241472 01/27/15 CITY OF CARMEL, INDIANA VENDOR: 358403
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*****1,750.00*
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 241472
7300 TUSSING ROAD CHECK DATE: 01/27/15
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 I0122334 1,750.00 OTHER CONT SERVICES
s�
C34ARDON LABORATORIES
Corporate Service&Research Center Invoice No. 10122334
7300'using Road
£ Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web:www.chardonlabs.com
• ■TO: TO:
ACCOUNTS PAYABLE JOHN DUFFY
CITY OF CARMEL-DEPT OF ADMIN CARMEL ENERGY CENTER
ONE CIVIC SQUARE 777 THIRD AVENUE SW
CARMEL, IN 46032 CARMEL, IN 46032
To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for-Steam Boilers and/or Schedule 14 for Closed Systems.For detailed
information on these schedules,-please see you Master Service Agreement. r_
-CUSTOMER P.O.NOTERMS SALESPERSON CUSTOMER NO. INVOICE DATE
NET 30 MARK HEIRBRANDT 297709 1/16/2015
ITEM • DESCRIPTION UNIT PRICE QTY EXTENDED PRICE
ZSERVICE PowerPure/Tower/Loop service 1,750.00 1.00 1,750.00
Submitted To
JAN 2 6 2014
Clerk Treasum
REMIT TO: CHARDON LABORATORIES, INC.
Sales Total 1,750.00
ACCOUNTS RECEIVABLE
7300 TUSSING ROAD Trade Discount 0.00
REYNOLDSBURG, OHIO 43068 Shipping&Handling 0.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 1,750.00
United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
• 1,750.00
-VOUCHER NO. WARRANT NO.
ALLOWED 20
Chardon Laboratories
IN SUM OF$
7300 Tussing Road
Reynoldsburg, OH 43068
$1,750.00
ON ACCOUNT OF APPROPRIATION FOR
Building Operations Account
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1208 I 10122334 I -509.00 I $1,750.00 1 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
Monday, January 26, 2015
Director, Adminstration
Title
I
_ Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice . Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/16/15 10122334 Energy Center $1,750.00
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
, 20
Clerk-Treasurer