HomeMy WebLinkAbout235213 7 /22/2014 f Cqq
� CITY OF CARMEL, INDIANA VENDOR: 00353237
• ONE CIVIC SQUARE TESTAMERICA LABRATORIES, INC CHECK AMOUNT: $"""""*"105.00'
CARMEL, INDIANA 46032 PO BOX 204290 . CHECK NUMBER: 235213
�TON� DALLAS TX 75320-4290 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 24157056 105.00 OTHER EXPENSES
TestAmedca
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 24157056 Invoice Date July 10,2014
Terms See Below Federal Tax ID 23-2919996
Remit to TestAmerica Laboratories,Inc.PO BOX 204290,Dallas TX 75320-4290
Bill to: Ship to:
Carmel WWTP Carmel WWTP
Attn:Accounts Payable 30 West Main Street
30 West Main Street Suite 220
Suite 220 Carmel,IN 46032
Carmel,IN 46032
P.O.Number W.O.Number Contract Number Work Ordered b
Purchase Order not required Tara Washington
(248)625-7711
Job Description Site Name SDG Number Invoice Contact
See below Lisa Kem a
Job No. Job Description Receipt Date Quantity Unit Price Amount
Method/Test Description
J39003-1 Carmel 06/27/2014
200.8-Total Recoverable Cd,Cr,Cu,Ni,Pb,Zn 1.00 100.00 100.00
Environmental Management Fee 1.00 5.00 5.00
Project Number Client Number Project Manager Subtotal $105.00
24009460 1406871 Josh McKinney
Latest Sample Receipt Date Latest Report Date Phone Number Total $105.00
06/27/2014 07/10/2014 (937)294-6856
For proper credit,please include invoice number on all remittance.
TestAmerica Canton-4101 Shuffel Street NW,North Canton,OH 44720
This invoice falls under TestAmerica Laboratories Inc.Standard T&C's of Net 30 Days unless superseded by another valid contract vehicle in Page 1 of 1
place at the time these services were rendered.
VOUCHER # 145134 WARRANT # ALLOWED
00353237IN SUM OF $
TESTAMERICA INC
PO BOX497- 2 90q �
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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24157056 01-7362-05 $105.00
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Voucher Total $105.00
Cost distribution ledger classification if
claim paid under vehicle highway fund a
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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
00353237
TESTAMERICA INC Purchase Order No.
PO BOX 99742 Terms
Chicago, IL 60690 Due Date 7/17/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/17/2014 24157056 $105.00
i
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
7/i ell Y �1.t ti✓Y -
Date Officer