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Home My WebLink About222387 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1 ONE CIVIC SQUARE FISHER SCIENTIFIC O CARMEL, INDIANA 46032 ACCT 440371-001 CHECK AMOUNT: $2,453.70 40 c 13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 222387 CHICAGO IL 60693 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9670176 2 , 453 . 70 OTHER EXPENSES REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519 ® Fisher Scientific ACCT# 440371-001 4500 TURNBERRY DRIVE FEIN 23-2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE Pan of Thermo Fisher Scientific CHICAGO IL 60133 60693 PLEASE REFER TO THIS INVOICE NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV. DATE 513665 07/18/2013 9670176 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE DUPLICATE D31987607 440371-001 CHI SHIPPING POINT 07/17/2013 1 SOLD TO: SHIP TO: INVOICE TYPE: NOR FON CON CITY OF CARMEL MIS IS ACCOUNTS PAYABLE 9609 HAZEL DELL PKWY PARTIAL n CITY OF CARMEL, INDIANA VENDOR: 097251 Page 1 of 1 ONE CIVIC SQUARE FISHER SCIENTIFIC CARMEL, INDIANA 46032 ACCT 440371-001 CHECK AMOUNT: $2,453.70 oN-o 13551 COLLECTIONS CENTER DRIVE CHECK NUMBER: 222387 CHICAGO IL 60693 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9670176 2 , 453 . 70 OTHER EXPENSES 101-1000UL BLUE EPP 1000/PK 21 375E 1 PK 34.69 34.69 FINNTIP 5ML 500/PK 21 377 304 1 PK 89.06 89.06 CENTR CLIN 614B EA 22 029 380 1 EA 282.98 282.98 POLYSEED CAPSULES 50/PK 13 297 200 2 PK 95.40 190.80 MERCHANDISE SUBTOTAL 2,349.90 SHIPPING - -____ --- - - --I-_ - --_98...30__ SHIPPING-FUEL SURCHARGE 5.50 TOTAL INVOICE AMOUNT 2,453.70 FOR YOUR PROTECTION, OUR COMPANY DOE NOT ACCEPT CREDIT CAkD NUMBERS VIA FAC OR EMAIL (*) FOR YOUR REFERENCE, AN ASTERISK HAS BEEN PLACED BY THOSE I EMS FOR WHICH MS S(S) WILL BE PROVIDED UNDER SEPARATE COVER. CONTACT YOUR CUSTOMER SERVICE REPRESENTATIVE IF ADDITIONAL INFORMATION NEEDED. CONTINUED See reverse side for complete terms and conditions or visit hfto://www.fishersci.com/salesterms PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE.THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION AND SIGNED FOR BY THE TRANSPORTATION COMPANY.CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF GOODS TO CARRIER.DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT.WITHOUT THIS DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED.SELLER CERTIFIES THAT ALL GOODS(OR SERVICES)COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,AND 12 ` OF THE FAIR LABOR STANDARDS ACTS OF 1938,AS AMENDED,AND OF THE REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION. THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE.SOME PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. 3772 6904 0 0 1787968 80020SyS0300Ap1ry 00018751E REMIT TO: INQUIRE AT: (800) 766-7000 D-U-N-S-00-432-1519 ® Fisher Scientific ACCT# 440371-001 4500 TURNBERRY DRIVE FEIN 23-2942737 13551 COLLECTIONS CTR DR HANOVER PARK IL ORIGINAL INVOICE Part of Thermo Fisher Scientific CHICAGO IL 60133 PLEASE REFER TO THIS INVOICE 60693 NUMBER ON YOUR REMITTANCE CUSTOMER PURCHASE ORDER NUMBER-RELEASE NUMBER INV.DATE S13665 07/18/2013 9670176 ORDER NO. ACCOUNT NO. CSO F.O.B. ORDER ENTRY DATE PAGE FDUPLICATE D31987607 440371-001 CHI SHIPPING POINT 07/17/2013 2 SOLD TO: SHIP TO: INVOICE TYPE: NOR FON CON CITY OF CARMEL THIS IS A ACCOUNTS PAYABLE 9609 HAZEL DELL PKWY PARTIAL FE CARMEL UTILITIES (POS13665) SHIPMENT STE 110 WASTEWATER TREATMENT PLT DUE: 08/17/2013 760 3RD SW AVE INDIANAPOLIS IN 46280 CARMEL IN 46032-7612 TERMS: NET 30 DAYS FROM INVOICE DATE. PAYABLE IN U.S. CURRENCY. Visit: www.fishersci.com DESCRIPTION CATALOG QUANTITY UNIT PRICE AMOUNT NUMBER SHIPPED TELL US ABOUT YOUR RECENT CUSTOMER SET VICE EXPERIENCE BY CO 4PLETING A SHORT 3URVEY. THIS Sl OULD TAKE NO LONG?,R THAN THREE MINUTES. ENTER THE LINK IN9 O YOUR BROWSER AND EN rER THE PASSCODE 3HOWN. http://survey.medallia.com/fishersci PASSCODE: USA-PGH-CS2 E-INVOICE @HTTPS://WWW.E-SCICOM.COM/THE OFISHER/REGISTER.ASP I PAST DUE BALANCES ARE SUBJECT TO A FINANCE CHARGE.THIS SHIPMENT WAS DELIVERED IN PERFECT CONDITION AND SIGNED FOR BY THE TRANSPORTATION COMPANY.CONSIGNORS RESPONSIBILITY CEASES UPON DELIVERY OF GOODS TO CARRIER.DO NOT ACCEPT SHIPMENT SHOWING EVIDENCE OF DAMAGE OR SHORTAGE UNTIL AGENT OF CARRIER ENDORSES NOTATION TO THIS EFFECT ON FACE OF TRANSPORTATION RECEIPT.WITHOUT THIS DOCUMENTARY EVIDENCE CLAIM CANNOT BE FILED.SELLER CERTIFIES THAT ALL GOODS(OR SERVICES)COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,AND 12 OF THE FAIR LABOR STANDARDS ACTS OF 1938,AS AMENDED,AND OF THE REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. NO CREDIT WILL BE ALLOWED FOR MERCHANDISE RETURNED WITHOUT PRIOR AUTHORIZATION. THE PRICES SHOWN ON THIS INVOICE ARE NET OF DISCOUNTS PROVIDED AT THE TIME OF PURCHASE.SOME PRODUCTS MAY BE SUBJECT TO ADDITIONAL DISCOUNTS AGREED UPON BETWEEN THE PARTIES. 3772 6905 0 01787968 80020SyS0300Ap1ry 000187518 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 97251 FISHER SCIENTIFIC -440371 Purchase Order No. DEPT 440371 Terms 13551 COLLECTIONS CTR DR Due Date 7/24/2013 CHICAGO, IL 60693 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/24/2013 9670176 $2,453.70 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 # 136049 WARRANT # ALLOWED 97251 IN SUM OF $ FISHER SCIENTIFIC - 440371 DEPT 440371 13551 COLLECTIONS CTR DR CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9670176 01-7202-05 $2,453.70 Voucher Total $2,453.70 Cost distribution ledger classification if claim paid under vehicle highway fund