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