HomeMy WebLinkAbout241386 01/22/15 - CITY OF CARMEL, INDIANA VENDOR: 00353237
® it ONE CIVIC SQUARE TESTAMERICA LABRATORIES, INC CHECK AMOUNT: $**.....1 19.70*
4 ? CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 241386
vMtTON,`o DALLAS TX 75320-4290 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 24161072 119.70 OTHER EXPENSES
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 24161072 Invoice Date October 28,2014
Terms See Below I Federal Tax ID 23-2919996
Remit to TestAnierica Laboratories Inc.PO BOX 204290 Dallas TX 75320-4290
Bill to: Ship to:
Carmel WWTP Carmel W1VTP
Attn:Accounts Payable 30 West Main Street
30 Nest 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 Teresa Lewis
(248)625-7711
Job Description Site Nante SDG Number Invoice Contact
See below Lisa Ketn a
Job No. Job Description Receipt Date Quantity Unit Price Amount
Aletbod/Test Description
J43311-1 Horton Iite.Pit 10/21/2014
335.4-Cyanide,Total 1.00 30.00 30.00
200.7 Rev 4.4-Total Recoverable Cadmium 1.00 I2.00 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 4.4-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 S119.70
24009460 1406871 Amy McCormick
Latest Sample Receipt Date Latest Report Date Phone Number Total S119.70
10/21/2014 10/28/2014 330 966-9787
For proper credit,please include invoice number on all remittance.
TestAmerica Canton-4101 Shuflel Street NW,North Canton,OH 44720
This invoice falls under TestAnurica Laboratories Inc.Standard T&Cs of Nct 30 Days unless superseded by another valid contract vehicle in Page I of 1
place at the time these services were rendered.
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 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 24161072 $119.70
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
VOUCHER # 146437 WARRANT # ALLOWED
00353237 IN SUM OF $
TESTAMERICA INC
PO BOX 9974 --�L/o���
:V�,
a2o
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
24161072 01-7352-05 $119.70
Voucher Total $119.70
Cost distribution ledger classification if
claim paid under vehicle highway fund