The URL can be used to link to this page

Home My WebLink About238078 10/15/14 (9, CITY OF CARMEL, INDIANA VENDOR: 355031 ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTHWFt4K AMOUNT: $*******846.00* CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 238078 CHICAGO IL 60677-7001 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 396218 188.00 MEDICAL FEES 1081 4340700 397535 611.00 MEDICAL FEES 1091 4340700 397535 47.00 MEDICAL FEES Community Occupational Health Svs Purchase �pp I / )Lyt' l ` 7169 Solution Center Dcscrlptlon lYl e cll C OAC, �C,� C 12S �S/ Chicago, IL 60677-7001 Phone: 317-621-0341 P.O.# P orF FEIN: 35-1955223 G.L.# U O rloo 0 U Bud of �O e�S DvuT SEP "17 2014 Line escr IPS S i Purchaser Date /IV j3y; Approval Date_^ Invoice September 16, 2014 Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 9-14 1411 E. 116th St. Carmel, IN 46032- _ . Invoice# 396218 Proc Code Date Description Qty Charge Receipt Adjust Balance 746404 09/05/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Michael S Bray Balance Due: 47.00 746404 09/11/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Colin M Fischer Balance Due: 47.00 746404 09/11/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Mary E Hoover Balance Due: 47.00 746404. 09/04/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Benjamin Sanborn Balance Due: 47.00 Invoice# 396218 Balance Due: t/ 188.00 PLEASE REMIT PAYMENT PROMPTLY r Cut and return with payment Community Occupational Health Svs 7169 Solution Center Purchase (' - Chicago, IL 60677-7001 Description Z @ Ides n) r�� Phone: 317-621-0341 FEIN: 35-1955223 P or F OCT -6 2014 r<ud�:et Line Descr �'Y:-_____ r•;.;rchaser 11,1 Psi N royal Date IU (0 1 i V InvoiceX070P/700 tifbfly October 02, 2014 P /7 00 °g1-9�- y3o7o0- 4 Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Cannel Clay Parks & Recreation 9/14 1411 E. 116th St. Cannel, IN 46032- Invoice# 397535 Proc Code Date Description Qty Charge Receipt Adjust Balance 746404 09/27/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Mitchell J Adzema Balance Due: 47.00 746404 09/23/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Erika A Arakawa Balance Due: 47.00 746404 09/12/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Aliyah Bebley Balance Due: 47.00 746404 09/26/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Rachel N Berry Balance Due: 47.00 746404 09/19/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Katiana M Breland Balance Due: 47.00 746404 09/27/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Krysta D Greco Balance Due: 47.00 746404 09/26/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Amanda Jackson Balance Due: 47.00 746404 09/23/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Derrick J McQuiston Balance Due: 47.00 746404 09/17/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Corrinne A Nuzzi Balance Due: 47.00 746404 09/18/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Amanda M Pecoraro Balance Due: 47.00 746404 09/26/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Rebecca Roy Balance Due: 47.00 746404 09/17/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Invoice# 397535 (continued)page 2 Rachel M Servais Balance Due: 47.00 746404 09/19/2014 Drug.Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Kamryn Solomon Balance Due: 47.00 746404 09/28/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Sandy Tawfik Balance Due: 47.00 Invoice# 397535 Balance Due: ,/ 658.00 PLEASE REMIT PAYMENT PROMPTLY - = Cut and returnwith payment _ -_ - ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 355031 Community Occupational Health Services Terms 7169 Solution Center Chicago, IL 60677-7001 Invoice Invoice Description Date Number (or note attached invoice(s).or bill(s)) PO# Amount I 9116114 396218 Pre-employment drug testing $ 188.00 10/2/14 397535 Pre-employment drug testing $ 47.00 10/2/14 397535 Pre-employment drug testing. ^ ` $ -61-1-.00 Total $ 846.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 , 20_ Clerk-Treasurer Voucher No. Warrant No. 355031 Community Occupational Health Services Allowed 20 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ $ 846.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE /109 Monon Center PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members Dept# 1081-99 396218 4340700 $ 188.00 1 hereby certify that the attached invoice(s), or 1091 397535 4340700 $ 47.00 bill(s)is(are)true and correct and that the 1081-99 397535 4340700 $ 611.00 materials or services itemized thereon for which charge is made were ordered and received except 9-Oct 2014 $ 846.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund