The URL can be used to link to this page

Home My WebLink About239501 11/25/14 CITY OF CARMEL, INDIANA VENDOR: 355031 ® ; ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH%HliVK AMOUNT: $*******423.00* CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 239501 CHICAGO IL 60677-7001 CHECK DATE: 11/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 401086 423.00 MEDICAL FEES Community Occupational Health Svs 7169 Solution Center Purchase Chicago, IL 60677-7001 D:,scription Phone: 317-621-0341 P.O.# P or F FEIN: 35-1955223 G.L.#_ bg NOV 0 2014 Dudlaet Lina bescr BY: Purchas at�( Z Approval Date Invoice November 04, 2014 Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 10/14 1411 E. 116th St. Carmel, IN 46032- Invoice# 401086 Proc Code Date Description Qty Charge Receipt Adjust Balance 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 . 47.00 47.00 Jordan R Brumbeloe Balance Due: 47.00 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Abigail C Choisser Balance Due: 47.00 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 47:00 - 47.00 Kara L Decker Balance Due: 47.00 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Jo Anne Harrison Balance Due: 47.00 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Emefa E Helegbe Balance Due: 47.00 746404 10/21/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Cari M Lewis Balance Due: _ _ 47.00 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Janet F Releford Balance Due: 47.00 746404 10/30/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Majd Sadek Balance Due: 47.00 746404 10/31/2014 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Marta E Tremblay Balance Due: 47.00 Invoice# 401086 Balance Due: 423.00 PLEASE REMIT PAYMENT PROMPTLY 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 11/4/14 401086 Pre-employment drug testing $ 423.00. Total $ 423.00 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 I Voucher No. Warrant No. 355031 Community Occupational Health Services, Allowed 20 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ $ 423.00 fI ON ACCOUNT OF APPROPRIATION FOR 108 ESE I I PO#orBoard Members Dept# INVOICE NO. CCT#(rITL AMOUNT 1081-99 401086 4340700. $ 423.00 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 II I 20-NoV 2014 i $ 423.00 I Accounts Payable Coordinator. Cost distribution ledger classification if Title claim paid motor vehicle highway fund i i I I