217998 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
ONE CIVIC SQUARE CHEMSEARCH
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $488.92
CHICAGO IL 60673-1232 CHECK NUMBER: 217998
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1009613 488 . 92 OTHER EXPENSES
INVOICE Page: 1 of 1
CORRESPONDENCE TO
ORIGINAL COPY Remittance Address
PO BOX 152170 CHEMSEARCHFE
IRVINC TX 75015 REORDERS CALL #1-800-527-9921 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO.IL 60673-1232
W WW.CHEMSEARCHFE.CONI
Sold To Ship To We are going green!
Attn: ACCOUNTS PAYABLE
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 'Germs Due Date Ship Date Sales Order
441468 15-FEB-13 10 NET 25-FI-13-13 15-FEB-13 1053268
Invoice No. purchase Order No. Sales Rep.No. Sales Rep.Name
1009613 DAN-021413A USFEF001 DUNSCONIB.Mr.JAMES L
`Descriptio71 i'ackagiug -'Qty'I3iiled——Unit Priee — amount
10033414 1 THREAD-EZE ULTRA BRUSH TOP,DZ.,NAC NC DZ 1.00 295.00 295.00
10040241 1 YIELD AEROSOL,DZ,NAC NC DZ 1.00 170.00 170.00
-17 n 11'�)
Merchandise State Tax Local Tax rr Shipping Split Inv.No. Currency- Total Amount
465.00 0.00 0.00 23_.9.2 USD 488.92
IN Tax ID#0003512371-001-3 Federal ID#75-0457200
CHEMSEARCH FE.DIVSION OF NCII CORPORATION ALL RETURNS CLAIMS FOR ERRORS.OR ADJUSTMENTS OF AN)'KIND MUST BE MADE
--- - WITHIN-15 DAYS AFTER RECEIPT OF GOODS.MERCHANDISE NOT ACCP.PTED FOR CREDIT WITHOUT OUR PRIOR W..RIT.FEN.CONSENT..=_x-
s xa ra awree a'+��a�IT"�'rni0't'��R 4ilGFiS�L'L'S�Ir�'ef�d�'f3i1i1`wwer"r�DLINGCI-IARGES-P.O.B.INDIANAPOLIS.
VOUCHER # 131018 WARRANT # ALLOWED
352978 IN SUM OF $
CHEMSEARCH
23261 NETWORK PLACE k
CHICAGO, IL 60673-1232 C,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
a
Board members
PO# �INV# ACCT# AMOUNT k Audit Trail Code
1009613 01-6200-03 $488.92
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Voucher Total $488.92
Cost distribution ledger classification if 7
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
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673-1232 Due Date 3/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 1009613 $488.92
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