222012 07/17/2013 *F CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CHECK AMOUNT: $2,954.55
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 222012
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8361929 2, 910 . 00 OTHER EXPENSES
601 5023990 8367848 44 . 55 OTHER EXPENSES
INVOICE NO 8367848 DATE: 1 06/28/2013
s I�'lll�ll��lll�'I1�1�1���'IIIII�I�I11��1�111�11��11�1.II"I111��1 PURCHASE JM62713-1
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
CARRIER RPS-RPS**FedEx- -Ground
S
H CARMEL UTILITIES JACCOUNT 1052653
I MASCARI,JOHN Remit to:
P 4915 E 106TH ST 312726273-1
CARMEL,IN 46033 Hach Company
2207 Collections Center Dr
T United States Chicago,IL 60693
" 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 TEST KIT, SAMPLE DEGASSING 4397500 1 31.60 31.60
'TRACKING NUMBERS:050316372315594
ORDER CONTACT: SUBTOTAL 31.60
JOHN MASCARI FREIGHT CHARGES 12.95
3177332855 TAX 0.00
Notes: INVOICE TOTAL 44.55
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
Environmental ®
Test Systems �...._ ROther brands
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"^--'�•� HySfratTi9t �Irnfl Fiodu(1S.ti St:IViC�s ., r.i:h t.emr�ES,,.ra
VOUCHER # 132009 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 ti Audit Trail Code
8367848 01-6200-03 $44.55
1
I
Voucher Total $44.55
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 7/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/2013 8367848 $44.55
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
® INVOICE NUMBER 8361929
DATE: 06/26/2013
Page: 1
Be Right'"
o f o o e o TOTAL: $2,910.00
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Haveyou ordered online ?
Phone: (800) 227-4224 Order at WWW.HACH.COM
83619296 008330458 00000291000 062613
Sort Seg: 607 Tray: 9 DETACH HERE Original
INVOICE NO 8361929 DATE: 06/26/2013
s 'I'I���'�I..I...1"III'I"I�I'III'I��Illllllelll'I��I'1011��l�l�l PURCHASE DDS102611-01
O CITY OF CARMEL ORDER
L NUMBER
D Wastewater Treatment Plant Net 45 Days From Invoice Date
760 3rd Ave SW TERMS
T Carmel, IN 46032-2072
0 United States FREIGHT
s CARRIER
H CITY OF CARMEL ACCOUNT 833045
1 760 3RD AVE SW BFE, NQ. IHACH248387 lRemitto:
P WASTEWATER TREATMENT PLANT Hach Company
CARMEL, IN 46032-2072 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
1 DDS SERVICE LEVEL 2 MID TERM Monthly DDS-SL2-MT 1 970.00 970.00
Charge:36:DDS
CONTRACT-.02/04/2013:02/03/2014
2 DDS SERVICE LEVEL 2 MID TERM Monthly DDS-SL2-MT 1 970.00 970.00
Charge:1::02/04/2013:02/03/2014
3 DDS SERVICE LEVEL 2 MID TERM Monthly DDS-SL2-MT 1 970.00 970.00
Charge:1:-.04/26/2013:10/2 5/2 013
ORDER CONTACT: SUBTOTAL 2,910.00
C� - 3 a U 5 TAX 0.00
Notes: INVOICE TOTAL 2,910.00
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
Environmental e
1— Test Systems Other 1:1CandS
a from Hach
��---�- Y1YaNtT191.
1`I(N4Pro<1t1dSX SAIVI,y'1
VOUCHER # 135964 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
8361929 01-7362-05 $2,910.00
Voucher Total $2,910.00
Cost distribution ledger classification if 1
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 7/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2013 8361929 $2,910.00
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
-2)//1/3 /k ,
Date Officer