227027 12/11/2013 �•.f CITY OF CARMEL, INDIANA VENDOR: 358238 Page 1 of 1
ONE CIVIC SQUARE LABCHEM INC CHECK AMOUNT: $598.67
CARMEL, INDIANA 46032 1010 JACKSON'S POINTE COURT
ZELIENOPLE PA 16063 CHECK NUMBER: 227027
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 847463 598 . 67 OTHER EXPENSES
INVOICE
1 alb C h e m Invoice ID :847463
Sales Order[D :854670
performance through chemistry Invoice Date : 11/25/2013
Jackson's Pointe Commerce Park-Building 1000 Ship Date 11/25/2013 2:09:00 PM
1010 Jackson's Pointe Court,Zelienople,PA 16063 Customer PO ID : S 13799
Ph:412-826-52301 Fax:724-473-0647 1 www.labcliem.com
Page Number : 1 of 2
AR Terms: Due Date: Amount Due:
Net 30 Days 12/25/2013 $598.67
Bill To: 1265 Ship To
CARMEL WWTP CARMEL WWTP
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280 INDIANAPOLIS, IN 46280-2935
USA USA
Order Date: 11/25/2013 12:45:18 PM FOB: Zelienople,PA
Packing Slip: 449437 Currency Type: USD
Ship Method: FedEx Ground Service
Line Nbr Item ID l Item Name Unit of Shipped Unit Price Sales Tax Extra Extended
Cost Item ID Measure Qty Charges Price
LC226002/SILVER NITRATE,0.0141N(0.0141M) L'A 9.0000 $36.2000 $0.0000 $325.80
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
C218-24 02/07/2015 9
Line Item Total: $325.80
2 LC188501/POTASSIUM CHROMATE INDICATOR EA 2.0000 $16.9000 $0.0000 $33.80
B/O Qty: 0.0000
Lot Number Expiration Date Lot Trans Otv
c203-02 07/25/2015 2
Line Item Total: $33.80
3 LC148451/GLUCOSE-GLUTAMIC ACID EA 6.0000 $33.0000 $0.0000 5198.00
B/O Qty: 010000
Lot Number Expiration Date Lot Trans OtN
C261-17 10/01/2015 6
Line Item Total: $198.00
Subtotal: $557.60
Tracking Numbers:
Sales Tax: $0.00
Shipping Charges: $41.07
582799246750,582799246760,582799246771 Total: $598.67
Fonn#34.02 06/19/2012 See"www.labchem.com"for C of A and MSDS information All Products Made In USA
VOUCHER # 136960 WARRANT # ALLOWED
358238 IN SUM OF $
LABCHEM INC
200 WILLIAM PITT WAY
PITTSBURGH, PA 15238
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
i
I
847463 01-7202-05 $598.67
1
i
1
Voucher Total $598.67
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Cost distribution ledger classification if d
claim paid under vehicle highway fund
s
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
358238
LABCHEM INC Purchase Order No.
200 WILLIAM PITT WAY Terms
PITTSBURGH, PA 15238 Due Date 12/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2013 847463 $598.67
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
i
Date Officer