224511 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY
CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $6,379.73
CHICAGO IL 60693 CHECK NUMBER: 224511
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8470469 6, 379 . 73 OTHER EXPENSES
INVOICE NO 8470469 DATE: 1 09/0972013
PURCHASE W09859
O CARMEL UTILITIES ORDER
L 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**Fed Ex--Ground
S
H CARMEL UTILITIES ACCOUNT 1052653
I FOREMAN,JAIMIE REF. NO. 312826905-1 Remit to:
P 4915 E 106TH ST Hach Company
CARMEL,IN 46033 2207 Collections Center Dr
T United States Chicago,IL 60693
O Phone:(300)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 ASCORBIC ACID PWD PLWS PK/100 1457799 10 20.85 208.50
*TRACKING NUMBERS:050316373145329
3 AMMONIA SALICYLATE PP PK/100 2653299 1 63.69 63.69
*TRACKING NUMBERS:050316373145336
4 FLUORIDE STD, 0.5MG/L 473ML 2743811 4 21.25 85.00
*TRACKING NUMBERS:050316373145336
050316373145350
5 FLUORIDE STD, 5.OMG/L 473ML 2797111 4 22.39 89.56
*TRACKING NUMBERS:050316373145350
6 RGT 1, TISAB SOLN 473ML 2812811 15 30.75 461.25
*TRACKING NUMBERS:050316373145350
7 NON-ARSENIC SPADNS REAGENT, 3.78L 2947517 2 79.35 158.70
*TRACKING NUMBERS:050316373145329
8 BUFFER SOLN, HARDNESS 1 1000ML 42453 1 40.89 40.89
*TRACKING NUMBERS:050316373145336
9 HARDNESS 3 TEST SOLN 1000ML 42653 3 35.45 106.35
*TRACKING NUMBERS:050316373145329
10 KIT, CL17 PRE-ASSY MAINT, POST 3/00 5444301 8 196.00 1,568.00
*TRACKING NUMBERS:050316373145336
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 l • l " Other brands
_ .ft� Test Systems
M y from Hach
L_ Hyd.t Flow Produds&Services — __1 n ,w
Q INVOICE NUMBER 8470469
DATE: 09/09/2013
Page: 2
Be Right'"
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
11 PHENOLPHTHALEIN PP PK/100 94299 1 15.79 15.79
*TRACKING NUMBERS:050316373145329
12 BROMCRESOL GR-METH RED PP PK/100 94399 1 15.79 15.79
*TRACKING NUMBERS:050316373145329
13 DPD FREE CHLORINE RGT 10 ML, PK/1000 2105528 3 170.00 510.00
*TRACKING NUMBERS:050316373145336
14 CALVER 2 POWDER PILLOWS PK/100 94799 1 17.35 17.35
*TRACKING NUMBERS:050316373145329
15 DPD TOTAL CHLORINE RGT 10 ML PK/1000 2105628 2 170.00 340.00
*TRACKING NUMBERS:050316373145336
16 FERROVER, IRON REAGENT PK/100 2105769 40 21.39 855.60
*TRACKING NUMBERS:050316373145336
17 BUFFER SOLN, YELLOW PH7.00 4L 2283556 1 44.69 44.69
*TRACKING NUMBERS:050316373145329
18 EDTA STD SOLN, 0.035N 100ML MDB 2349932 1 15.15 15.15
*TRACKING NUMBERS:050316373145336
19 as REAGENT SET, CHLORINE FREE CL17 2556900 14 49.59 694.26
*TRACKING NUMBERS:050316373145343
20 as REAGENT SET, CHLORINE TOTAL CL17 2557000 18 52.09 937.62
*TRACKING NUMBERS:050316373157452
050316373157469
21 AMMONIA CYANURATE RGT PP PK/100 2653199 1 42.59 42.59
*TRACKING NUMBERS:050316373145329
ORDER CONTACT: SUBTOTAL 6,270.78
JAIMIE FOREMAN FREIGHT CHARGES 108.95
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 6,379.73
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 Other brands
r
�---"" Hyd.o . Flow Products h 5orvices nr�eca, , - rQm a�.'
VOUCHER # 132746 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
1�
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
8470469 01-6200-03 $6,270.78
8470469 01-6200-03 $108.95
i
Voucher Total $6,379.73
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 9/16/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/16/2013 8470469 $6,379.73
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