241961 02/10/15 �{V" "''' CITY OF CARMEL, INDIANA VENDOR: 367946
® .. ELEMENT MATERIALS TECHNOLOGY LLW ECK AMOUNT: $*******366.30`
.� ! ONE CIVIC SQUARE
s, ,_�, CARMEL, INDIANA 46032 32599 COLLECTION CENTER DRIVE CHECK NUMBER: 241961
, CHICAGO IL 60693-0325 CHECK DATE: 02/10/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 EFW1348961N 366.30 OTHER EXPENSES
iz Clement Materials Technology Daleville,LLC Print Date: January 30, 2015
elemen 32599 Collection Center Drive
materials technology Chicago,IL 60693-0325
TEL:(765)378-4141
Website:inviv.element.com
Carmel WWTP Invoice Number EFW1348961N
Teresa Lewis Invoice Date: January 30,2015
9609 Hazel Dell Pkwy Client ID: CARMEL WWTP
Indianapolis,IN 46280-2935 Terms: Net 30
TEL:
REMITTANCE SUMMARY
Order#: Customer Project Name Customer P.O. Total
15010670 Digester 4 to Centrifuge 1 $43.20
15010668 Digester 4 to Centrifuge 1 $103.50
15010667 December 2014 Sludge $219.60
Invoice Total: $366.30
,,dement Materials Technology Daleville,LLC
=�
element32599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice Date: January 30, 2015
TEL:(765)378-4141
Website:ivww.element.cont Print Date: January 30, 2015
Invoice No: EFW1348961N
Client PO
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Indianapolis,IN 46280-2935 Chicago,IL 60693-0325
TEL: TEL:(765)378-4141
WorkOrder Test Total Mist.Charge Total Discount Surcharge WorkOrder Total-
15010670 $48.00 $0.00 0.1 0 $43.20
15010668 $115.00 $0.00 0.1 0 $103.50
15010667 $244.00 $0.00 0.1 0 $219.60
Prepaid: $0.00 Please Pay this amount : $366.30
Sample Details: Analysis Remarks Price
WorkOrder: 15010667
Lab Sample ID: 15010667-001
Date Received: 1/9/2015 AMMONIA as N in SLUDGE $26.91
Client Sample ID: Sludge Produced December 2014-C METALS IN SOLID BY ICP,3050B Prep $23.32
Matrix: Sludge Metals in Solids by ICP-MS,30508 Prep $104.96
SDG: NITRATE IN SLUDGE $22.43
Project Name: December 2014 Sludge PERCENT MOISTURE $10.76
Solids,Total $10.76
SOPREP TOTAL METALS:ICP $13.46
TOTAL KJELDAHL NITROGEN IN SOLIDS $31.40
Test TOTAL: $244.00
Discount: 10.0%
Surchar e: 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $219.60
Prepaid: $0.00
BalanceDue: $219.60
Comments:
WorkOrder: 15010668
Page 1 of 3
,,dement Materials Technology Daleville,LLC
element 32599 Collection Center Drive INVOICE
materials technology -Chicago,IL 60693-0325 Invoice Date: January 30, 2015
TEL:(765)378-4141
Website:mvw.element.com Print Date: January 30, 2015
Invoice No: EFW134896IN
Client PO
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel W WTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Indianapolis,IN 46280-2935 Chicago,IL 60693-0325
TEL: TEL:(765)378-4141
Lab Sample ID: 15010668-001
Date Received: 1/9/2015 PCBS IN SOIL OR SLUDGE $115.00
Client Sample ID: Digester 4 to Centrifuge 1-Carmel
Matrix: Sludge
SDG:
Project Name: Digester 4 to Centrifuge 1
Test TOTAL: $115.00
Discount:1 10.0%
Surchar e: 0.0%
Miscellaneous Charges: $0.00
Total Workorder Amount: $103.50
Pre aid: $0.00
BalanceDue: $103.50
Comments:
WorkOrder: 15010670
Lab Sample ID: 15010670-001
Date Received: 1/9/2015 Fecal Coliforms in Sludge,MPN $38.40
Client Sample ID: Digester 4 to Centrifuge 1 Solids,Total $9.60
Matrix: Sludge
- SDG:
Project Name: Digester 4 to Centrifuge 1
Test TOTAL: $48.00
Discount: 10.0%
Surchar e: 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $43.20
Prepaid:1 $0.00
BalanceDue: $43.20
Comments:
Page 2 of 3
®y� ,,dement Materials Technology Daleville,LLC
element 31599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice Date: January 30, 2015
TEL:(765)378-4141
Website:inm.element.com Print Date: January 30, 2015
Invoice No: EFW1348961N
Client PO
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Indianapolis,IN 46280-2935 Chicago,IL 60693-0325
TEL: TEL:(765)378-4141
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 3 of 3
�1
VOUCHER # 146641 WARRANT# ALLOWED
351367 ++ IN SUM OF $
ELEMENT MATERIALS TECHNOLOGY
32599 COLLECTION CENTER DRIVE
CHICAGO, IL 60693-0325
;1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
} Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
EFW13489611 01-7352-05 $366.30
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Voucher Total $366.30
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
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
351367
ELEMENT MATERIALS TECHNOLOGY DALEVI Purchase Order No.
32599 COLLECTION CENTER DRIVE r Terms
CHICAGO, IL 60693-0325 Due Date 2/4/2015
,
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/2015 EFW1348961 $366.30
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,
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1
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
I
Date Officer