223498 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $859.04
a ;o� CHICAGO IL 60693 CHECK NUMBER: 223498
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8432732 683 . 07 OTHER EXPENSES
601 5023990 8436887 175 . 97 OTHER EXPENSES
INVOICE NO 8436887 DATE: 1 08/15/2013
PURCHASE JF081413
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
O United States FREIGHT Prepay And Bill Customer
CARRIER RPS-RPS**FedEx--Ground
s
H CARMEL UTILITIES I ACCOUNT 1052653
I FOREMAN,JAIMIE I REE. NQ, 1312794670-1 lRemit to:
P 4915 E 106TH ST
CARMEL,IN 46033 Hach Company
T United States 2207 Collections Center Dr
O Chicago,IL 80693
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 SAMPLE CELL, 25X54MM 10ML W/CAP PKGD 2122800 6 7.15 42.90
`TRACKING NUMBERS:050316372874534
3 Power Module, 21000 LZV804 1 116.00 116.00
'TRACKING NUMBERS:050316372874534
ORDER CONTACT: SUBTOTAL 158.90
JAIMIE FOREMAN FREIGHT CHARGES 17.07
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 175.97
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 s �e
Test Systems Other brands
'
.--- ° from Hach
`�--- Hydromet Flan Products a Sevlms I1—h�_ft e
INVOICE NO 8432732 DATE: 1 08/13/2013
s •I�1'lll�l��ll'I.I�1��111"11��'��I'�I111"��I'lll�l'I�'I�"��I�� PURCHASE JF081213
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
s
CARRIER RPS-RPS**FedEx--Ground
H CARMEL UTILITIES ACCOUNT 052653
I FOREMAN,JAIMIE 312791709-1 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 FERROVER, IRON REAGENT PK/100 2105769 30 21.39 641.70
'TRACKING NUMBERS:050316372848924
ORDER CONTACT: SUBTOTAL 641.70
JAIMIE FOREMAN FREIGHT CHARGES 41.37
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 683.07
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 a �e Other brands
Test Systems '
. _.. =° from Hach
`�—� tlyGromet Flow PrJdiwis A sofvims A1.rr:.F l.Yxtt_(hxvKf
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 8/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2013 8432732 $683.07
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
8/13 �•-�,'� /Y�,-sue_ _-
Date Officer
VOUCHER # 132477 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
8432732 01-6200-03 $683.07
`t 3 l°�5�5-7 1"75.ct-7
i
I
Voucher Total L) ?W7
Cost distribution ledger classification if
claim paid under vehicle highway fund