HomeMy WebLinkAbout236543 08/27/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00353237
ONE CIVIC SQUARE TESTAMERICA LABRATORIES, INC CHECKAMOUNT: $*******119.70*CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 236543
DALLAS TX 75320-4290 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 24154856 119.70 OTHER EXPENSES
TestAmedca
11117
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 24154856 Invoice Date May 07,2014
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 9609 Hazel Dell Pkwy
9609 Hazel Dell Pkwy Indianapolis,IN 46280
Indianapolis,IN 46280
P.O.Number W.O.Number Contract Number Work Ordered b
Purchase Order not required Teresa Lewis
Job Description Site Name SDC Number Invoice Contact
See below LisaKem a
Job No. Job Description Receipt Date Quantity Unit Price Amount
Method/Test Description J36366-1 Carmel Od/22/2014
335.4- Cyanide,Total 1.00 30.00 30.00
200.7 Rev 4.4-Total Recoverable Cadmium 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Chromium 1:00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Copper 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Lead 1.00 12.00 12.00
200.7 Rev 4A-Total Recoverable Nickel 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Silver 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Zinc 1.00 12.00 12.00
Environmental Management Fee 1,00 5.70 5.70
Project Number Client Number Project Manager Subtotal $119.70
24009460 1406871 Josh McKinney
Latest Sample Receipt Date Latest Report Date Phone Number Total $119.70
04/22/2014 05/06/2014 93 294-6856
For proper credit,please include Invoice number on all remittance.
------- - -- --
TestAmerica Canton-4101 Shuffel-StreetNW,North-Canton,OH 44720 - -- --
This invoice falls under TestAnterica Laboratories Inc.Stnndard T&Vs of Net 30 Days unless superseded by another valid contract vehicle in Page I of I
pleat at the Itno those services were rendered.
t
VOUCHER # 145343 WARRANT # ALLOWED
IN SUM OF $
00353237
TESTAMERICA INC
PO BOX 99742
Chicago, IL 60690
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
24154856 01-7362-05 $119.70
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Voucher Total $119.70
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 8/14/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/14/2014 24154856 $119.70
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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 cer