HomeMy WebLinkAbout228018 1 /14/2014 CITY OF CARMEL, INDIANA VENDOR: 118000 Page 1 of 1
ONE CIVIC SQUARE HACH COMPANY�. CHECK AMOUNT: $3,399.25 CARMEL, INDIANA 46032 2207 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 228018
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 8627398 3 , 399 . 25 OTHER EXPENSES
I
INVOICE NO 8627398 DATE: 1 12/24/2013
S ' 'II'I'�I�I' 'IIIIIIII���I�IIIII'I'�III���I�II'�IIII"�'��I1111 PURCHASE W09905
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
0 United States FREIGHT Prepay And Bill Customer
CARRIER RPS-RPS**FedEx--Ground
S
H CARMEL UTILITIES ACCOUNT 1 052653
FOREMAN,JAIMIE REF. NO. 312980840-1 Remit to:
P 4915 E 106TH ST
CARMEL,IN 46033 Hach Company
2207 Collections Center Dr
T United States Chicago,IL 60693
O
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 76.25
(317) 571-2639 TAX 0.00
Notes: INVOICE TOTAL 3,399.25
'Plant 4 Polymer Project
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 a Other brands
Test Systems
- from Hach
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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 12/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 8627398 $3,399.25
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 # 133785 WARRANT # ALLOWED
118000 IN SUM OF $
HACH CHEMICAL CO. CORP
2207 Collections Center Dr.
Chicago, IL 60693
Carmel Water Utility
JAUNT OF APPROPRIATION FOR
ouBoard members
PO#1r INV# ACCT# AMOUNT Audit Trail Code
8627398 07-1052-15 $3,323.00
8627398 07-1052-15 $76.25
CIO vx/Eai dI-)
i
Voucher Total $3,399.25
Cost distribution ledger classification if
claim paid under vehicle highway fund