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HomeMy WebLinkAbout232868 05/21/14 Coq CITY OF CARMEL, INDIANA VENDOR: 368239 ONE CIVIC SQUARE NMS LABS CHECK AMOUNT: $**.....301.00*CARMEL, INDIANA 46032 PO BOX 8200900 CHECK NUMBER: 232868 PHILADELPHIA PA 19182 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4358200 118679 301.00 SPECIAL INVESTIGATION 3701 Welsh Road INVOICE PO NMS Box 433A Willow Grove, PA 19090 Terms Net 30 a e S (215)657-4900 Fax(215)366-1504 Remit to PO Box 820090 Phila PA 19182-0090 Tax ID 23-1731658 Account#: 41025 Carmel Police Department Invoice Date 04/30/2014 Attm Major David C. Strong Invoice Number 118679 3 Civic Square Period Ending 04/30/2014 Carmel, IN 46032 Purchase Order Please Reference Invoice#On Your Check Date Unit Total Recd Work Order Patient ID/Name Analysis Code Quantity Price Amount 04/22/14 14097260 14-00017365 0801 B Buprenorphine and 1 $70.00 $70.00 Metabolite-Free (Unconjugated), Blood 04/22/14 14097260 14-00017365 1968B Eszopiclone/Zopiclone, 1 $231.00 $231.00 I 1@111116m, Blood Total Amount Due $301.00 i Page 1 V.19 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/30/14 118679 Lab Fees $301.00 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 NMS Labs IN SUM OF $ PO BOX 8200900 Philidelphia, PA 19182 $301.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 118679 43-582.00 $301.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, ay 13, 2014 41Z Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund