218924 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC
i' CARMEL, INDIANA 46032 200 WILLIAM PITT WAY CHECK AMOUNT: $232.44
PITTSBURGH PA 15238 CHECK NUMBER: 218924
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 823572 232 .44 OTHER EXPENSES
INVOICE
�,ahChem Invoice ID :82 Sales Order ID :829628 9628
performance through chemistry Invoice Date : 3/21/2013
200 William Pitt Way,Pittsburgh,PA 15238 Ship Date : 3/21/2013 2:20:00 PM
Ph:412-826-5230 1 Fax:412-826-5234 Customer PO ID : TARA
Page Number : I of 1
AR Terms: Due Date: Amount Due:
Net 30 Days 4/20/2013 $232.44
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: 3/14/2013 8:26:28 AM FOB: Pittsburgh,PA
Packing Slip: 425109 Currency Type: USD
Ship Method: FedEx Ground Service
Line Nbr Item ID/Item Name Unit of Shipped Unit Price Sales Tax Extra Extended
Cust Item ID Measure Qty Charges Price
LC226002/SILVER NITRATE,0.0141N(0.0141M) EA 6.0000 $36.2000 $0.0000 $217.20
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
C074-17 09/20/2014 6
Line Item Total: $217.20
Subtotal: $217.20
Sales Tax: $0.00
Tracking Numbers:
Shipping Charges: $15.24
015396465360127 Total: $232.44
Form#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA
VOUCHER # 135253 WARRANT # ALLOWED
358238 IN SUM OF $
LABCHEM INC
200 WILLIAM PITT WAY
PITTSBURGH, PA 15238
r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
823572 01-7182-05 $232.44
1
a
I
Voucher Total $232.44
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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 4/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/4/2013 823572 $232.44
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
V15rll'&
Date Officer