244307 04/15/15 G%.4 p'' CITY OF CARMEL, INDIANA VENDOR: 355130
.� J• ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES
CHECK AMOUNT: $*******179.51
�. ' CARMEL, INDIANA 46032 P 0 BOX 8 CHECK NUMBER: 244307
'M/�.. ; BIRNAMWOOD WI 54414 CHECK DATE: 04/15/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 353228 179.51 OTHER EXPENSES
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Laborators p
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FED ID:39-1538387 Lab Su�plZeS since 190�
1-800-648-7836
54
www.ndabs.com
Email:nclabs@nclabs.com INVOICE NO. 353228
INVOICE DATE
S CITY OF CARMEL 03/26/2015
O 9609 HAZEL DELL PARKWAY YOUR ACCOUNT NO.
L 7804
D INDIANAPOLIS, IN 46280 YOUR ORDER NO,
T q1 4955 ,
® SHIPPED VIA
UPS" 03/25/2015
SHIPPED TO _
CARMEL WASTEWATER TRT PLANT, 9609 HAZEL DELL PARKWAY, INDIANAPOLIS, IN 46280
OUANTITY DESCRIPTION UNIT PRICE EXTENDED
1" 500 g"N-50, Nitrification Inhibitor 166.40 166.40
Delivery Charges 13.11
SUB-TOTAL 179.51
.'WI Sales Tax-Exempt .00
TOTAL 179.51
Thank you for your order! !
PLEASE PAY FROM THIS INVOICE WITHIN 30 DAYS
REMIT TO: NCL of Wisconsin, Inc. P.O. Box 8, Birnamwood,WI 54414
VOUCHER # 155299 WARRANT # �' ALLOWED
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355130 IN SUM OF $
NORTH CENTRAL LABORATORIES
POBOX 8
BIRNAMWOOD, WI 54414
Carmel Wastewater Utility
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ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT i Audit Trail Code
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353228 01-7202-05 $179.51 1
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Voucher Total $179.51
Cost distribution ledger classification if f
claim paid under vehicle highway fund
a
if 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 f per unit, etc.
Payee
f
355130
NORTH CENTRAL LABORATORIES ' Purchase Order No.
P O BOX 8 Terms
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BIRNAMWOOD, WI 54414 Due Date 4/9/2015
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i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/9/2015 353228 ,'' $179.51
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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
J
ArDate Officer Officer