222423 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY CHECK AMOUNT: $3,655.02
i•�,o CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 222423
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 8364950 3 , 392 . 95 OTHER EXPENSES
651 5023990 8382894 59 . 13 OTHER EXPENSES
601 5023990 8391921 202 . 94 OTHER EXPENSES
INVOICE NO 8364950 DATE: 1 06/27/2013
S III III III 1111111111111111111111 Jill�11�11�����1���"�I1�{ PURCHASE W09824
o ORDER
CARMEL UTILITIES NUMBER
D LOVEALL,KERRI Net 30 Days From Invoice Date
3450 W 131st St TERMS
T Carmel, IN 46074-8267
O United States FREIGHT Prepay And Bill Customer
CARRIER RPS-RPS**FedEx--Ground
S
H CARMEL UTILITIES JACCOUNT 1052653
I FOREMAN,JAIMIE I REF, b1Q. 13127224§6-1 Remit to:
P 4915 E 106TH ST
CARMEL,IN 46033 Hach Company
2207 Collections Center Dr
T United States Chicago,IL 60693
n 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 KTO: CHLORINE ANLZR FREE CL17 W/RGTS 5440001 1 3,323.00 3,323.00
ORDER CONTACT: SUBTOTAL 3,323.00
JAIMIE FOREMAN FREIGHT CHARGES 69.95
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 3,392.95
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.COWTERMS
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 brands Test Systems
from Hach
--^�" Nydrornek Flmr Pn,jocisa,ervia±s 'i"I.11.1
INVOICE NO 8391921 DATE: 1 07/17/2013
S IIIl'I"IIII'11'II'ICI'Ill�lllIll'll� PURCHASE jforeman071613
o ORDER
L CARMEL UTILITIES NUMBER
D LOVEALL,KERRI Net 30 Days From Invoice Date
3450 W 131st St TERMS
T Carmel, IN 46074-8267
0 United States FREIGHT Prepay And Bill Customer
CARRIER RPS-RPS"Fed Ex--Ground
s
H CARMEL UTILITIES ACCOUNT 052653
1 FOREMAN,JAIMIE REE. NO, 13127515 16-1 Remit to:
P 4915 E 106TH ST Hach Company
CARMEL,IN 46033 2207 Collections Center Dr
T United States Chicago,IL 60693
0 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 FILTER, MEMB PLAIN 47MM PK/100 1353000 1 113.00 113.00
'TRACKING NUMBERS:050316372512375
3 WATER, DEIONIZED 4L (DEMINERALIZED) 27256 3 24.29 72.87
`TRACKING NUMBERS:050316372512375
ORDER CONTACT: SUBTOTAL 185.87
JAIMIE FOREMAN FREIGHT CHARGES 17.07
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 202.94
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.COMrrERMS
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 e Other brands
t— °� Test Systems
. '��� from Hach
`�--�"'-� Hyd.mtt.1 flan Products,x v�ivicr,5 A ,,.h a=. —t..
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 7/24/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2013 8364950 $3,392.95
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
'7/7,"It 3
Date Officer
VOUCHER # 132281 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 Audit Trail Code
G-L 3'-rgo,5V
8364950 02-2308-00 $3,323.00
Depreciation
8364950 02-2308-00 $69.95
Depreciation
O =9-).
Voucher Total Z�E
Cost distribution ledger classification if
claim paid under vehicle highway fund
® INVOICE NUMBER 8382894
DATE: 07/11/2013
Page: 1
Be Right""
o ® r ® ® TOTAL: $59.13
Hach Company
2207 Collections Center Drive
Chicago, IL 60693 Have you ordered online ?
Phone: (800) 227-4224 Order at WWW.HACH.COM
83828947 008330458 00000005913 071113
Sort Seg: 553 Tray: 8 DETACH HERE Original
INVOICE NO 8382894 DATE: 07/11/2013
g IIII111!"l�I�I'I' l l�l��IIIIIIiJm���il llldr�nlll�lrll'lll'� PURCHASE TARA
O ORDER
L CITY OF CARMEL NUMBER
D Wastewater Treatment Plant Net 30 Days From Invoice Date
760 3rd Ave SW TERMS
T Carmel,IN 46032-2072
O United States FREIGHT Prepay And Bill Customer
CARRIER RPS-RPS**FedEx--Ground
S
H CITY OF CARMEL IIACCOUNT 1833045
I WASHINGTON,TARA Remit to:
P 9609 HAZEL DELL PKWY 312739457-1
Hach Company
WWTP
T INDIANAPOLIS, IN 46280-2935 D
Chic r
Collections Center
O 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 rr NESSLER RGT EX ALK, 100TESTS MDB 2119432 2 23.09 46.18
"TRACKING NUMBERS:050316372452565
ORDER CONTACT: SUBTOTAL 46.18
TARA WASHINGTON FREIGHT CHARGES 12.95
.3175712634 TAX 0.00
Notes: 6) . ,7a 0 a• 05 INVOICE TOTAL 59.13
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
°aEnvironmental brands
Test Systems Other brands
from Hach
`•-✓' Hydmmot Flovr Produds E Snrvlms s1—b ncxnru..v e.,w
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 7/24/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2013 8382894 $59.13
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
Date Officer
VOUCHER # 136046 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
8382894 01-7202-05 $59.13
Voucher Total $59.13
Cost distribution ledger classification if
claim paid under vehicle highway fund