242921 03/11/15 CITY OF CARMEL, INDIANA VENDOR: 358403
'( ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*****1,977.00*
=a; CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 242921
+y�roN 7300 TOSSING ROAD CHECK DATE: 03111/15
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 I0124018 1,727.00 BUILDING REPAIRS & MA
1093 4350100 20124019 250.00 BUILDING REPAIRS & MA
CHARDON LABORATDRES , 2 7 2015 •
Corporate Service&Research Center Invoice No. 10124018
7300 Tussing Road - order No. 00044672
°. Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
SOLD . TO:
DAWN KOEPPER A/P MICHAEL KILPATRICK
CARMEL CLAY PARKS & RECREATION MCC-WEST
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CARMEL, IN 46032
To include the appli-cau—e cchemicaI's`-&service ou linedin Schedule 12 for C ooling Towers,Schedule 13 for Steam Boilers an or Schedu e 1 for Closed Systems ro
detailed information on these schedules,please see you Master Service Agreement.
CUSTOMER • NO TERMS SALES PERSON • • INVOICE
38034 NET 30 MARK HEIRBRANDT 2094732/24/2015
ITEM • I DESCRIPTION UNIT PRICE QTY EXTENDED PRICE
FTF2 FILTER VESSEL 2 GALLON FTF-2DB 655.00 2.00 1,310.00
FILTEACH FILTER BAG (ONE ONLY)FOR FTF 14.00 12.00 168.00
ZTIMEMAT TIME AND MATERIALS FOR INSTALLATION 214.00 1.00 214.00
REMIT TO: CHARDON LABORATORIES, INC. Sales Total 1,692.00
ACCOUNTS RECEIVABLE
Trade Discount 0.00
7300 TUSSING ROAD Shipping&Handling 35.00
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 1,727.00
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.
• 1,727.00
z
CHARDON LABORATORIES
Corporate Service&Research Center ` '" - . VT-'D
�rT-'D Invoice No. 10124019
Order No. 00044902
7300 Tussing Road
Reynoldsburg,Ohio 43068 I FEB 2 7 2015
1.800.848.9526
Fax: 614.759.2558 '3y
Web: www.chardonlabs.com
SOLD • TO:
DAWN KOEPPER A/P MICHAEL KILPATRICK
CARMEL CLAY PARKS & RECREATION MCC-WEST
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CARMEL, IN 46032
L
orTnc u e t e app ica a chemicals&service outlinedmSchetlure 12 foFCooling Towers,-Schedule f3 for Steam Boilers aniiio�5ch`edule 14 fog Closed'Sysfems. Fol --
detailed information on these schedules,please see you Master Service Agreement.
CUSTOMER P.O.NO, TERMS SALES PERSON CUSTOMER NO. INVOICE DATE
38034 NET 30 MARK HEIRBRANDT 209473 2/24/2015
ITEM • DESCRIPTION UNIT PRICE CITY EXTENDEDPRICE 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
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.
Chardon Laboratories, Inc. Terms
7300 Tussing Road
Reynoldsburg, OH 43068
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/24/15 10124018 Boiler closed loop system 38034 $ 1,727.00
2/24/15 10124019 Quarterly service of boiler closed loop system 338034 $ 250.00
Total $ 1,977.00
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
Voucher No. Warrant No.
Chardon Laboratories, Inc. Allowed 20
7300 Tussing Road
Reynoldsburg, OH 43068
In Sum of$
$ 1,977.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 10124018 4350100 $ 1,727.00 1 hereby certify that the attached invoice(s), or
1093 10124019 4350100 $ 250.00 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
March 5, 2015
Signature
$ 1,977.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund