NUMBERS:050316370261688
7 KIT, CL17 PRE-ASSY MAI NT, POST 3/00 5444301 10 196.00 1,960.00
*TRACKING NUMBERS:050316370261749
8 KIT, MAINTENANCE CA610 FLUORIDE 5742100 6 163.00 978.00
*TRACKING NUMBERS:050316370261749
9 PHENOLPHTHALEIN PP PK/100 94299 2 15.79 31.58
*TRACKING NUMBERS:050316370261749
10 BROMCRESOL GR-METH RED PP PK/100 94399 2 15.79 31.58
*TRACKING NUMBERS:050316370261749
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
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INVOICE NUMBER 8107310
DATE: 01/16/2013
Be Right' Page: 2
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
11 CALVER 2 POWDER PILLOWS PK/100 94799 2
*TRACKING NUMBERS:050316370261749 17.35 34.70
12 ASCORBIC ACID PWD PLWS PK/100 1457799
*TRACKING NUMBERS:050316370261749 2 20.85 41.70
13 FERROVER, IRON REAGENT PK/100 2105769
*TRACKING NUMBERS:050316370261749 20 21.39 427.80
14 DROPPER ASSY, CHILD RES PK/6 GLASS 2318506
*TRACKING NUMBERS:050316370261749 6 11.95 71.70
15 EDTA STD SOLN, 0.035N 10OML MDB 2349932
*TRACKING NUMBERS:050316370261749 1 15.15 15.15
16 SAMPLE CELL, 25X60MM PK/6 10ML MARK 2427606
*TRACKING NUMBERS:050316370261749 5 27.19 135.95
17 as REAGENT SET, CHLORINE FREE CL17 2556900
*TRACKING NUMBERS:050316370261718 32 49.59 1,586.88
050316370261725 050316370261732
18 as REAGENT SET, CHLORINE TOTAL CL17 2557000
*TRACKING NUMBERS:050316370261695 40 52.09 2,083.60
050316370261701 050316370261718
19 AMMONIA CYANURATE RGT PP PK/100 2653199
*TRACKING NUMBERS:050316370261749 3 42.59 127.77
ORDER CONTACT:
JAIMIE FOREMAN SUBTOTAL 8,492.74
317-571-2639 FREIGHT CHARGES 99.95
Notes: TAX 0.00
INVOICE TOTAL 8,592.69
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
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