HomeMy WebLinkAbout239226 11/19/14 CITY OF CARMEL, INDIANA VENDOR: 358403
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $""'"'250.00`
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 239226
9M�ioN�. 7300 TUSSING ROAD CHECK DATE: 11/19/14
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20119209 250.00 OTHER EXPENSES
C14AFOON LABORATORIES •
Invoice No. 10119209
Corporate Service&Research Center order No. 00043371
�A 7300 Tussing Road
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
• TO: TO:
PAULARNONE JEFF COOPER
CARMEL WASTE WATER TREATMENT CARMEL W W T P
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
Toinclude the applicable,chemicals_&service outlined in Schedule_12 for CoolingTowers_,Schedule 13 for Steam Boilers and_/or Schedule 14 for Closed Systems. For
detailed information on these schedules,please see you Master Service Agreement.
CUSTOMER • NO. TERMS SALES PERSON • • INVOICE
NET 30 MARK HEIRBRANDT 209396 10/31/2014
ITEM • I DESCRIPTION UNIT PRICE QTY EXTENDED PRICE
ZSERVICE SERVICE UNDER CONTRACT (QUARTERLY) 250.00 1.00 250.00
REMIT TO: CHARDON LABORATORIES, INC. Sales Total 250.00
ACCOUNTS RECEIVABLE Trade Discount 0.00
7300 TUSSING ROAD Shipping&Handling 0.00
REYNOLDSBURG, OHIO 43068 Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all Tax Total 0.00
applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and 250.00
orders of the United States Department of Labor issued under Section 14,thereof. Less Paid Amount 0.00
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices.
250.00
VOUCHER # 145985 WARRANT # ALLOWED
358403 IN SUM OF $
CHARDON LABORATORIES INC
7300 TUSSING ROAD
REYNOLDSBURG, OH 43068
r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10119209 01-7362-06 $250.00
I
i
Voucher Total $250.00 I
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
i
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
358403
CHARDON LABORATORIES INC Purchase Order No.
7300 TOSSING ROAD Terms
REYNOLDSBURG, OH 43068 Due Date 11/12/2014
Invoice Invoice Description
Date Number (or note attached i,nvoice(s) or bill(s)) Amount
i
11/12/201, 10119209 $250.00
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 Officer